MARY RENEE KOTZAN (NPI# 1437701372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437701372 |
| Entity Type | Individual |
| Full Name | MARY RENEE KOTZAN |
| Practice Address |
882 Oakman Blvd Detroit MI 48238-3710 |
| Mailing Address |
2700 Scenic Meadows Dr Ortonville MI 48462-8919 |
| Practice Telephone | 3139614890 |
| Mailing Telephone | 2488753302 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704132402 | MI | Nursing Service Providers |
| Street Address |
882 OAKMAN BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48238-3710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821088717 | John Michael Sczomak | Psychologist | 882 Oakman Blvd, Suite D, Detroit, MI 48238-3710 | 2005-10-24 |
| 1205458031 | Whitney Walsh | Occupational Therapist | 882 Oakman Blvd, Detroit, MI 48238-3710 | 2020-05-14 |
| 1891327821 | Samara Bibi | Registered Nurse | 882 Oakman Blvd, Detroit, MI 48238-3710 | 2020-02-07 |
| 1538799754 | Jessica Mccallum | Social Worker | 882 Oakman Blvd, Detroit, MI 48238-3710 | 2020-01-16 |
| 1053953877 | Quianna Sims | Community Health Worker | 882 Oakman Blvd, Detroit, MI 48238 | 2019-10-14 |
| 1164064069 | Frances Sharee Turner | Social Worker | 882 Oakman Blvd, Detroit, MI 48238-3710 | 2019-10-11 |
| 1790333763 | Tosha Jasper | Community Health Worker | 882 Oakman Blvd, Detroit, MI 48238-3710 | 2019-09-03 |
| 1891347837 | Shanila Huma Khan | Social Worker | 882 Oakman Blvd, Detroit, MI 48238-3710 | 2019-07-10 |
| 1922660521 | Esmahan Rodwell | Registered Nurse | 882 Oakman Blvd, Detroit, MI 48238-3710 | 2019-07-03 |
| 1184180465 | Diane Marie Johnston | Counselor | 882 Oakman Blvd, Detroit, MI 48238-3710 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700372224 | Cardinal Home Healthcare Group, LLC | Home Health | 3165 Oakman Boulvard, Detroit, MI 48238 | 2018-07-09 |
| 1063963684 | Lydia Adkins | Counselor | 13505 Lasalle St, Apt 305, Detroit, MI 48238 | 2016-10-19 |
| 1750837324 | A Plus Care Transportation LLC | Clinic/Center | 14586 Wisconsin, Detroit, MI 48238 | 2016-09-01 |
| 1518413756 | Valarie Grayer - Felton | Case Manager/Care Coordinator | 15941 Fairfield St., Detroit, MI 48238 | 2016-08-28 |
| 1144773722 | Juanna Cherise Hardaway | Case Manager/Care Coordinator | 1935 Pasadena, Detroit, MI 48238 | 2016-07-29 |
| 1336503556 | Gladys S Chambers | Home Health Aide | 15473 Wisconsin, Detroit, MI 48238 | 2016-04-13 |
| 1891158788 | Karla Gill | Licensed Practical Nurse | 153060 Wildemere, Detroit, MI 48238 | 2016-03-30 |
| 1790145548 | Cecil Cosey IIi | Psychologist | 11000 W Micnichols, Detroit, MI 48238 | 2016-03-07 |
| 1508264102 | Sav-med Pharmacy Inc | Pharmacy | 2645 West Davison, Detroit, MI 48238 | 2014-12-12 |
| 1760887020 | Monument Dental PC | Dentist | 15510 Livernois Avenue, Detroit, MI 48238 | 2014-10-29 |
| Find all providers in zip 48238 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417783 | Tawana Danielle Williams | Registered Nurse | 866 Blaine St, Detroit, MI 48202-1938 | 2020-11-08 |
| 1528684099 | Barbara Ann Bracey | Registered Nurse | 6309 Mack Ave # 48207, Detroit, MI 48207-2302 | 2020-06-22 |
| 1891325049 | Karen Elizabeth Lacombe | Registered Nurse | 2925 Russell Street, Detroit, MI 48207-4825 | 2020-01-16 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1588220222 | John S Inthavongsa | Registered Nurse | 454 W Alexandrine St Apt 18, Detroit, MI 48201-1787 | 2019-05-17 |
| 1578036083 | Prevention Safe | Registered Nurse | 15429 Appoline St, Detroit, MI 48227-4007 | 2019-01-07 |
| 1831669175 | Amber Lenay Burnett | Registered Nurse | 19650 Telegraph Rd, Detroit, MI 48219-1624 | 2018-11-29 |
| 1285117085 | Kenyata Hamilton-carter | Registered Nurse | 8136 Sirron St, Detroit, MI 48234-3314 | 2018-09-08 |
| 1003309063 | Marquita Outlaw | Registered Nurse | 8290 Coyle St, Detroit, MI 48228 | 2018-06-13 |
| 1558850768 | Doshaun Rene Edwards | Registered Nurse | 16151 Meyers Rd, Detroit, MI 48235-4108 | 2018-05-02 |
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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.