MS. EMILIANNE DOUGALL (NPI# 1376897330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376897330 |
| Entity Type | Individual |
| Full Name | MS. EMILIANNE DOUGALL |
| Credential | NP-C |
| Practice Address |
135 S Prospect St Ypsilanti MI 48198-7914 |
| Mailing Address |
9354 Whispering Pines Dr Saline MI 48176-9038 |
| Practice Telephone | 7345471069 |
| Practice Fax Number | 7345471070 |
| Mailing Telephone | 7345471069 |
| Mailing Fax Number | 7345471070 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2016-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704306228 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1376897330 | 05 |
| Street Address |
135 S PROSPECT ST |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48198-7914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871592188 | Kristin A Keskey | Internal Medicine | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2005-07-19 |
| 1891303061 | Pfefferkorn Md Pllc | Internal Medicine | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2020-07-14 |
| 1346867728 | Samar Abouelella | Pharmacist | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2020-07-01 |
| 1528698107 | Adam Thomas Derubeis | Physician Assistant | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2020-01-22 |
| 1407495161 | Tanika Marie Dooley | Nurse Practitioner | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2019-12-29 |
| 1679121461 | Kathleen Mavourneen Cusick | Psychologist | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2019-08-27 |
| 1942767991 | Abram John Jensen | Physician Assistant | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2019-02-26 |
| 1932638145 | Midwest Management Company, LLC | Surgery | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2017-06-09 |
| 1346779881 | Sarah Elizabeth Schmitz | Physician Assistant | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2017-06-08 |
| 1164960787 | Donna Khoury | Counselor | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2017-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840602 | Paxxon Healthcare Services LLC | Occupational Therapist | 8100 Geddes Road, Superior Township, MI 48198 | 2019-06-13 |
| 1053885137 | Justine Altman | Health Educator | 9855 High Meadow Dr., Ypsilanti, MI 48198 | 2019-01-11 |
| 1730650516 | Mark Neumann | Driver | 1233 Hull Ave, Ypsilanti, MI 48198 | 2018-12-05 |
| 1144703810 | Douglas John Pealer | Speech-Language Pathologist | 8100 Geddes Rd, Superior Charter Township, MI 48198 | 2018-09-10 |
| 1225520919 | Kathleen M Hartwell-king Iv | Nurse Practitioner | 315 Holmes Rd, Ypsilanti, MI 48198 | 2018-05-30 |
| 1205354339 | Kawana Young | Home Health | 1811 George Ave, Ypsilanti, MI 48198 | 2017-09-09 |
| 1477009173 | Brittney Thomas | Technician, Other | 1431 Leforge Rd Apt 301, Ypsilant, MI 48198 | 2016-09-01 |
| 1528461167 | Emily Purdey | Social Worker | 8604 Pine Ct, Ypsilanti, MI 48198 | 2014-09-26 |
| 1063812550 | Harry Lee Hampton Jr. | Driver | 868 Allen St, Ypsilanti, MI 48198 | 2014-09-03 |
| 1073932760 | Ed Mcswain | Counselor | 6633 Stoney Creek Rd, Ypsilanti, MI 48198 | 2014-04-10 |
| Find all providers in zip 48198 | ||||
| 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 |
|---|---|---|---|---|
| 1972151959 | Kayrissa Leigh Brewster | Nurse Practitioner | 6363 Waterside Dr, Ypsilanti, MI 48197-7907 | 2019-09-03 |
| 1447754627 | Kayla Garrett | Nurse Practitioner | 9278 Normandy Ln, Ypsilanti, MI 48197-9284 | 2018-03-21 |
| 1891214771 | Lisa Cantu | Nurse Practitioner | 5301 E Huron River Dr Ste C-139, Ypsilanti, MI 48197-1051 | 2017-09-12 |
| 1881005908 | Jeremy Phillip Lapham | Nurse Practitioner | 7425 Willis Rd, Rm P114, Ypsilanti, MI 48197 | 2014-05-12 |
| 1912250242 | Brendalynn Ijeoma-ibe Lieberman | Nurse Practitioner | 840 Maus Avenue, Ypsilanti, MI 48198 | 2012-10-24 |
| 1396043626 | Jaquetta Marie Reeves | Nurse Practitioner | 7425 Willis Road, Room P114, Ypsilanti, MI 48197 | 2011-03-10 |
| 1174828446 | Alexandria Marie Sara | Nurse Practitioner | 5333 Mcauley Dr Rm 2110, Ypsilanti, MI 48197-1097 | 2011-01-18 |
| 1003066218 | Terri Lynn Ladwig | Nurse Practitioner | 5325 Elliott Dr. Michigan Heart, Ypsilanti, MI 48197-2982 | 2008-09-24 |
| 1821179946 | Darlene J Ledwon | Nurse Practitioner | 8744 Whittaker Road, Room 812, Ypsilanti, MI 48197 | 2006-10-17 |
| 1659933927 | Stacy Deckhart | Nurse Practitioner | 4940 W Clark Rd Ste 100, Ypsilanti, MI 48197-0860 | 2019-07-08 |
| Find all providers in YPSILANTI | ||||
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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.