JEANELLE HAUTALA (NPI# 1710530456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710530456 |
| Entity Type | Individual |
| Full Name | JEANELLE HAUTALA |
| Credential | R.N. |
| Practice Address |
325 E H St Iron Mountain MI 49801-4760 |
| Practice Telephone | 9067743300 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
4704218980 | MI | Nursing Service Providers |
| Street Address |
325 E H ST |
| City | IRON MOUNTAIN |
| State | MI |
| Zip Code | 49801-4760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355067 | Dean L Hartwig | Optometrist | 325 E H St, Iron Mountain, MI 49801 | 2005-06-10 |
| 1033729447 | Robert David Jackson | Psychologist | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-08-01 |
| 1174133508 | Francis Thomas Mcmenamin Jr. | Psychologist | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-07-31 |
| 1225647050 | Lisa Ruth Feldmann | Pharmacist | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-07-28 |
| 1871101394 | Cherisse Norberte | Pharmacist | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-07-21 |
| 1386252492 | Kathleen Jane Dupont | Registered Nurse | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-07-15 |
| 1922623438 | Joseph Lance Walker | Pharmacist | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-06-10 |
| 1760011902 | Beata Maria Czarniak | Respiratory Therapist, Certified | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-04-08 |
| 1003478959 | Alexandra Hensen | Dentist | 325 E H St, Iron Mountain, MI 49801-4760 | 2019-07-01 |
| 1003477423 | Susan Scullon | Registered Nurse | 325 E H St, Iron Mountain, MI 49801-4760 | 2019-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008062 | John M Baccino | Dietitian, Registered | 325 E H St # 133, Iron Mountain, MI 49801 | 2017-08-08 |
| 1699148692 | Bd Baker Rentals LLC | Optometrist | 2100 Aragon Street, Iron Mountain, MI 49801 | 2015-11-12 |
| 1083044762 | Integrated First Response-great Lakes | Ambulance | 719 River Avenue, Iron Mountain, MI 49801 | 2013-11-18 |
| 1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
| 1902196702 | Daniel John Fornetti | Dentist | 100 S. Stephenson Ave., Iron Mountain, MI 49801 | 2011-04-13 |
| 1871815613 | Colleen Ann Sleik | Physical Therapist | Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 | 2010-02-21 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1831349539 | Amanda Jane Petti | Dietitian, Registered | 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 | 2008-09-30 |
| 1891946521 | Riki Rouse | Hearing Instrument Specialist | W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 | 2008-09-30 |
| 1366690612 | Greenlund Enterpries, Inc | Hearing Aid Equipment | W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 | 2008-08-28 |
| Find all providers in zip 49801 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003477423 | Susan Scullon | Registered Nurse | 325 E H St, Iron Mountain, MI 49801-4760 | 2019-06-26 |
| 1881164028 | Lana Woodward | Registered Nurse | 325 E H St, Iron Mountain, MI 49801-4760 | 2018-11-30 |
| 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 | ||||
| City | IRON MOUNTAIN |
| Zip Code | 49801 |
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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.