DEREK POLEY (NPI# 1134648033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134648033 |
| Entity Type | Individual |
| Full Name | DEREK POLEY |
| Credential | NP-C |
| Practice Address |
5400 Fort St Ste 110 Trenton MI 48183-4698 |
| Mailing Address |
5563 Central Dr Monroe MI 48161-3677 |
| Practice Telephone | 7343013125 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 021315 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 4704292642 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5400 FORT ST STE 110 |
| City | TRENTON |
| State | MI |
| Zip Code | 48183-4698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134462559 | Michael Ashbrook | Internal Medicine | 5400 Fort St Ste 110, Trenton, MI 48183-4698 | 2013-04-03 |
| 1992353403 | Advanced Lungs & Critical Care Specialists Pllc | Internal Medicine | 5400 Fort St Ste 110, Trenton, MI 48183-4698 | 2019-08-28 |
| 1508347337 | Critical Care Medicine Partners, PC | Internal Medicine | 5400 Fort St Ste 110, Trenton, MI 48183-4698 | 2018-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869324 | Tonya Saint Onge | Physical Therapy Assistant | Applewood Nursing Center, 18500 Van Horn Rd., Woodhaven, MI 48183 | 2019-09-09 |
| 1326568635 | Samantha Nicole Steffen | Behavior Technician | 3244 Concord, Trenton, MI 48183 | 2017-06-27 |
| 1225567688 | Nicholas Michael Abdallah | Dentist | 21080 Allen Road, Woodhaven, MI 48183 | 2017-06-08 |
| 1265823041 | Sherry A Dees Lmsw Acsw LLC | Counselor | 23933 Allen Road, Suite 3, Woodhaven, MI 48183 | 2015-02-14 |
| 1720480825 | Marlo Brazier | Technician, Other | 226000 West Rd, Apt 108, Trenton, MI 48183 | 2014-09-19 |
| 1679902597 | Henry Ford Wyandotte Hospital | Dietitian, Registered | 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 | 2013-11-02 |
| 1548605116 | Kay Vonne Cason Psy Pllc | Psychologist | 19366 Allen Rd Ste. D, Brownstown, MI 48183 | 2013-05-08 |
| 1891031118 | Mazin K Dds PC | Dentist | 22319 King Rd, Woodhaven, MI 48183 | 2012-12-13 |
| 1114241585 | John Shafer | Psychologist | 1660 Fort St, Trenton, MI 48183 | 2010-03-15 |
| 1982871026 | Anthony G Gray | Physical Therapist | 20059 King Road, Woodhaven, MI 48183 | 2008-05-08 |
| Find all providers in zip 48183 | ||||
| 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 |
|---|---|---|---|---|
| 1831537372 | Paulo Juan Bagayas Verdeflor | Nurse Practitioner | 2401 Stuyvesant Ave, Trenton, NJ 08628 | 2013-06-06 |
| 1548317068 | Patricia Montigros | Nurse Practitioner | 832 Brunswick Avenue, Greater Trenton Behavioral Health Care, Trenton, NJ 08607 | 2007-01-05 |
| 1700997004 | Mary Bucci | Nurse Practitioner | 446 Bellevue Avenue, Mercer Medical Center, Trenton, NJ 08618 | 2006-08-31 |
| 1609865484 | Anna Marie Redington | Nurse Practitioner | 489 W State St, Trenton, NJ 08618-5653 | 2005-10-14 |
| 1629685839 | Devon Verity | Nurse Practitioner | 40 Fuld St Ste 305, Trenton, NJ 08638-5247 | 2020-09-30 |
| 1548892391 | Natallia Izgur | Nurse Practitioner | 1374 Whitehorse Hamilton Square Rd, Trenton, NJ 08690-3701 | 2020-02-10 |
| 1275199317 | Naah N/a Allotey | Nurse Practitioner | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2019-05-14 |
| 1205391695 | Amanda J Liebenberg | Nurse Practitioner | 40 Fuld St Ste 305, Trenton, NJ 08638-5247 | 2019-02-10 |
| 1700326535 | Julia Blum | Nurse Practitioner | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2017-02-27 |
| 1316483035 | Jayvee Joy Jonos-ferrer | Nurse Practitioner | 601 Hamilton Ave, Trenton, NJ 08629-1915 | 2017-01-19 |
| Find all providers in TRENTON | ||||
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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.