ALISSA GRACY (NPI# 1295201408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295201408 |
| Entity Type | Individual |
| Full Name | ALISSA GRACY |
| Practice Address |
2463 S M 30 West Branch MI 48661-9312 |
| Mailing Address |
611 Woodland Ave Petoskey MI 49770-2764 |
| Practice Telephone | 9893453660 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704259828NSA180 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2463 S M 30 |
| City | WEST BRANCH |
| State | MI |
| Zip Code | 48661-9312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396732103 | West Branch Regional Medical Center | General Acute Care Hospital | 2463 S M 30, West Branch, MI 48661-9312 | 2005-10-06 |
| 1073136677 | Andrew Katona | Physician Assistant | 2463 S M 30, West Branch, MI 48661-9312 | 2020-05-19 |
| 1194354035 | Midmichigan Medical Center- West Branch | Pharmacy | 2463 S M 30, West Branch, MI 48661-9312 | 2020-04-03 |
| 1982247482 | Midmichigan Medical Center-west Branch | Nurse Anesthetist, Certified Registered | 2463 S M 30, West Branch, MI 48661-9312 | 2019-10-28 |
| 1164918447 | Julie Anne Steinka | Nurse Practitioner | 2463 S M 30, West Branch, MI 48661-9312 | 2018-07-10 |
| 1336634864 | Kayla V Wilczynski | Nurse Practitioner | 2463 S M 30, West Branch, MI 48661-9312 | 2018-06-27 |
| 1730674540 | Midmichigan Medical Center- West Branch | Internal Medicine | 2463 S M 30, West Branch, MI 48661 | 2018-06-25 |
| 1649765454 | Midmichigan Medical Center- West Branch | Emergency Medicine | 2463 S M 30, West Branch, MI 48661-9312 | 2018-06-25 |
| 1851891394 | Carlene Grace Dardas | Occupational Therapy Assistant | 2463 S M 30, West Branch, MI 48661-9312 | 2018-02-20 |
| 1518418292 | Midmichigan Medical Center- West Branch | Internal Medicine | 2463 S M 30, West Branch, MI 48661-9312 | 2016-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992226773 | Linda Loou Thopmson | Registered Nurse | 335 E. Houghton Ave., West Branch, MI 48661 | 2017-06-30 |
| 1831559103 | Lisa J. Gutierrez | Counselor | 105 N. 3rd St., Ste 6, West Branch, MI 48661 | 2016-03-01 |
| 1497185383 | Linda Joy Latulip | Social Worker | 445 S. Valley, West Branch, MI 48661 | 2013-11-14 |
| 1376973289 | Patricia Woelke | Occupational Therapist | 335 East Houghton, West Branch, MI 48661 | 2013-11-14 |
| 1760731012 | Lucas John Wyzlic | Physician Assistant | 621 Court Street, Suite 104, West Branch, MI 48661 | 2012-08-31 |
| 1225312234 | Mark Bedtelyon | Pharmacist | 2480 E Houghton Ave, West Branch, MI 48661 | 2011-10-10 |
| 1790016632 | Stephanie M Witte-mason | Chiropractor | 2333 S M 76, West Branch, MI 48661 | 2010-01-15 |
| 1578798997 | Michael Robert Munger | Dietitian, Registered | 2897 Amanda Ct., West Branch, MI 48661 | 2009-05-29 |
| 1124261516 | Sarah C. Bryce | Pharmacist | 501 E. Houghton Ave, West Branch, MI 48661 | 2009-04-14 |
| 1528208303 | Richard K Braidwood | Pharmacist | 2206 S. M-76, West Branch, MI 48661 | 2009-03-06 |
| Find all providers in zip 48661 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759396 | Zainab Ali Hachem | Nurse Practitioner | 5158 Neckel St, Dearborn, MI 48126-3217 | 2020-10-29 |
| 1861092900 | Lindsay Overall | Nurse Practitioner | 1962 Sherlynn Dr, Brighton, MI 48114-7618 | 2020-10-28 |
| 1588289144 | Anne Elizabeth Stephan | Nurse Practitioner | 1320 Addington Ln, Ann Arbor, MI 48108-8951 | 2020-06-10 |
| 1447872965 | Gagan Preet Kaur Dhaliwal | Nurse Practitioner | 45418 Glengarry Blvd, Canton, MI 48188-3001 | 2020-05-07 |
| 1023637766 | Jbnp Services, LLC | Nurse Practitioner | 19520 Parker St, Livonia, MI 48152-1579 | 2020-04-13 |
| 1912536137 | Mary Bailey | Nurse Practitioner | 8254 Twin Creek Cir, Temperance, MI 48182-8202 | 2020-04-08 |
| 1679108500 | Jennifer Ann Rutzen | Nurse Practitioner | 5802 Montebello Ave, Haslett, MI 48840-8208 | 2020-03-11 |
| 1871126813 | Gregory M Ali | Nurse Practitioner | 26750 Providence Pkwy Ste 120, Novi, MI 48374-1211 | 2020-02-18 |
| 1730712969 | Anthony Joseph Jurecic | Nurse Practitioner | 2382 Us 41 W, Marquette, MI 49855-2456 | 2020-02-17 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| Find all providers with the same taxonomy | ||||
| City | WEST BRANCH |
| Zip Code | 48661 |
Please comment or provide details below to improve the information on ALISSA GRACY.
| 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.