AMANDA JAKUBOWSKI (NPI# 1194118877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194118877 |
| Entity Type | Individual |
| Full Name | AMANDA JAKUBOWSKI |
| Practice Address |
245 E Warwick Dr Suite D Alma MI 48801-1026 |
| Mailing Address |
1622 Holbrook Dr Holt MI 48842-1834 |
| Practice Telephone | 9894620048 |
| Mailing Telephone | 9894888295 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704254424 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
245 E WARWICK DR SUITE D |
| City | ALMA |
| State | MI |
| Zip Code | 48801-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740261635 | Peter J Bruno | Surgery | 245 E Warwick Dr, Alma, MI 48801-1026 | 2005-11-08 |
| 1427532936 | Brittany M Cline | Nurse Practitioner | 245 E Warwick Dr, Alma, MI 48801-1026 | 2018-09-20 |
| 1902242985 | Lossio Pediatrics, Pllc | Pediatrics | 245 E Warwick Dr, Suite D, Alma, MI 48801-1026 | 2013-05-16 |
| 1386951176 | Peter Bruno M.d.p.c. | Clinic/Center | 245 E Warwick Dr, Alma, MI 48801-1026 | 2010-09-01 |
| 1467475707 | Gratiot Medical Center An Affiliate of Midmichigan Health | Physician Assistant | 245 E Warwick Dr, Alma, MI 48801-1026 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407365851 | Lisa Diane Ackerman | Social Worker | 608 Wright Ave., Alma, MI 48801 | 2017-09-28 |
| 1679082028 | Amelia Hope Kasper | Case Manager/Care Coordinator | 608 Wright Avenue, Alma, MI 48801 | 2017-09-28 |
| 1245687516 | Mickaela Perez | Technician, Other | 623 W Warwick Dr Ste 2, Alma, MI 48801 | 2016-05-17 |
| 1639443005 | Bobbi L Hall | Pharmacist | 2805 W Cheesman Rd, Alma, MI 48801 | 2012-03-02 |
| 1588998652 | Jonathan Michael Daniels | Physician Assistant | 311 E. Warwick Dr., Alma, MI 48801 | 2009-09-23 |
| 1659593937 | Foot Care Inc | Durable Medical Equipment & Medical Supplies | 115 E Superior Street, Alma, MI 48801 | 2007-05-03 |
| 1689716193 | Sara A Wassenaar | Dentist | 226 N State Street, Alma, MI 48801 | 2007-02-12 |
| 1760574883 | Midmichigan Medical Center- Gratiot | Internal Medicine | 300 E. Warwick Drive, Alma, MI 48801 | 2006-09-28 |
| 1437250305 | Michael Robert St Louis | Physician Assistant | 300 South Warwick Drive, Alma, MI 48801 | 2006-09-25 |
| 1215032099 | Talal Omar Samhan | Urology | 1465 Mary Court, Alma, MI 48801 | 2006-09-14 |
| Find all providers in zip 48801 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902271604 | Memori K Mccarley | Nurse Practitioner | 1112 W 12th St, Alma, GA 31510-1814 | 2015-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991061 | Sarah Elizabeth Barber | Nurse Practitioner | 12918 Lake Point Pass, Van Buren Twp, MI 48111-2243 | 2020-10-27 |
| 1730700881 | Kelsey Olinik | Nurse Practitioner | 22200 Barclay Dr, Novi, MI 48374-3874 | 2020-04-29 |
| 1467080705 | Jessica Nicole Heichel | Nurse Practitioner | 7729 Brass Creek Ct, Dexter, MI 48130-9384 | 2020-03-31 |
| 1114550506 | Katlyn Roberts | Nurse Practitioner | 60160 E 8 Mile Rd, South Lyon, MI 48178-9768 | 2020-02-13 |
| 1093351595 | Emily Janina Jamett | Nurse Practitioner | 31815 Southfield Rd Ste 10, Beverly Hills, MI 48025-5471 | 2019-11-20 |
| 1508410747 | Clorissa Diedrich | Nurse Practitioner | 829 N Center Ave Ste 130, Gaylord, MI 49735-1684 | 2019-07-25 |
| 1255895355 | Jessica Lynn Kata | Nurse Practitioner | 19229 Mack Ave Ste 28, Grosse Pointe Woods, MI 48236-2857 | 2019-01-23 |
| 1467934679 | Anita Lynn Riddle | Nurse Practitioner | 100 W. Vanburen Street, Battle Creek, MI 49017 | 2018-09-04 |
| 1285120634 | Alexandra Danko | Nurse Practitioner | 5500 Auto Club Dr Ste 160, Dearborn, MI 48126-2779 | 2018-07-09 |
| 1417442617 | Shelby Fredricks | Nurse Practitioner | 1205 S Mission St Ste 4, Mount Pleasant, MI 48858-3939 | 2018-06-29 |
| Find all providers with the same taxonomy | ||||
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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.