ANDREA CLEGG


Address: 18101 Oakwood Blvd Ste 101, Dearborn, MI 48124-4089
Phone: 3139967280

ANDREA CLEGG (NPI# 1285612861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285612861
Entity Type Individual
Full Name ANDREA CLEGG
Credential NP
Practice Address 18101 Oakwood Blvd Ste 101
Dearborn
MI 48124-4089
Practice Telephone 3139967280
Mailing Telephone 3139967280
Enumeration Date 2006-01-04
Last Update Date 2011-08-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 4704218011 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 10-4773406 05
CAQH 11712499 01
MI 10-4773371 05
MI 10-4773380 05
MI 11-4941047 05
MI 10-4773362 05
MI 10-4773390 05
MI 11-4941038 05
MI 11-4941065 05
RAILROAD MEDICARE P00380696 01
MI 11-4941056 05
MI BCBS 5008604240 01

Other Providers ANDREA CLEGG

NPI Name Taxonomy Address Enumeration
1164854378 Andrea Marie Clegg Dentist 432 Heron Pl, Davis, CA 95616-7512 2013-07-30
1689932212 Andrea J Clegg Specialist/Technologist 201 E Germantown Pike, Plymouth Meeting, PA 19462-1550 2012-05-02

Office Location

Street Address 18101 OAKWOOD BLVD STE 101
City DEARBORN
State MI
Zip Code 48124-4089

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396389524 Pharma A, LLC Pharmacy 23916 Michigan Ave, Dearborn, MI 48124 2019-10-31
1225683725 Aysha Said Behavior Technician 1369 Porter St, Dearborn, MI 48124 2019-08-02
1881257772 Leen Nusairat Internal Medicine Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 2019-04-17
1417413360 Gary C. Veraghen, Dds, PC Dentist 22100 W. Outer Drive, Dearborn, MI 48124 2019-02-15
1982168787 Fnu Asma Manzar Physical Therapist Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 2019-01-25
1639640162 Jernia Lashawn Usher Behavior Technician 1360 Porter St Lower Level, Dearborn, MI 48124 2018-12-10
1710456470 Samar Fouad Hannawi Psychologist 3815 Pelham Street, Suite #13, Dearborn, MI 48124 2018-11-24
1881178747 Sarah Chehab Psychologist 835 Mason St Suite 220b, Dearborn, MI 48124 2018-09-17
1568948289 Ibrahim M Basma Pharmacist 22521 Michigan Avenue, Dearborn, MI 48124 2018-07-16
1669961942 Jacqueline E Domzalski Technician, Other 3231 S. Gulley, Suite E, Dearborn, MI 48124 2018-05-02
Find all providers in zip 48124

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497234066 Tristan Murray Nurse Practitioner 5901 Chase Rd, Dearborn, MI 48126-0900 2018-08-14
1811404312 Tracey Marie Michels Nurse Practitioner 3133 S. Telegraph, Dearborn Family Clinic, Dearborn, MI 48124 2018-01-05
1386676195 Christine Giska Westphal Nurse Practitioner 18101 Oakwood, Suite 126, Dearborn, MI 48123-2500 2006-07-06
1730186537 Ann Marie Edwards Nurse Practitioner 18100 Oakwood Blvd Ste 213, Dearborn, MI 48124-4085 2005-07-07
1346871191 Tamela Lynn Lassila Nurse Practitioner 5250 Auto Club Dr Ste 200, Dearborn, MI 48126-2619 2020-01-30
1871124974 Kimberlee Erison Nurse Practitioner 3850 Pelham St, Dearborn, MI 48124-3832 2020-01-28
1760022057 Timothy Patrick Corcoran Nurse Practitioner 6050 Greenfield Rd Ste 101, Dearborn, MI 48126-6004 2020-01-14
1225699911 Andrew Joseph Plaza Nurse Practitioner 18101 Oakwood Blvd, Dearborn, MI 48124-4089 2019-06-24
1639733298 Stephanie Elizabeth Castaing Nurse Practitioner 1537 Monroe St, Dearborn, MI 48124-2842 2019-04-29
1912469701 Bilal Abdulla Nurse Practitioner 5245 Schaefer Rd Ste D, Dearborn, MI 48126-3257 2019-04-02
Find all providers in DEARBORN

Competitor

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City DEARBORN
Zip Code 48124

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Dataset Information

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.

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