MRS. JACQUELINE MARIE BREWER (NPI# 1619466216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619466216 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE MARIE BREWER |
| Credential | AGPCNP-BC |
| Practice Address |
44250 Dequindre Rd Sterling Heights MI 48314-1002 |
| Mailing Address |
26901 Beaumont Blvd Ste 3d Southfield MI 48033-3849 |
| Practice Telephone | 2489642693 |
| Practice Fax Number | 2489649888 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704259867 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285626085 | Jacqueline Denise Brewer | Counselor | 1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314-5674 | 2005-08-17 |
| Street Address |
44250 DEQUINDRE RD |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48314-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316927239 | Srikala Yedavally-yellayi | Family Medicine | 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 | 2006-01-18 |
| 1952929192 | Rupinder Chahal | Family Medicine | 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 | 2020-07-13 |
| 1912523002 | Gagandeep S Gill | Family Medicine | 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 | 2020-06-24 |
| 1346860962 | Matthew James Jerore | Family Medicine | 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 | 2020-04-23 |
| 1356961361 | Olivia Rose Souphis | Family Medicine | 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 | 2020-04-20 |
| 1932729290 | Zachary Beavers | Family Medicine | 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 | 2020-04-16 |
| 1811516230 | Katherine Mary Hartman | Family Medicine | 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 | 2020-04-15 |
| 1992324545 | Theresa Marie Dierker | Family Medicine | 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 | 2020-04-14 |
| 1417576232 | Brent Tatomir | Family Medicine | 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 | 2020-04-11 |
| 1801448972 | Sanjiv Kandiah | Family Medicine | 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 | 2019-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961720 | Sterling Heights Comfort Care LLC | Assisted Living Facility | 44456 Mound Rd, Sterling Heights, MI 48314 | 2020-01-13 |
| 1053875591 | Preztige Medical Transportation | Non-emergency Medical Transport (VAN) | 43656 Vintage Oaks Drive, Sterling Heights, MI 48314 | 2019-01-29 |
| 1396215935 | Alice Arulselvi Andrews | Nurse Practitioner | 4697 Aspenwood Dr, Sterling Heights, MI 48314 | 2018-11-27 |
| 1861938680 | Hope Physical Therapy | Physical Therapist | 42301 Mound Rd, Sterling Heights, MI 48314 | 2017-01-18 |
| 1972050292 | Sudomir Sleep Solutions, L.L.C. | Pediatrics | 43184 Dequindre Rd., Suite 206, Sterling Heights, MI 48314 | 2016-09-02 |
| 1457720534 | Soltions 2 Life LLC | Home Health | 3220 Cherry Creek Lane, Sterling Heights, MI 48314 | 2015-09-18 |
| 1326449091 | Lauren Ehardt | Dentist | 43060 Mound Rd, Sterling Heights, MI 48314 | 2014-09-11 |
| 1134554819 | Amy Kathryn Barnes | Social Worker | 5995 Nineteen Mile Rd, Sterling Heights, MI 48314 | 2013-09-12 |
| 1952666117 | Michigan's Dental Health Professional | Dentist | 42370 Van Dyke Ave Suite 101, Sterling Hts, MI 48314 | 2012-07-12 |
| 1699051557 | Sanju Koithara | Physical Therapist | 2644 Balsam Way Drive, Sterling Heights, MI 48314 | 2011-10-24 |
| Find all providers in zip 48314 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154685188 | Sandra Ann Evans | Nurse Practitioner | 38578 Rougewood Dr, Sterling Heights, MI 48312-1308 | 2012-06-25 |
| 1255976288 | Ariane Kennedy | Nurse Practitioner | 8244 Metro Pkwy Ste C, Sterling Heights, MI 48312-2778 | 2019-11-13 |
| 1518529122 | Silvia Matti | Nurse Practitioner | 44650 Delco Blvd, Sterling Heights, MI 48313-1063 | 2019-07-03 |
| 1366911927 | Angela Soyad Willis | Nurse Practitioner | 43455 Schoenherr Rd Ste 2, Sterling Heights, MI 48313-1972 | 2018-11-13 |
| 1255763678 | Carrie Nicole Evatz | Nurse Practitioner | 5456 15 Mile Rd, Sterling Heights, MI 48310-5110 | 2013-08-08 |
| 1962755058 | Kristina Cunningham | Nurse Practitioner | 5456 15 Mile Rd, 101, Sterling Heights, MI 48310-5110 | 2012-10-26 |
| 1467533786 | Kathryn Louise Smith | Nurse Practitioner | 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130619 | Mohammad Afzal Khan | Nurse Practitioner | 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 | 2020-10-08 |
| 1528679305 | Eriko Apriliando | Nurse Practitioner | 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 | 2020-08-13 |
| 1245858307 | Katherine Perko Hollander | Nurse Practitioner | 2274 Earlmont Rd, Berkley, MI 48072-1877 | 2020-07-06 |
| 1437782067 | Jamie Lynn Kosalsky | Nurse Practitioner | 1385 Cadmus Dr, Troy, MI 48085-1218 | 2020-02-21 |
| 1326698309 | Maria Christina Mekas | Nurse Practitioner | 423 Tamarack Dr, Saline, MI 48176-9573 | 2019-09-12 |
| 1669021358 | Cheryl Fowler | Nurse Practitioner | 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 | 2019-09-05 |
| 1205482387 | Sarah E Born | Nurse Practitioner | 517 Erie Street, Three Rivers, MI 49093-2029 | 2019-08-14 |
| 1023660321 | Cheri Van Wyngarden | Nurse Practitioner | 6250 Jupiter Ave Ne, Belmont, MI 49306-8711 | 2019-07-16 |
| 1194385500 | Adesuwa Iyoha | Nurse Practitioner | 30509 Halecreek St, Romulus, MI 48174-3224 | 2019-06-18 |
| 1740740190 | John Kenneth Dekock | Nurse Practitioner | 5327 48th Ave, Hudsonville, MI 49426-9412 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48314 |
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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.