MRS. JOANN HADERER (NPI# 1508295908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508295908 |
| Entity Type | Individual |
| Full Name | MRS. JOANN HADERER |
| Credential | DNP,PMHNP-BC,FNP-BC |
| Practice Address |
2202 Mitchell Park Dr Unit 5 Petoskey MI 49770-8897 |
| Practice Telephone | 2313485018 |
| Practice Fax Number | 8447110200 |
| Mailing Telephone | 2313485018 |
| Mailing Fax Number | 8447110200 |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2016-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 4704145249 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704145249 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2202 MITCHELL PARK DR UNIT 5 |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-8897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740397199 | John Marino Cilluffo | Neurological Surgery | 2202 Mitchell Park Dr, Suite 6, Petoskey, MI 49770-8897 | 2006-08-23 |
| 1063887230 | Psychnorth | Clinic/Center | 2202 Mitchell Park Dr, Ste 5, Petoskey, MI 49770-8897 | 2015-12-14 |
| 1821477845 | The Men's Counseling Center of Northern Michigan, LLC | Community/Behavioral Health | 2202 Mitchell Park Dr, Suite 2b, Petoskey, MI 49770-8897 | 2015-05-22 |
| 1518208008 | Mosaic Center for Integrative Therapy, LLC | Community/Behavioral Health | 2202 Mitchell Park Dr, Suite 2b, Petoskey, MI 49770-8897 | 2013-03-07 |
| 1801195102 | Brian B Lehky Phd PC | Psychologist | 2202 Mitchell Park Dr, Unit 5, Petoskey, MI 49770-8897 | 2011-03-25 |
| 1386972446 | Brenda Marie Ennis | Social Worker | 2202 Mitchell Park Dr, Suite 2b, Petoskey, MI 49770-8897 | 2009-12-01 |
| 1528113826 | Brian B Lehky | Psychologist | 2202 Mitchell Park Dr, Unit 5, Petoskey, MI 49770-8897 | 2007-01-24 |
| 1245303973 | Susan C. Finley | Counselor | 2202 Mitchell Park Dr, Suite 003, Petoskey, MI 49770-8897 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588150460 | Natalie L Ducastel | Nurse Practitioner | 2206 Mitchell Park Dr, Petoskey, MI 49770-8674 | 2018-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1588282784 | Mary Tackbary | Nurse Practitioner | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 | 2020-07-14 |
| 1962032227 | Westlake Consultation Center | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-01-24 |
| 1689211823 | Wanda Edwards | Nurse Practitioner | 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 | 2019-12-06 |
| 1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
| 1457905614 | Natalie Poole | Nurse Practitioner | 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 | 2019-07-26 |
| 1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
| 1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
| 1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
| 1396289120 | Next Level Up Health & Wellness Inc. | Nurse Practitioner | 28423 Parkwood St, Inkster, MI 48141-1669 | 2016-12-13 |
| Find all providers with the same taxonomy | ||||
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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.