MRS. THERESA MARIE NESTORAK (NPI# 1417195264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417195264 |
| Entity Type | Individual |
| Full Name | MRS. THERESA MARIE NESTORAK |
| Credential | RN, ANP-BC |
| Practice Address |
2200 Springport Rd Jackson MI 49202-1432 |
| Mailing Address |
2298 Springport Rd Suite B Jackson MI 49202-1475 |
| Practice Telephone | 5177849356 |
| Practice Fax Number | 5177809286 |
| Mailing Telephone | 5177843950 |
| Mailing Fax Number | 5177832728 |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704087445 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2200 SPRINGPORT RD |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-1432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983309 | Gail Burke | Family Medicine | 2200 Springport Rd, Jackson, MI 49202-1432 | 2005-06-28 |
| 1518321132 | Daniel Karl Piekarek | Nurse Practitioner | 2200 Springport Rd, Henry Ford Allegiance Wound Care Center, Jackson, MI 49202-1432 | 2016-04-09 |
| 1114336187 | Sarah Caszatt | Nurse Practitioner | 2200 Springport Rd, Jackson, MI 49202-1432 | 2014-08-04 |
| 1194922906 | Center for Family Health | Social Worker | 2200 Springport Rd, Jackson, MI 49202-1432 | 2007-06-27 |
| 1821295627 | Center for Family Health | Family Medicine | 2200 Springport Rd, Jackson, MI 49202-1432 | 2007-06-27 |
| 1871701797 | Stephanie Skonos | Dietitian, Registered | 2200 Springport Rd, Jackson, MI 49202-1432 | 2007-05-21 |
| 1841409646 | Rebecca Jermeay | Dietitian, Registered | 2200 Springport Rd, Jackson, MI 49202-1432 | 2007-05-21 |
| 1710063276 | W.a. Foote Memorial Hospital, Inc. | Pharmacy | 2200 Springport Rd, Jackson, MI 49202-1432 | 2006-10-27 |
| 1700968211 | W.a. Foote Memorial Hospital, Inc. | Pharmacist | 2200 Springport Rd, Jackson, MI 49202-1432 | 2006-10-20 |
| 1770663569 | Lawrence Gardon | Pharmacist | 2200 Springport Rd, Jackson, MI 49202-1432 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537220 | John Franklin Niswonger | Nurse Practitioner | 861 Canyon Trl, Jackson, MO 63755-4001 | 2020-10-28 |
| 1902421746 | Rebecca Mcwhirter | Nurse Practitioner | 1512 Roswell Dr, Jackson, MS 39211-5928 | 2020-06-08 |
| 1023656642 | Nicole Lynn Mckee | Nurse Practitioner | 170 Bridge St, Jackson, OH 45640-1144 | 2019-12-13 |
| 1104387695 | Chatina Spears Martin | Nurse Practitioner | 308 Melba Hill Dr, Jackson, MS 39209-2833 | 2019-03-27 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1942649686 | Jennifer Annette Paulson | Nurse Practitioner | 113 W Michigan Ave Ste 201, Jackson, MI 49201-1340 | 2013-06-16 |
| 1770880171 | Tracy Little | Nurse Practitioner | 2782 N Highland Ave Ste C, Jackson, TN 38305-1797 | 2011-02-21 |
| 1750554267 | Barbara Darlington | Nurse Practitioner | 14 Abes Way, Jackson, NJ 08527-4440 | 2008-04-04 |
| 1902075401 | Dana Leanne Wilhite | Nurse Practitioner | 38 Abbey Pl, Jackson, TN 38305-1794 | 2008-02-28 |
| 1659550036 | Kristen Elizabeth Tweedy | Nurse Practitioner | 1100 E Michigan Ave Ste 307, Jackson, MI 49201-1850 | 2007-11-01 |
| Find all providers in JACKSON | ||||
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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.