NATHAN ROUSSE (NPI# 1356353791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356353791 |
| Entity Type | Individual |
| Full Name | NATHAN ROUSSE |
| Credential | C.N.P. |
| Practice Address |
217 S Madison Street Traverse City MI 49684-2320 |
| Mailing Address |
2513 Momentum Pl Chicago IL 60689-5325 |
| Practice Telephone | 2319229270 |
| Practice Fax Number | 2319229271 |
| Mailing Telephone | (231) 935-6080 |
| Mailing Fax Number | 2319356081 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2017-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704225508 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4952434 | 05 | |
| MI | 4952425 | 05 |
| Street Address |
217 S MADISON STREET |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831180140 | David P Michelin | Obstetrics & Gynecology | 217 S Madison Street, Traverse City, MI 49684-2320 | 2005-11-04 |
| 1215308036 | Julie Comfort | Nurse Practitioner | 217 S Madison Street, Traverse City, MI 49684-3230 | 2015-10-20 |
| 1487909396 | Jacalyn Sue Lasich | Social Worker | 217 S Madison Street, Traverse City, MI 49684-2320 | 2012-07-17 |
| 1023372687 | Munson Medical Center | Internal Medicine | 217 S Madison Street, Ste 2, Traverse City, MI 49684 | 2012-06-28 |
| 1760793368 | Kristian Michael Koller | Internal Medicine | 217 S Madison Street, Traverse City, MI 49684 | 2010-06-29 |
| 1770746257 | Joshua Michael Ruch | Internal Medicine | 217 S Madison Street, Traverse City, MI 49684 | 2008-07-06 |
| 1972772259 | Kendra G Worden | Nurse Practitioner | 217 S Madison Street, Traverse City, MI 49684-2320 | 2008-02-21 |
| 1316064041 | Zachary Hector-word | Internal Medicine | 217 S Madison Street, Traverse City, MI 49684 | 2007-03-26 |
| 1992749279 | Dana Lucile Hoffman | Nurse Practitioner | 217 S Madison Street, Traverse City, MI 49684-2320 | 2006-06-16 |
| 1477519940 | David S Gordon | Internal Medicine | 217 S Madison Street, Traverse City, MI 49684-2320 | 2006-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316464019 | Ali Razak Salman Saheb | Nurse Practitioner | 9711 E Walters Dr, Traverse City, MI 49684-7611 | 2017-08-24 |
| 1649345463 | Patricia Anne Friedli | Nurse Practitioner | 2600 Lafranier Rd Ste A, Traverse City, MI 49686-4765 | 2006-11-21 |
| 1679556724 | Lynn Redden Shattuck | Nurse Practitioner | 2828 Concord St, Traverse City, MI 49684-4618 | 2005-11-22 |
| 1164085007 | Julie Krauth | Nurse Practitioner | 4020 Copper Vw Ste 104, Traverse City, MI 49684-7041 | 2019-04-16 |
| 1023501699 | Jessica Mastbergen | Nurse Practitioner | 1221 Sixth St Ste 208, Traverse City, MI 49684-2360 | 2018-06-08 |
| 1326544230 | Kaitlyn Troutman | Nurse Practitioner | 550 Munson Ave, Traverse City, MI 49686-3580 | 2018-04-02 |
| 1730550559 | Nichole Kelenske | Nurse Practitioner | 10850 E Traverse Hwy, Suite 4400, Traverse City, MI 49684-1364 | 2015-10-20 |
| 1255702999 | Melissa Schaub | Nurse Practitioner | 10850 E Traverse Hwy, Suite 4400, Traverse City, MI 49684-1364 | 2015-10-07 |
| 1245522994 | Alison Balmer Quiring | Nurse Practitioner | 1221 Sixth St Ste 208, Traverse City, MI 49684-2360 | 2011-05-12 |
| 1316278765 | Dorothy Catherine Low | Nurse Practitioner | 2585 Lafranier Rd, Traverse City, MI 49686-8972 | 2010-01-25 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on NATHAN ROUSSE.
| 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.