AMY LYNN WADSWORTH (NPI# 1063013837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063013837 |
Entity Type | Individual |
Full Name | AMY LYNN WADSWORTH |
Credential | FNP |
Practice Address |
9259 Chambord Dr Ypsilanti MI 48197-9281 |
Practice Telephone | 7344745665 |
Mailing Telephone | 7344745665 |
Enumeration Date | 2020-11-06 |
Last Update Date | 2020-11-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704307540 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | MI LICENSE | 4704307540 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366894404 | Amy Wadsworth | Nurse Practitioner | 1001 Leighton Ave, Anniston, AL 36207-5701 | 2016-07-12 |
1649420340 | Amy Robertson Wadsworth | Dentist | 2264 Mcingvale Rd, Hernando, MS 38632-8710 | 2008-09-30 |
Street Address |
9259 CHAMBORD DR |
City | YPSILANTI |
State | MI |
Zip Code | 48197-9281 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
Find all providers in zip 48197 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760014690 | Gabriela Cristina Wilson | Nurse Practitioner | 7266 Roxbury Dr, Ypsilanti, MI 48197-3095 | 2020-02-08 |
1225520919 | Kathleen M Hartwell-king Iv | Nurse Practitioner | 315 Holmes Rd, Ypsilanti, MI 48198 | 2018-05-30 |
1548768252 | Dana Carole Beck | Nurse Practitioner | 555 Towner St Ste 1103, Ypsilanti, MI 48198-5752 | 2018-01-28 |
1467808345 | Chanita Flowers | Nurse Practitioner | 8831 Lakeway Ct, Ypsilanti, MI 48197-1049 | 2016-05-10 |
1104294107 | Cereste Duprat-fabre | Nurse Practitioner | 8831 Tamarack Ln, Ypsilanti, MI 48197-9664 | 2015-09-08 |
1235524026 | Katherine Hershey | Nurse Practitioner | 108 Washtenaw Rd Apt 30, Ypsilanti, MI 48197-8708 | 2015-03-30 |
1962896852 | Robbyn Deborah-renee Smith | Nurse Practitioner | 9570 W Hereford Dr, Ypsilanti, MI 48197-1875 | 2015-03-27 |
1871621078 | Cathleen Sue Wilczynski | Nurse Practitioner | 555 Towner St Ste 149, Ypsilanti, MI 48198-5752 | 2007-03-01 |
1609416015 | Ashley Dawn Plemens | Nurse Practitioner | 5325 Elliott Dr Ste 104, Ypsilanti, MI 48197-8633 | 2020-01-14 |
1407495161 | Tanika Marie Dooley | Nurse Practitioner | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2019-12-29 |
Find all providers in YPSILANTI |
Please comment or provide details below to improve the information on AMY LYNN WADSWORTH.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.