ZOE MARIE NOWICKI (NPI# 1205440161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205440161 |
| Entity Type | Individual |
| Full Name | ZOE MARIE NOWICKI |
| Practice Address |
110 S Madison St Adrian MI 49221-2575 |
| Mailing Address |
548 Beechwood Dr Adrian MI 49221-9492 |
| Practice Telephone | 5172655161 |
| Mailing Telephone | 5174991844 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NA | 05 |
| Street Address |
110 S MADISON ST |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-2575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750995197 | Heather Temar | Specialist/Technologist | 110 S Madison St, Adrian, MI 49221-2518 | 2020-09-02 |
| 1437763885 | Mackenna Crowley | Specialist/Technologist | 110 S Madison St, Adrian, MI 49221-2518 | 2020-09-02 |
| 1982235529 | Kaitlyn Yvonne Frederick | Specialist/Technologist | 110 S Madison St, Adrian, MI 49221-2575 | 2020-02-02 |
| 1770132706 | Cailtin Marie O'brien | Specialist/Technologist | 110 S Madison St, Adrian, MI 49221-2518 | 2019-09-11 |
| 1851943708 | Emily Rose Kist | Nurse Practitioner | 110 S Madison St, Adrian, MI 49221-2518 | 2019-07-11 |
| 1053876854 | Brandon James Moody I | Student in an Organized Health Care Education/Training Program | 110 S Madison St, Adrian, MI 49221-2518 | 2019-02-05 |
| 1649735895 | Michael Thomas Burkhardt | Student in an Organized Health Care Education/Training Program | 110 S Madison St, Adrian, MI 49221-2575 | 2019-02-01 |
| 1851865026 | Scott Mathew Mattern | Student in an Organized Health Care Education/Training Program | 110 S Madison St, Adrian, MI 49221-2518 | 2019-01-21 |
| 1922599620 | Savannah Skyy Monette | Emergency Medical Technician, Basic | 110 S Madison St, Adrian, MI 49221-2575 | 2018-05-29 |
| 1043701774 | Rebecca Anne Neal | Student in an Organized Health Care Education/Training Program | 110 S Madison St, Adrian, MI 49221-2518 | 2018-05-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083179642 | Jenna Rae Moreno | Student in an Organized Health Care Education/Training Program | 643 S Mckenzie St, Adrian, MI 49221-3250 | 2019-02-07 |
| 1710335757 | Daniel K Hudson | Student in an Organized Health Care Education/Training Program | 366 Helme Ave, Adrian, MI 49221-1616 | 2016-06-01 |
| 1366890303 | Edward Anthony Schaeffer II | Student in an Organized Health Care Education/Training Program | 528 Stockford Dr, Adrian, MI 49221-1441 | 2016-06-01 |
| 1396193496 | Brigette Cameron | Student in an Organized Health Care Education/Training Program | 1325 Williams St, 1294 Caine Student Center, Adrian, MI 49221-2563 | 2016-05-30 |
| 1184019739 | Emily Caggiano | Student in an Organized Health Care Education/Training Program | 209 Red River Dr, Adrian, MI 49221-3738 | 2015-03-31 |
| 1497304463 | Fallon Flarity | Student in an Organized Health Care Education/Training Program | 1040 S Winter St Ste 1022, Adrian, MI 49221-3876 | 2019-09-11 |
| 1225593791 | Amy Goodman | Student in an Organized Health Care Education/Training Program | 1325 Williams St, Adrian, MI 49221-2563 | 2019-02-08 |
| 1053876854 | Brandon James Moody I | Student in an Organized Health Care Education/Training Program | 110 S Madison St, Adrian, MI 49221-2518 | 2019-02-05 |
| 1649735895 | Michael Thomas Burkhardt | Student in an Organized Health Care Education/Training Program | 110 S Madison St, Adrian, MI 49221-2575 | 2019-02-01 |
| 1396209078 | Kyle Schulz | Student in an Organized Health Care Education/Training Program | 1325 Williams St, Adrian, MI 49221-2563 | 2019-01-26 |
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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.