MARY PAULINE LIDDELL (NPI# 1689204372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689204372 |
| Entity Type | Individual |
| Full Name | MARY PAULINE LIDDELL |
| Credential | RN |
| Practice Address |
2766 W 11 Mile Rd Ste 2 Berkley MI 48072-3033 |
| Practice Telephone | 2485422424 |
| Practice Fax Number | 2485425621 |
| Mailing Telephone | 2485422424 |
| Mailing Fax Number | 2485425621 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
4704211913 | MI | Nursing Service Providers |
| Street Address |
2766 W 11 MILE RD STE 2 |
| City | BERKLEY |
| State | MI |
| Zip Code | 48072-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144316522 | Friends Who Care, Inc. | Nursing Care | 2766 W 11 Mile Rd Ste 2, Berkley, MI 48072-3033 | 2006-10-05 |
| 1720597099 | Breanne Nicole Meyer | Registered Nurse | 2766 W 11 Mile Rd Ste 2, Berkley, MI 48072-3033 | 2017-09-29 |
| 1376069682 | Autumn Lindsay | Licensed Vocational Nurse | 2766 W 11 Mile Rd Ste 2, Berkley, MI 48072-3033 | 2017-08-17 |
| 1164977252 | Friends Who Care | Home Health | 2766 W 11 Mile Rd Ste 2, Berkley, MI 48072-3033 | 2016-08-18 |
| 1962854976 | Miki Monea | Registered Nurse | 2766 W 11 Mile Rd Ste 2, Berkley, MI 48072-3033 | 2016-07-01 |
| 1386016467 | Chris Marie Scheick | Licensed Practical Nurse | 2766 W 11 Mile Rd Ste 2, Berkley, MI 48072-3033 | 2015-10-28 |
| 1245609817 | Mark Bennett | Nursing Care | 2766 W 11 Mile Rd Ste 2, Berkley, MI 48072-3033 | 2015-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1790202224 | Medcrafters Rx Pharmacy LLC | Pharmacy | 3348 W 12 Mile Rd, Berkley, MI 48072 | 2017-08-25 |
| 1144684861 | Marilyn Ann Hawkins | Registered Nurse | 2766 West 11 Mile Rd., Beckley, MI 48072 | 2016-04-08 |
| 1134547862 | Rimma Polevoy | Internal Medicine | 1949 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-03-31 |
| 1245676212 | Chelsea Peraino Smoots | Social Worker | 892 11 Mile Rd, Berkley, MI 48072 | 2013-05-17 |
| 1770730483 | Bryce Paul Roekle | Counselor | 1799 Phillips Avenue, Berkley, MI 48072 | 2008-08-25 |
| 1003003617 | Oakland Family Services | Community/Behavioral Health | 2351 West 12 Mile Road, Berkley, MI 48072 | 2007-09-27 |
| 1063605012 | Care Plus Home Health Services, Inc | Home Health | 28139 Woodward Ave, Berkley, MI 48072 | 2007-08-23 |
| 1346370020 | David Jason Carpenter | Social Worker | 2345 West 12 Mile Road, Berkley, MI 48072 | 2007-03-06 |
| 1871674192 | Robert Igwe | Internal Medicine | 1949 West Twelve Mile Rd, Ste 200, Berkley, MI 48072 | 2006-10-17 |
| Find all providers in zip 48072 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801008453 | Jennifer Lyn Kelly | Registered Nurse | 7 Michelle Lee Dr, Berkley, MA 02779-2224 | 2007-05-04 |
| 1912379397 | Alexis May | Registered Nurse | 2766 W 11 Mile Rd, 2, Berkley, MI 48072-3033 | 2015-10-26 |
| 1174990832 | Deborah Barycz I | Registered Nurse | 2766 W 11 Mile Rd, Berkley, MI 48072-3033 | 2015-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605619 | Felicia Simmons | Registered Nurse | 16861 Lesure St, Detroit, MI 48235-4012 | 2020-09-25 |
| 1730796764 | Rebekah J Trivilino | Registered Nurse | 619 W Houstonia Ave, Royal Oak, MI 48073-4083 | 2020-09-24 |
| 1508473653 | Latoia Pharr | Registered Nurse | 22162 Gascony Ave # L, Eastpointe, MI 48021-2574 | 2020-09-23 |
| 1093332843 | Laurence Stephen Reuben | Registered Nurse | 26070 Radclift Pl, Oak Park, MI 48237-1047 | 2020-06-28 |
| 1770105389 | Shanita Blevins | Registered Nurse | 19962 Ferguson St, Detroit, MI 48235-2431 | 2020-05-18 |
| 1558980862 | Kyesha Noble | Registered Nurse | 545 Abbey St Apt G, Muskegon, MI 49442-2155 | 2020-04-16 |
| 1568095222 | Leslie Kidd | Registered Nurse | 8904 Cedar Lake Dr, Jenison, MI 49428-9462 | 2020-02-20 |
| 1164054086 | Brenda S Vanaanhold | Registered Nurse | 643 Lynn Kay Dr Sw, Byron Center, MI 49315-8995 | 2020-02-08 |
| 1891334074 | Lachelle Sophia Carroll | Registered Nurse | 14046 Stahelin Ave, Detroit, MI 48223-2985 | 2020-01-05 |
| 1134777592 | Alicia Marie Gregg | Registered Nurse | 6024 Walton Rd, Kingsley, MI 49649-9275 | 2019-08-29 |
| 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.