ANNA MOFFITT (NPI# 1306248695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306248695 |
| Entity Type | Individual |
| Full Name | ANNA MOFFITT |
| Practice Address |
5025 Ann Arbor Rd Jackson MI 49201-8801 |
| Practice Telephone | 5178791505 |
| Mailing Telephone | 5178791505 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5025 ANN ARBOR RD |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-8801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467755611 | Sarah Renee Stark | Speech-Language Pathologist | 5025 Ann Arbor Rd, Jackson, MI 49201-8801 | 2010-12-09 |
| 1043819899 | Danielle K Fowler | Physical Therapy Assistant | 5025 Ann Arbor Rd, Jackson, MI 49201-8801 | 2020-10-22 |
| 1184121394 | Catherine Jean Scott | Physical Therapy Assistant | 5025 Ann Arbor Rd, Jackson, MI 49201-8801 | 2018-04-12 |
| 1003326729 | Kathleen Zager-doxey | Physical Therapist | 5025 Ann Arbor Rd, Jackson, MI 49201-8801 | 2017-10-08 |
| 1710337753 | Lynette Silsby | Physical Therapy Assistant | 5025 Ann Arbor Rd, Jackson, MI 49201-8801 | 2016-06-21 |
| 1629428669 | Connor Hempel | Speech-Language Pathologist | 5025 Ann Arbor Rd, Jackson, MI 49201-8801 | 2016-06-21 |
| 1457710170 | Heather Ann Burk | Physical Therapist | 5025 Ann Arbor Rd, Jackson, MI 49201-8801 | 2016-02-23 |
| 1083087977 | Amber Midena | Occupational Therapist | 5025 Ann Arbor Rd, Jackson, MI 49201-8801 | 2015-11-02 |
| 1174991228 | Megan Felisky | Speech-Language Pathologist | 5025 Ann Arbor Rd, Legacy Assisted Living, Jackson, MI 49201-8801 | 2015-09-07 |
| 1881071926 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 5025 Ann Arbor Rd, C/o Legacy Assisted Living, Jackson, MI 49201-8801 | 2015-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356967384 | Kayli Rose Zolman | Specialist/Technologist | 1312 Illinois Dr, Midland, MI 48642-5811 | 2020-06-25 |
| 1275199952 | Julian Rodger Palm | Specialist/Technologist | 32273 Tall Timber Dr, Farmington Hills, MI 48334-1768 | 2019-05-17 |
| 1093279754 | Collin James Mcmillan | Specialist/Technologist | 200 W South St Apt A16, Davison, MI 48423-1569 | 2019-01-28 |
| 1558855460 | Lauire Ryan | Specialist/Technologist | 940 Monroe Ave Nw Unit 224, Grand Rapids, MI 49503-1458 | 2018-06-15 |
| 1952806689 | Emilee P Blouin | Specialist/Technologist | 418 Lawrence St Apt 4, Ann Arbor, MI 48104-5550 | 2018-03-26 |
| 1073058285 | Gregory Taylor | Specialist/Technologist | 12246 E Potter Rd, Davison, MI 48423-8147 | 2016-12-23 |
| 1043564875 | Renee Anne Mcgarry | Specialist/Technologist | 1445 Leroy St, Ferndale, MI 48220 | 2012-10-31 |
| 1457609182 | Thom Ritzema | Specialist/Technologist | 1490 Eaast Beltline Avenue, S. E., Grand Rapids, MI 49506 | 2012-08-28 |
| 1487902664 | Matthew Ray Hargis | Specialist/Technologist | 406 North Ct, Mason, MI 48854-1048 | 2012-08-21 |
| 1700143369 | Kaitlin Louise Reinke | Specialist/Technologist | 7264 High Timbers Dr, Greenville, MI 48838-7161 | 2012-04-19 |
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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.