DALLAS SHAFER (NPI# 1760023790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760023790 |
Entity Type | Individual |
Full Name | DALLAS SHAFER |
Practice Address |
1910 Shaffer St Kalamazoo MI 49048-1604 |
Practice Telephone | 2693829820 |
Enumeration Date | 2019-10-01 |
Last Update Date | 2019-10-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
6401017526 | MI | Behavioral Health & Social Service Providers |
Street Address |
1910 SHAFFER ST |
City | KALAMAZOO |
State | MI |
Zip Code | 49048-1604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962863001 | Julie A French | Counselor | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2016-03-17 |
1679180707 | Jasmine Granville | Social Worker | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2020-09-23 |
1508471483 | Sarah Ann-mcconnell Wirth | Counselor | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2020-09-09 |
1295344794 | Gabriell Bailey-humphrey | Nurse's Aide | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2020-07-30 |
1730703182 | Cristina Marie Goetz | Registered Nurse | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2020-06-02 |
1992328371 | Paula Lynn Hill | Registered Nurse | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2020-05-20 |
1346887312 | Suzanne Kay Lahti | Registered Nurse | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2019-12-09 |
1780227785 | Karen Schieman | Registered Nurse | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2019-10-22 |
1023669322 | Lauren Whitehurst | Counselor | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2019-09-27 |
1326699836 | Zanovia Patrice Tucker | Counselor | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2019-09-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
Find all providers in zip 49048 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659970069 | Jennelle Hines Counseling, Pllc | Counselor | 2511 Lomond Dr, Kalamazoo, MI 49008-2125 | 2020-10-19 |
1275151144 | Kalamazoo Cognitive and Behavioral Therapy Pllc | Counselor | 3516 Northfield Trl, Kalamazoo, MI 49009-5899 | 2020-07-08 |
1386273225 | Casey Slager | Counselor | 120 Lanark Ct, Kalamazoo, MI 49006-4357 | 2020-04-03 |
1104452002 | Susan G Mattice | Counselor | 1030 Campbell Ave, Kalamazoo, MI 49006-3082 | 2020-03-23 |
1336774421 | Deanna Thompson | Counselor | 124 Remine St, Kalamazoo, MI 49001-3640 | 2020-03-09 |
1073148185 | Cierra L Patrick | Counselor | 4210 S Westnedge Ave, Kalamazoo, MI 49008-3208 | 2020-03-09 |
1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
1295391829 | Stephanie Hyer | Counselor | 2338 S Rose St, Kalamazoo, MI 49001-3621 | 2019-05-20 |
1598264277 | Lance Brandon Bettison | Counselor | 157 S Kalamazoo Mall Ste 250, Kalamazoo, MI 49007-4828 | 2018-02-07 |
1013455989 | Lauren Gentry | Counselor | 213 S. Kendall Apt 201, Kalamazoo, MI 49006 | 2017-02-10 |
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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.