KRISTEN PFAFF (NPI# 1346612934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346612934 |
| Entity Type | Individual |
| Full Name | KRISTEN PFAFF |
| Practice Address |
1110 Eldon Baker Dr Flint MI 48507-1923 |
| Practice Telephone | 8102353288 |
| Practice Fax Number | 8107441306 |
| Mailing Telephone | 8102353288 |
| Mailing Fax Number | 8107441306 |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
1110 ELDON BAKER DR |
| City | FLINT |
| State | MI |
| Zip Code | 48507-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821033515 | Cassandra L Coney-stewart | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2006-06-18 |
| 1376142042 | Britny Madison Childers | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-10-22 |
| 1124634100 | Amber Minando | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-09-16 |
| 1215545470 | Danielle Elizabeth Hack | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-07-14 |
| 1649898610 | Amber Lynn Mcmillin | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-07-07 |
| 1255954517 | Paul Kilgore | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-05-21 |
| 1720600968 | Daniel Nacker | Specialist | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-05-11 |
| 1043850100 | Martell Lee | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-01-07 |
| 1386286862 | Kelly Sue Sheppard | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2019-10-16 |
| 1437790359 | Eugene Mahon | Counselor | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2019-10-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134477284 | Together We Re-estblish Unity Safety & Togetherness Inc | Community Based Residential Treatment Facility, Mental Illness | 3415 Brimfield Drive, Flint, MI 48503 | 2012-08-21 |
| 1124271929 | Gatti Group Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6148 Richfield Rd, Flint, MI 48506-2206 | 2008-10-24 |
| 1881871895 | Kimberly Ann Alabi-isama | Community Based Residential Treatment Facility, Mental Illness | 1620 N Franklin Ave, Flint, MI 48506-3751 | 2008-01-22 |
| 1235675521 | Flatrock Manor of Flint | Community Based Residential Treatment Facility, Mental Illness | 1202 Church St, Flint, MI 48502-1015 | 2017-01-11 |
| 1639622897 | Jessica Griffin | Community Based Residential Treatment Facility, Mental Illness | 304 W Tobias St, Flint, MI 48503-3975 | 2016-07-25 |
| 1598133381 | Fatima Waterson | Community Based Residential Treatment Facility, Mental Illness | 304 W Tobias St, Flint, MI 48503-3975 | 2015-09-10 |
| 1770951741 | Avery Oakes | Community Based Residential Treatment Facility, Mental Illness | 304 W Tobias St, Flint, MI 48503-3975 | 2015-09-09 |
| 1467820563 | Terrie Crockett | Community Based Residential Treatment Facility, Mental Illness | 304 W Tobias St, Flint, MI 48503-3975 | 2015-09-04 |
| 1447627955 | Hope Network New Passages | Community Based Residential Treatment Facility, Mental Illness | 304 W Tobias St, Flint, MI 48503-3975 | 2015-09-01 |
| 1003283847 | Natalie Harris | Community Based Residential Treatment Facility, Mental Illness | 304 W Tobias St, Flint, MI 48503-3975 | 2015-08-27 |
| Find all providers in FLINT | ||||
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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.