MRS. KRYSTAL PROULX (NPI# 1285005744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285005744 |
| Entity Type | Individual |
| Full Name | MRS. KRYSTAL PROULX |
| Practice Address |
808 Newman St East Tawas MI 48730-9745 |
| Practice Telephone | 9898205959 |
| Mailing Telephone | 9898205959 |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
808 NEWMAN ST |
| City | EAST TAWAS |
| State | MI |
| Zip Code | 48730-9745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790775 | Sarah Jan Feinauer | Behavior Technician | 421 Evans St, East Tawas, MI 48730 | 2018-11-27 |
| 1154863678 | Dustin Lee Bayn | Technician, Other | 304 West Bay St, East Tawas, MI 48730 | 2016-11-15 |
| 1205227188 | Michelle St. Aubin | Speech-Language Pathologist | 1691 E Us 23 Ste 4, East Tawas, MI 48730 | 2015-02-12 |
| 1871751354 | John Rodney Lixey | Chiropractor | 310 W Bay St, East Tawas, MI 48730 | 2008-05-30 |
| 1447387709 | Dianne B Webb | Psychologist | 1200 Tawas Beach Rd, East Tawas, MI 48730 | 2007-02-27 |
| 1215029350 | Daniel C Smith | Optometrist | 1691 N Us 23, Suite 2, E Tawas, MI 48730 | 2006-09-28 |
| 1023022936 | Jcs Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1704 East Huron Road, East Tawas, MI 48730 | 2006-07-28 |
| 1477520377 | S. Fountain's Inc | Pharmacy | 133 Newman St, East Tawas, MI 48730 | 2006-03-01 |
| 1124019674 | Richard Paul Payea | Family Medicine | 1195 Tawas Beach Rd, East Tawas, MI 48730 | 2005-11-03 |
| 1477543346 | Duane D Harrison | Allergy & Immunology | 1691 E. Us 23, Suite 5, East Tawas, MI 48730 | 2005-10-24 |
| Find all providers in zip 48730 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154863678 | Dustin Lee Bayn | Technician, Other | 304 West Bay St, East Tawas, MI 48730 | 2016-11-15 |
| 1891140380 | Cassandra Mousseau | Technician, Other | 1216 E Lincoln St, East Tawas, MI 48730-9324 | 2016-05-03 |
| 1932570413 | Cathy Pruder | Technician, Other | 517 Tawas St, East Tawas, MI 48730-1316 | 2015-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321200 | Jamie Price-tober | Technician, Other | 4777 Spitler Dr, Bay City, MI 48706-9498 | 2020-09-22 |
| 1043824535 | Audrey E Carlson | Technician, Other | 5 Skyhaven Ct, Saginaw, MI 48604-1820 | 2020-09-02 |
| 1417569666 | Nicole Gainforth | Technician, Other | 610 Hickory Ct, Sebewaing, MI 48759-1413 | 2020-08-19 |
| 1205447364 | Bryan David Wilkinson | Technician, Other | 153 E Auburn Trl, Brighton, MI 48114-5011 | 2020-08-12 |
| 1104442656 | Meredith Sparks | Technician, Other | 1053 Kirk Dr Se, Grand Rapids, MI 49546-3740 | 2020-06-21 |
| 1487276366 | Sarah Zimmerman | Technician, Other | 2341 Valleywood Dr Se Apt L12, Grand Rapids, MI 49546-7707 | 2020-05-13 |
| 1649890096 | Justice Kristina-marie Bass | Technician, Other | 401 E Willard Ave Apt 4, Lansing, MI 48910-3078 | 2020-04-24 |
| 1609400522 | Vickie Gaines | Technician, Other | 28096 Palomino Dr, Warren, MI 48093-4232 | 2020-02-29 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1376182766 | Katie Marie Morton | Technician, Other | 3210 Elnor Dr, Gladwin, MI 48624-8366 | 2020-01-02 |
| Find all providers with the same taxonomy | ||||
| City | EAST TAWAS |
| Zip Code | 48730 |
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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.