CHRISTINA BANTLE (NPI# 1457872541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457872541 |
| Entity Type | Individual |
| Full Name | CHRISTINA BANTLE |
| Practice Address |
1221 Pine Grove Avenue Emergency Medicine Department Port Huron MI 48060-1111 |
| Practice Telephone | (810) 987-5000 |
| Practice Fax Number | 8109852671 |
| Mailing Telephone | 8109875000 |
| Mailing Fax Number | 8109852671 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704286184 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1221 PINE GROVE AVENUE EMERGENCY MEDICINE DEPARTMENT |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063581353 | Tri Hospital Mri Center | Clinic/Center | 1221 Pine Grove Avenue, Port Huron, MI 48060 | 2006-11-08 |
| 1396991451 | Pranay Uppuluri | Radiology | 1221 Pine Grove Avenue, Port Huron, MI 48061-5011 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| 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 |
|---|---|---|---|---|
| 1902415193 | Brian G Gilbert | Nurse Practitioner | 1217 Kearney St Ste 1, Port Huron, MI 48060-3571 | 2020-07-23 |
| 1306985486 | Karen Marie Dowden | Nurse Practitioner | 1214 Richardson St, Port Huron, MI 48060-3549 | 2007-02-06 |
| 1982631008 | Valerie Wetzel | Nurse Practitioner | 1217 Kearney St Ste 2, Port Huron, MI 48060-3571 | 2006-06-26 |
| 1992202998 | Jaclyn Kamidoi | Nurse Practitioner | 1201 Stone St Ste 5, Port Huron, MI 48060-3563 | 2018-04-07 |
| 1871016055 | Rachel Baker | Nurse Practitioner | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2017-07-19 |
| 1407399918 | Tamira Emmons | Nurse Practitioner | 2601 Electric Ave, Port Huron, MI 48060-6587 | 2016-12-01 |
| 1346612447 | Amanda Whymer | Nurse Practitioner | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2015-10-28 |
| 1003285859 | Justine Schrader | Nurse Practitioner | 1979 Holland Ave, Port Huron, MI 48060-8639 | 2015-09-23 |
| 1184007379 | Birgitte Murphy | Nurse Practitioner | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2015-07-07 |
| 1841628633 | Lisa Vanmaele | Nurse Practitioner | 1321 Stone St, Port Huron, MI 48060-3520 | 2013-10-15 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on CHRISTINA BANTLE.
| 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.