JUDY J BOLLSTETTER (NPI# 1326131830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326131830 |
| Entity Type | Individual |
| Full Name | JUDY J BOLLSTETTER |
| Credential | APRN, BC |
| Practice Address |
515 N Michigan Ave Saginaw MI 48602-4727 |
| Mailing Address |
515 N Michigan Ave Saginaw MI 48602-4316 |
| Practice Telephone | 9895832794 |
| Practice Fax Number | 9895832811 |
| Mailing Telephone | 9895832794 |
| Mailing Fax Number | 9895832811 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704075682 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4775840 | 05 | |
| MI | BCBSM | 5008754250 | 01 |
| MI | LICENSE | 4704075682 | 01 |
| MI | GREAT LAKES HEALTH PLAN | 151144 | 01 |
| Street Address |
515 N MICHIGAN AVE |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-4727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992781991 | Rehabcare Group East, Inc. | Psychologist | 515 N Michigan Ave, Covenant Healthcare, Saginaw, MI 48602-4316 | 2005-12-21 |
| 1720693096 | Yana Dubrovsky | Speech-Language Pathologist | 515 N Michigan Ave, Saginaw, MI 48602-4316 | 2020-09-13 |
| 1063052694 | Brenna Julian Bourdage | Occupational Therapist | 515 N Michigan Ave, Saginaw, MI 48602-4316 | 2020-01-11 |
| 1750856472 | Sarah Ann Gatza | Speech-Language Pathologist | 515 N Michigan Ave, Saginaw, MI 48602-4316 | 2018-10-09 |
| 1952876617 | Molly Kay Stewart | Speech-Language Pathologist | 515 N Michigan Ave, Saginaw, MI 48602-4316 | 2018-10-09 |
| 1306320403 | Rajvi Doshi | Physical Therapist | 515 N Michigan Ave, Saginaw, MI 48602-4316 | 2018-09-24 |
| 1194211367 | Amanda Banitt | Physical Therapist | 515 N Michigan Ave, Saginaw, MI 48602-4316 | 2018-07-10 |
| 1619462579 | Veronica Lynn Garcia | Physical Therapy Assistant | 515 N Michigan Ave, Saginaw, MI 48602-4316 | 2018-06-24 |
| 1336631423 | Stephanie Ann Wilson | Speech-Language Pathologist | 515 N Michigan Ave, Saginaw, MI 48602-4316 | 2018-06-04 |
| 1275022840 | Gowtami Datla | Physical Therapist | 515 N Michigan Ave, Saginaw, MI 48602-4316 | 2018-05-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183149 | Jennifer M Hart | Nurse Practitioner | 8395 Geddes Rd, Saginaw, MI 48609-9528 | 2020-08-08 |
| 1578173514 | Michele Lynn Vonberg | Nurse Practitioner | 2175 Shattuck Rd, Saginaw, MI 48603-3333 | 2020-08-04 |
| 1720448095 | Ascension St. Mary's Hospital | Nurse Practitioner | 5810 Gratiot Rd, Suite B, Saginaw, MI 48638-6063 | 2016-03-01 |
| 1356733232 | Guy Demasellis | Nurse Practitioner | 1614 Birney St, Saginaw, MI 48602-2824 | 2015-03-02 |
| 1013254101 | Heidi Richards | Nurse Practitioner | 900 Cooper Ave Ste 3100, Saginaw, MI 48602-5182 | 2013-01-09 |
| 1740339951 | Sharon Beauregard | Nurse Practitioner | 600 Irving, Saginaw, MI 48602 | 2007-01-09 |
| 1780740738 | Brenda Lou Buchanan | Nurse Practitioner | 4467 Towne Centre #104, Fni Pm & R, Saginaw, MI 48604 | 2006-12-27 |
| 1104876671 | Marilynn Charlotte Rose | Nurse Practitioner | 2160 N Center Rd, Saginaw, MI 48603-3717 | 2006-05-12 |
| 1396733168 | Carolyn S Epplett | Nurse Practitioner | 229 Gallagher St, Saginaw, MI 48601-3252 | 2005-10-06 |
| 1306445630 | Tiffany Wirtz | Nurse Practitioner | 4701 Towne Centre Rd Ste 303, Saginaw, MI 48604-2833 | 2020-10-19 |
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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.