MS. HOLLY HUSTED (NPI# 1750438214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750438214 |
| Entity Type | Individual |
| Full Name | MS. HOLLY HUSTED |
| Credential | NP |
| Practice Address |
803 W Arlington St Bangor MI 49013-1108 |
| Mailing Address |
801 Hazen St Ste C Paw Paw MI 49079-2008 |
| Practice Telephone | 2694276810 |
| Practice Fax Number | 2696576523 |
| Mailing Telephone | 2696553334 |
| Mailing Fax Number | 2696576523 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2019-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704199043 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
4704199043 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1750438214 | 05 | |
| MI | BCBSM - BMG | 1801818752 | 01 |
| Street Address |
803 W ARLINGTON ST |
| City | BANGOR |
| State | MI |
| Zip Code | 49013-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871533166 | Angela Reed | Nurse Practitioner | 803 W Arlington St, Bangor Health Center, Bangor, MI 49013-1108 | 2006-06-07 |
| 1235300294 | Rebekah Lee Fatzinger | Psychologist | 803 W Arlington St, Bangor, MI 49013-1108 | 2008-03-18 |
| 1043330798 | Katherine M Radakovich | Dietitian, Registered | 803 W Arlington St, Bangor, MI 49013-1108 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237051 | Twin Doves I LLC | Community Based Residential Treatment Facility, Mental Illness | 48617 36th Ave., Bangor, MI 49013 | 2020-05-25 |
| 1629252895 | Van Buren Cass District Health Department | Community/Behavioral Health | 803 West Arlington, Bangor Health Center, Bangor, MI 49013 | 2007-12-24 |
| 1245426808 | Karen Lee Replogle | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2007-09-18 |
| 1518152560 | Virginia Douglas | Registered Nurse | 52101 34 Avenue, Bangor, MI 49013 | 2007-09-12 |
| 1992818835 | Intercare Community Health Network | Clinic/Center | 308 Charles St, Bangor, MI 49013 | 2006-08-16 |
| 1326058512 | Intercare Community Health Network | Clinic/Center | 50 Industrial Park Dr, Bangor, MI 49013 | 2006-08-09 |
| 1962439950 | Michele E Allen | Dentist | 308 Charles Street, Bangor, MI 49013 | 2006-06-27 |
| 1366051898 | Kasie M Broe | Social Worker | 52101 34th Avenue, Bangor, MI 49013 | 2020-07-30 |
| 1255985966 | Audria Gilliland | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2019-07-31 |
| 1417319476 | Terri Lynn Harbin Ilg | Dental Hygienist | 308 Charles Street, Intercare Community Health Network, Bangor, MI 49013 | 2016-03-28 |
| Find all providers in zip 49013 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619590247 | Meghan Chenausky | Nurse Practitioner | Pchcenter, 1012 Union Street, Bangor, ME 04401-3060 | 2020-05-18 |
| 1649603093 | Kendra Lynn Look | Nurse Practitioner | 302 Husson Ave Ste 1, Bangor, ME 04401-3373 | 2013-08-20 |
| 1285988253 | Sabita Sigdel | Nurse Practitioner | 895 Union Street - Suite 12, Center for Family Medicine, Bangor, ME 04401 | 2012-10-30 |
| 1467515056 | Lisa Madge Grindle | Nurse Practitioner | 175 Union St., Suite C, Bangor, ME 04401 | 2006-12-18 |
| 1871698142 | Beryl Rubin | Nurse Practitioner | 1048 Union St., Ste 5, Bangor, ME 04401-0000 | 2006-09-13 |
| 1376569962 | Maureen M Jarrett | Nurse Practitioner | 36 Penn Plaza, Bangor, ME 04401-3620 | 2006-07-15 |
| 1235180209 | Chrystal A Adams | Nurse Practitioner | 34 Summer Street, Bangor, ME 04401 | 2006-05-15 |
| 1538129804 | Sandra Jean Wardwell | Nurse Practitioner | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2006-03-23 |
| 1861451478 | Joye M Jewell-hill | Nurse Practitioner | 268 Stillwater Ave, Bangor, ME 04401 | 2006-03-22 |
| 1194721548 | Lisa Carroll | Nurse Practitioner | 992 Union St, Bangor, ME 04401-3057 | 2005-06-21 |
| Find all providers in BANGOR | ||||
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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.