ROBERT P KRUPP (NPI# 1093353773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093353773 |
| Entity Type | Individual |
| Full Name | ROBERT P KRUPP |
| Credential | NURSE PRACTITIONER |
| Practice Address |
14555 Levan Rd Ste 112 Livonia MI 48154-5041 |
| Mailing Address |
24 Frank Lloyd Wright Dr Lbby J2000 Ann Arbor MI 48105-9484 |
| Practice Telephone | 7347121000 |
| Practice Fax Number | 7347121012 |
| Mailing Telephone | 7347476766 |
| Mailing Fax Number | 7342223100 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2020-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704297058 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DRIVER LICENSE | K610745680427 | 01 |
| Street Address |
14555 LEVAN RD STE 112 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-5041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093183006 | Cheryl L Vandewege | Nurse Practitioner | 14555 Levan Rd Ste 112, Livonia, MI 48154-5041 | 2015-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155762 | Mallory Rose Milavec | Nurse Practitioner | 14555 Levan Rd Ste 311, Livonia, MI 48154-5085 | 2018-12-17 |
| 1659827376 | Jennifer Bullard | Nurse Practitioner | 28508 Sunnydale Rd, Livonia, MI 48154 | 2016-09-01 |
| 1093183006 | Cheryl L Vandewege | Nurse Practitioner | 14555 Levan Rd Ste 112, Livonia, MI 48154-5041 | 2015-09-08 |
| 1861631921 | Angela Ransom | Nurse Practitioner | 14555 Levan Rd Ste 116, St. Mary's Mercy - Livonia, Livonia, MI 48154-5085 | 2009-02-13 |
| 1396856118 | Heidi Good | Nurse Practitioner | 28701plymouth Rd, Livonia, MI 48150 | 2006-08-31 |
| 1639287790 | Judith R Warren | Nurse Practitioner | 28550 Five Mile Road, Livonia, MI 48154 | 2006-08-29 |
| 1699884296 | Rosanne Terranova Seiler | Nurse Practitioner | 29270 Morlock Street, Livonia, MI 48152 | 2006-08-29 |
| 1770565632 | Catherine M Nichols | Nurse Practitioner | 36600 Schoolcraft Rd, Livonia, MI 48150-1176 | 2005-11-16 |
| 1255932463 | Hozefa Ezzi | Nurse Practitioner | 37595 7 Mile Rd, Livonia, MI 48152-1003 | 2020-11-04 |
| 1346805769 | Von Deneb Vitto | Nurse Practitioner | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2019-05-01 |
| Find all providers in LIVONIA | ||||
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| 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.