CHARSIE A NEALEY (NPI# 1104301993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104301993 |
Entity Type | Individual |
Full Name | CHARSIE A NEALEY |
Credential | NP |
Practice Address |
4025 Health Park Ln Saint Joseph MI 49085-3421 |
Practice Telephone | 2694297100 |
Practice Fax Number | 2694291307 |
Mailing Telephone | 2694297100 |
Mailing Fax Number | 2694291307 |
Enumeration Date | 2018-09-27 |
Last Update Date | 2018-09-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704309455 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4025 HEALTH PARK LN |
City | SAINT JOSEPH |
State | MI |
Zip Code | 49085-3421 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366071268 | Susan Lynn Hiestand | Nurse Practitioner | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2020-04-03 |
1639653058 | Emily Delmotte | Nurse Practitioner | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2018-09-21 |
1841737046 | Jeanette O'neill Postelli | Nurse Practitioner | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2017-01-25 |
1376096677 | Kristen Jones | Social Worker | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2016-08-03 |
1326401639 | Angela M Nickens | Nurse Practitioner | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2016-04-04 |
1912366535 | Rebecca Jane Markus | Nurse Practitioner | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2016-02-11 |
1316364383 | Hospice At Home, Inc. | Internal Medicine | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2014-03-27 |
1508115965 | Tamara Nichole Gaishin | Physician Assistant | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2012-08-31 |
1316100803 | Allison Ayne Turner | Internal Medicine | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2008-07-07 |
1316009665 | Ramona Kay Hale | Nurse Practitioner | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2006-12-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
Find all providers in zip 49085 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801099874 | Elizabeth Roderick | Nurse Practitioner | 5301 Faraon St Ste 220, Saint Joseph, MO 64506-3800 | 2007-06-07 |
1639653058 | Emily Delmotte | Nurse Practitioner | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2018-09-21 |
1326564352 | Lindsey M Nelson | Nurse Practitioner | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2017-08-22 |
1578001038 | Story Peterson | Nurse Practitioner | 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 | 2017-02-05 |
1841737046 | Jeanette O'neill Postelli | Nurse Practitioner | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2017-01-25 |
1962819763 | Sherry Simpson | Nurse Practitioner | 2900 Lakeview Ave, Saint Joseph, MI 49085-2379 | 2014-07-14 |
1497966931 | Carol Mullican | Nurse Practitioner | 904 S 10th St, Saint Joseph, MO 64503-2405 | 2007-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275130619 | Mohammad Afzal Khan | Nurse Practitioner | 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 | 2020-10-08 |
1528679305 | Eriko Apriliando | Nurse Practitioner | 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 | 2020-08-13 |
1245858307 | Katherine Perko Hollander | Nurse Practitioner | 2274 Earlmont Rd, Berkley, MI 48072-1877 | 2020-07-06 |
1437782067 | Jamie Lynn Kosalsky | Nurse Practitioner | 1385 Cadmus Dr, Troy, MI 48085-1218 | 2020-02-21 |
1326698309 | Maria Christina Mekas | Nurse Practitioner | 423 Tamarack Dr, Saline, MI 48176-9573 | 2019-09-12 |
1669021358 | Cheryl Fowler | Nurse Practitioner | 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 | 2019-09-05 |
1205482387 | Sarah E Born | Nurse Practitioner | 517 Erie Street, Three Rivers, MI 49093-2029 | 2019-08-14 |
1023660321 | Cheri Van Wyngarden | Nurse Practitioner | 6250 Jupiter Ave Ne, Belmont, MI 49306-8711 | 2019-07-16 |
1194385500 | Adesuwa Iyoha | Nurse Practitioner | 30509 Halecreek St, Romulus, MI 48174-3224 | 2019-06-18 |
1740740190 | John Kenneth Dekock | Nurse Practitioner | 5327 48th Ave, Hudsonville, MI 49426-9412 | 2019-03-21 |
Find all providers with the same taxonomy |
City | SAINT JOSEPH |
Zip Code | 49085 |
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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.