SHEREE NIBLACK (NPI# 1366059024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366059024 |
| Entity Type | Individual |
| Full Name | SHEREE NIBLACK |
| Credential | SPECIALIST |
| Practice Address |
610 S Burdick St Kalamazoo MI 49007-5221 |
| Practice Telephone | 2693813700 |
| Practice Fax Number | 2693813810 |
| Mailing Telephone | 2693813700 |
| Mailing Fax Number | 2693813810 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
610 S BURDICK ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-5221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689625238 | Randall P Estes | Social Worker | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2006-05-16 |
| 1588271860 | Liza May | Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-30 |
| 1528675840 | Amy Boileau | Counselor | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-30 |
| 1245845759 | Kaylee J Davis | Counselor | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-11 |
| 1568077253 | Nicole Jean Brown | Social Worker | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-10 |
| 1922613769 | Kylie Klomparens | Student in an Organized Health Care Education/Training Program | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-09 |
| 1871108621 | Ellyn Petrino | Student in an Organized Health Care Education/Training Program | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-09 |
| 1548874373 | Carly Dietrich | Social Worker | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-08-31 |
| 1184237190 | Paige Materi | Social Worker | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-08-28 |
| 1205449899 | John Dueber | Peer Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
| Find all providers in zip 49007 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174913420 | Teesha Lynn Bancroft | Specialist | 329 S Sage St, Kalamazoo, MI 49006 | 2015-01-26 |
| 1003213893 | Body Center Kalamazoo | Specialist | 2042 W Main St, Kalamazoo, MI 49006-3041 | 2014-11-23 |
| 1407263916 | Troy Lebiecki | Specialist | 6126 Crestwood Ave, Kalamazoo, MI 49048-9444 | 2014-07-16 |
| 1629343884 | Shannon Leigh Oehmke | Specialist | 8145 Waterwood Dr, Kalamazoo, MI 49048-9260 | 2012-03-20 |
| 1962661470 | Amanda R Edgar | Specialist | 910 Pinehurst Blvd, Kalamazoo, MI 49006-2111 | 2008-06-09 |
| 1538204169 | Oncology & Hematology PC | Specialist | 5010 Gull Rd Ste A, Kalamazoo, MI 49048-1093 | 2007-02-21 |
| 1609929587 | Jennifer Jean Chowaniec Gormley | Specialist | 5385 Swallow Ave, Kalamazoo, MI 49009-4501 | 2007-01-22 |
| 1245248756 | Jennifer Jones Hollings | Specialist | 1535 Gull Rd Ste 250, Kalamazoo, MI 49048-1661 | 2006-08-03 |
| 1841216355 | Premier Medical Care PC | Specialist | 1722 Gull Rd, Suite 1b, Kalamazoo, MI 49048-1644 | 2006-07-15 |
| 1730137720 | Alan Colestock | Specialist | 7000 Portage Rd, Kalamazoo, MI 49001-0102 | 2006-05-04 |
| Find all providers in KALAMAZOO | ||||
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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.