JULIE ANN DRAGT (NPI# 1497309751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497309751 |
| Entity Type | Individual |
| Full Name | JULIE ANN DRAGT |
| Credential | NP |
| Practice Address |
5500 Clyde Park Ave Sw Wyoming MI 49509-9525 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6164869530 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704285910 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5500 CLYDE PARK AVE SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49509-9525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497706840 | Metro Health Basic Care | Nurse Practitioner | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2006-05-12 |
| 1326691791 | Kory Allen Eastway | Nurse Practitioner | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2019-07-24 |
| 1467005165 | Andrea Lynn Eastway | Nurse Practitioner | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2019-07-22 |
| 1528611373 | Erin Jean Mccue | Nurse Practitioner | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2019-07-22 |
| 1275190456 | Spectrum Health Primary Care Partners | Physician Assistant | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2019-05-23 |
| 1750946927 | Jonathan Skutnick | Pharmacist | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2019-05-03 |
| 1063998854 | Hayden Larson | Optometrist | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2018-07-14 |
| 1285128280 | Samuel Ryan Mccollum | Pharmacist | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2018-06-22 |
| 1841712924 | Brittany Huffman | Pharmacist | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2017-07-11 |
| 1659771723 | Samantha J Jones | Pharmacist | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2014-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023620713 | Lindsay Kayann Ottowitz | Behavior Technician | 1428 44th St. Sw, Wyoming, MI 49509 | 2020-08-23 |
| 1750990016 | Lindsay Alexandra Lyszczarz | Behavior Technician | 5281 Clyde Park Ave Se, Suite 2, Wyoming, MI 49509 | 2020-07-23 |
| 1033690409 | Courtney M Garner | Behavior Technician | 1428 44th Street, Wyoming, MI 49509 | 2018-08-23 |
| 1457857195 | Ashley Mae Autio | Case Manager/Care Coordinator | 795 36th Street, Wyoming, MI 49509 | 2018-04-02 |
| 1689124588 | Jacqeulyn Harmon | Behavioral Analyst | 2819 Peckheath Rd Sw Apt D, Wyoming, MI 49509 | 2016-10-04 |
| 1275988925 | Intsar Abdulahe | Social Worker | 1551 Charles Russell, Wyoming, MI 49509 | 2016-05-02 |
| 1992160071 | Concierge Home Care Services of West Michigan, LLC | Home Infusion | 1360 56th Street Sw, Wyoming, MI 49509 | 2015-12-16 |
| 1417349796 | Yashana Duncan | Case Manager/Care Coordinator | 225 Colrain St. Sw, Suite 2, Wyoming, MI 49509 | 2015-02-24 |
| 1710378377 | Rawm Vascular Access, Pllc | Internal Medicine | 1540 36th Street. Sw, Wyoming, MI 49509 | 2015-02-17 |
| 1366882755 | Kevin Timothy Solt | Dentist | 1535 44th St Sw Ste 200, Wyoming, MI 49509 | 2013-06-28 |
| Find all providers in zip 49509 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578074654 | Kristine Lynn Lidbeck | Nurse Practitioner | 6105 Wilson Ave Sw Ste 2, Wyoming, MI 49418-9714 | 2017-10-17 |
| 1700238730 | Kristen Denise Borchelt | Nurse Practitioner | 917 Oregon Trl, Wyoming, OH 45215-2535 | 2016-07-01 |
| 1205477924 | Samantha Mette | Nurse Practitioner | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2019-10-03 |
| 1518508704 | Rachel Kloosterman | Nurse Practitioner | 2215 44th St Sw, Wyoming, MI 49519-6439 | 2019-09-30 |
| 1063060028 | Dianne Teresa Brigalia | Nurse Practitioner | 5838 Metro Way Sw, Wyoming, MI 49519-9619 | 2019-09-03 |
| 1326691791 | Kory Allen Eastway | Nurse Practitioner | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2019-07-24 |
| 1467005165 | Andrea Lynn Eastway | Nurse Practitioner | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2019-07-22 |
| 1295393254 | Julie Anne Perski | Nurse Practitioner | 2221 Health Dr Sw Ste 2100, Wyoming, MI 49519-9650 | 2019-06-04 |
| 1740848316 | Bryan Douglas Brooks | Nurse Practitioner | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 | 2019-05-30 |
| 1326500455 | Elizabeth Ann Klynstra | Nurse Practitioner | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2019-04-06 |
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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.