MICHELLE MODLINSKI (NPI# 1578951729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578951729 |
| Entity Type | Individual |
| Full Name | MICHELLE MODLINSKI |
| Credential | NP-C |
| Practice Address |
39465 W 14 Mile Rd Novi MI 48377-1600 |
| Practice Telephone | 8779069699 |
| Mailing Telephone | 8779069699 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2018-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704211531 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
39465 W 14 MILE RD |
| City | NOVI |
| State | MI |
| Zip Code | 48377-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497893937 | Kimberly A White | Psychologist | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2007-02-04 |
| 1598325177 | Rachael Courter | Physician Assistant | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2019-06-17 |
| 1184107427 | Josilyn Goebel | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2018-09-12 |
| 1851814800 | Bcs Multi-specialty, LLC | General Practice | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2017-07-21 |
| 1366899718 | Margaret Perec | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377 | 2016-05-16 |
| 1700247772 | Kamera Sakeena Boggon | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2016-03-17 |
| 1467811638 | Steven Frederick Mason | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2016-02-16 |
| 1174996755 | Taneesha Ruff | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2015-11-04 |
| 1922486729 | Anne Marie Fano Arevalo | Registered Nurse | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2015-05-12 |
| 1164816195 | Bcs of Michigan LLC | Psychologist | 39465 W 14 Mile Rd, Novi, MI 48377 | 2015-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
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| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953756 | John Westley Mailey Jr. | Nurse Practitioner | 27645 Albert St, Novi, MI 48374-1012 | 2020-08-18 |
| 1194370296 | Jaclyn Marie Micallef | Nurse Practitioner | 41850 W 11 Mile Rd Ste 207a, Novi, MI 48375-1820 | 2019-08-06 |
| 1336591973 | Jessica Wentworth | Nurse Practitioner | 26850 Providence Pkwy, Novi, MI 48374-1213 | 2016-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859731 | Cindy Clare Craig | Nurse Practitioner | 4142 Cranberry Ln, Williamsburg, MI 49690-8641 | 2020-10-19 |
| 1487269536 | Christiane Ines Atowo | Nurse Practitioner | 25420 5 Mile Rd, Redford, MI 48239-3837 | 2020-09-14 |
| 1760095137 | Gina Louise Bennett | Nurse Practitioner | 4871 Harwood Rd, Ionia, MI 48846-9422 | 2020-08-26 |
| 1356951305 | Michelle Lynn Andriacchi | Nurse Practitioner | 45690 Kenmore St, Shelby Township, MI 48317-4656 | 2020-08-05 |
| 1124646476 | Chand Sheoran | Nurse Practitioner | 3040 Albany Ct, Troy, MI 48083-2595 | 2020-07-13 |
| 1104449214 | Lynn Marie Alexanders-klima | Nurse Practitioner | 6697 Summerdale Ct E, Ypsilanti, MI 48197-6140 | 2020-05-22 |
| 1326660580 | Kristin A Furwa | Nurse Practitioner | 600 Health Park Blvd Ste H, Grand Blanc, MI 48439-2558 | 2020-05-11 |
| 1700412582 | Ashley Ruth Zimmerman | Nurse Practitioner | 6223 Brant Ln, Ypsilanti, MI 48197-8742 | 2020-03-12 |
| 1992339139 | Afusat Ahmed | Nurse Practitioner | 5231 Madison Ave Apt A5, Okemos, MI 48864-1172 | 2020-02-26 |
| 1346889185 | Elizabeta Crkovski | Nurse Practitioner | 62881 Crimson Dr, Washington, MI 48094-1744 | 2019-12-26 |
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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.