DOMINIQUE PICKETT (NPI# 1114316924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114316924 |
| Entity Type | Individual |
| Full Name | DOMINIQUE PICKETT |
| Credential | CCMA |
| Practice Address |
2939 Russell St Detroit MI 48207-4825 |
| Practice Telephone | 3133693500 |
| Practice Fax Number | 3135671876 |
| Mailing Telephone | 3133693500 |
| Mailing Fax Number | 3135671876 |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | MI | Nursing Service Related Providers | |
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
| Street Address |
2939 RUSSELL ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881679355 | Margo Kimberlee Ferguson | Family Medicine | 2939 Russell St, Detroit, MI 48207-4825 | 2005-12-07 |
| 1962869081 | Venecya Latonya Gavin | Social Worker | 2939 Russell St, Detroit, MI 48207-4825 | 2016-01-20 |
| 1043686215 | Samah Abdul Altairi | Social Worker | 2939 Russell St, Detroit, MI 48207-4825 | 2015-08-11 |
| 1114303740 | Ngozi Eke | Social Worker | 2939 Russell St, Detroit, MI 48207-4825 | 2015-08-05 |
| 1457735524 | Krystle Nicole Carter | Case Manager/Care Coordinator | 2939 Russell St, Detroit, MI 48207-4825 | 2015-07-17 |
| 1770966368 | Team Wellness Center | Case Management | 2939 Russell St, Detroit, MI 48207-4825 | 2015-07-01 |
| 1255727921 | Michael John Allen | Registered Nurse | 2939 Russell St, Detroit, MI 48207-4825 | 2015-04-09 |
| 1518350404 | Laporsche Smith | Case Manager/Care Coordinator | 2939 Russell St, Detroit, MI 48207-4825 | 2015-03-16 |
| 1780075705 | Patricia Mckinnin/sandridge | Registered Nurse | 2939 Russell St, Detroit, MI 48207-4825 | 2015-02-12 |
| 1316338841 | Tiffany Black | Social Worker | 2939 Russell St, Detroit, MI 48207-4825 | 2015-02-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
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| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770696 | Bianca Lewis | Nurse's Aide | 18126 Brinker St, Detroit, MI 48234-1500 | 2020-11-05 |
| 1811500085 | Karla J Jackson | Nurse's Aide | 11832 Dwyer St, Detroit, MI 48212-2520 | 2020-08-27 |
| 1336751833 | Lawreese Deshan Smith | Nurse's Aide | 16242 Manor St, Detroit, MI 48221-2859 | 2020-08-18 |
| 1417569740 | Valerie Ellis | Nurse's Aide | 6871 Longacre St, Detroit, MI 48228-4700 | 2020-08-18 |
| 1326604976 | Arniece Elaine Sewell | Nurse's Aide | 19415 Dequindre St, Detroit, MI 48234-1209 | 2019-05-18 |
| 1578127197 | Lakisha M Lige | Nurse's Aide | 9267 Artesian St, Detroit, MI 48228-1703 | 2019-04-29 |
| 1528526191 | Joyce Vernice Mccroy | Nurse's Aide | 3358 Vicksburg St, Detroit, MI 48206-2357 | 2019-03-03 |
| 1740777291 | Shanny's Home Care LLC | Nurse's Aide | 19207 Packard St, Detroit, MI 48234-3197 | 2018-04-19 |
| 1447755442 | Crystal Darnella Weaver-smith | Nurse's Aide | 18038 Oakfield St, Detroit, MI 48235-3279 | 2018-03-29 |
| 1770085540 | Ladonna Girty | Nurse's Aide | 20210 Winthrop St, Detroit, MI 48235-1815 | 2018-03-07 |
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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.