ANNALISE KATHLEEN MICHAUD (NPI# 1245840081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245840081 |
| Entity Type | Individual |
| Full Name | ANNALISE KATHLEEN MICHAUD |
| Credential | MSN, PMHNP-BC |
| Practice Address |
515 N Bradner Ave Marion IN 46952-2449 |
| Practice Telephone | 7656648000 |
| Practice Fax Number | 8777312066 |
| Mailing Telephone | 7656648000 |
| Mailing Fax Number | 8777312066 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
71010241A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | CSR- PRESCRIPTIVE AUTHORITY | 71010241B | 01 |
| IN | APRN PRESCRIPTIVE AUTHORITY | 71010241A | 01 |
| Street Address |
515 N BRADNER AVE |
| City | MARION |
| State | IN |
| Zip Code | 46952-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548298409 | Trina L Greenwald | Nurse Practitioner | 515 N Bradner Ave, Marion, IN 46952-2449 | 2006-06-29 |
| 1245574516 | Trina L. Greenwald LLC | Nurse Practitioner | 515 N Bradner Ave, Marion, IN 46952-2449 | 2012-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1326350844 | Beth Ellen Krouse | Speech-Language Pathologist | 1800 Wabash Ave, Suite 200, Marion, IN 46952 | 2010-07-13 |
| 1093032138 | Thomas Alfred Beck | General Practice | 919 Euclid Avenue, Marion, IN 46952 | 2010-04-29 |
| Find all providers in zip 46952 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478066 | Jaleesa Shears | Nurse Practitioner | 880 Bayou Vista Dr, Marion, AR 72364-5006 | 2020-08-17 |
| 1003985391 | Kelly Leigh Scholl | Nurse Practitioner | 940 Marion Williamsport Rd E, Marion, OH 43302-8684 | 2006-11-08 |
| 1245858299 | Hannah Foley Chapman | Nurse Practitioner | 369 Front St, Marion, MA 02738-1538 | 2020-07-07 |
| 1295352110 | Noel Adams | Nurse Practitioner | 1655 Blairs Ferry Rd, Marion, IA 52302-3157 | 2020-06-26 |
| 1255984902 | Seahorse Behavioral, Inc. | Nurse Practitioner | 369 Front St, Marion, MA 02738-1538 | 2019-07-22 |
| 1629636832 | Kelly J Barsha | Nurse Practitioner | 505 N Wabash Ave, Marion, IN 46952-2608 | 2019-06-03 |
| 1841768678 | Benjamin Scott Hanenkratt | Nurse Practitioner | 1700 E 38th St, Marion, IN 46953-4568 | 2018-11-09 |
| 1093206856 | Kasey Dawn Harner | Nurse Practitioner | 112 Airway Dr, Marion, IL 62959 | 2018-05-28 |
| 1750800207 | Kelsey Lamb | Nurse Practitioner | 1655 Blairs Ferry Rd, Marion, IA 52302-3157 | 2017-09-15 |
| 1245574516 | Trina L. Greenwald LLC | Nurse Practitioner | 515 N Bradner Ave, Marion, IN 46952-2449 | 2012-11-26 |
| Find all providers in MARION | ||||
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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.