CAROL BUENTELLO (NPI# 1720429566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720429566 |
| Entity Type | Individual |
| Full Name | CAROL BUENTELLO |
| Credential | NNP-BC |
| Practice Address |
420 W Magnetic St Marquette MI 49855-2700 |
| Mailing Address |
374 N Noren Lake Dr Gwinn MI 49841-9062 |
| Practice Telephone | 9062253406 |
| Mailing Telephone | 9063606800 |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
4704222255 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
420 W MAGNETIC ST |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959750 | Marquette General Hospital, Inc. | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2711 | 2005-06-01 |
| 1811382641 | Dlp Marquette General Hospital LLC | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2700 | 2015-03-30 |
| 1902157027 | Dlp Marquette Physician Practices Inc | Radiology | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-09-28 |
| 1174871305 | Dlp Marquette General Hospital LLC | Rehabilitation, Substance Use Disorder Unit | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-20 |
| 1366790727 | Dlp Marquette Physician Practices Inc | Physician Assistant | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-16 |
| 1699022590 | Dlp Marquette General Hospital LLC | Hearing Aid Equipment | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-09 |
| 1942505268 | Marquette General Hospital | Nurse Anesthetist, Certified Registered | 420 W Magnetic St, Marquette, MI 49855-2711 | 2011-01-18 |
| 1598078933 | Marquette General Health Systems | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2711 | 2010-07-14 |
| 1164746475 | Tricia Leigh Tollenaar | Nurse Anesthetist, Certified Registered | 420 W Magnetic St, Anesthesia Dept., Marquette, MI 49855-2711 | 2010-03-16 |
| 1174845374 | Jeremy Joseph Lafave | Nurse Anesthetist, Certified Registered | 420 W Magnetic St, Anesthesia Department, Marquette, MI 49855-2711 | 2010-02-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
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| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497248223 | Karen Elizabeth Strauel | Nurse Practitioner | 7131 Houghton Dr, Davison, MI 48423-2335 | 2018-06-06 |
| 1366848053 | Rachel O'neil | Nurse Practitioner | 41054 Williamsburg Blvd, Canton, MI 48187-3878 | 2014-11-07 |
| 1790113223 | Kathy Biehl Kelly | Nurse Practitioner | 3355 Morningview Terrace, Bloomfield Hills, MI 48301 | 2013-10-18 |
| 1740544204 | Edith Ann Bardzilowski | Nurse Practitioner | 7393 N Seymour Rd, Flushing, MI 48433-9265 | 2012-06-29 |
| 1437313020 | Patricia Ann Atkins | Nurse Practitioner | 5473 Hillsboro Ct, Commerce Twp, MI 48382-5135 | 2008-07-14 |
| 1407995459 | Stacey Elizabeth Tilbury | Nurse Practitioner | 1500 E Medical Center, 5th Floor Mott Hospital Rm F5790, Ann Arbor, MI 48109-5254 | 2007-02-06 |
| 1386245967 | Ashley Nicole Heffner | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2020-11-02 |
| 1487260030 | Jessica Lee Moret | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-18 |
| 1447866215 | Marisa Mcalister | Nurse Practitioner | 16001 W 9 Mile Rd, Southfield, MI 48075-4803 | 2020-09-17 |
| 1629695218 | Jillian Arlene Morris | Nurse Practitioner | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-29 |
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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.