JOANN L MANTY (NPI# 1760988992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760988992 |
| Entity Type | Individual |
| Full Name | JOANN L MANTY |
| Other Name | JOANN L JUNTILA |
| Credential | RN |
| Practice Address |
901 Lakeshore Dr Ishpeming MI 49849-1367 |
| Mailing Address |
7255 County Road Pi Ishpeming MI 49849-8841 |
| Practice Telephone | 9064852686 |
| Mailing Telephone | 9064866216 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
4704117730 | MI | Nursing Service Providers |
| Street Address |
901 LAKESHORE DR |
| City | ISHPEMING |
| State | MI |
| Zip Code | 49849-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356331128 | Virginia Frances Smith | Nurse Practitioner | 901 Lakeshore Dr, Ishpeming, MI 49849-1367 | 2005-10-24 |
| 1821635442 | Melissa Ann Wachter | Registered Nurse | 901 Lakeshore Dr, Ishpeming, MI 49849-1367 | 2019-12-02 |
| 1295378909 | Chauntelle Leigh Taylor | Nurse Practitioner | 901 Lakeshore Dr, Ishpeming, MI 49849-1367 | 2019-10-25 |
| 1386285609 | Karissa Rae Roudebush | Nurse Practitioner | 901 Lakeshore Dr, Ishpeming, MI 49849-1367 | 2019-10-08 |
| 1851855183 | Abbey Kelto | Physical Therapist | 901 Lakeshore Dr, Ishpeming, MI 49849-1367 | 2019-01-31 |
| 1558846675 | Mandi Mae Wilkins | Nurse Practitioner | 901 Lakeshore Dr, Ishpeming, MI 49849-1367 | 2018-09-25 |
| 1396228250 | Brooke Ann Montgomery | Occupational Therapist | 901 Lakeshore Dr, Ishpeming, MI 49849-1367 | 2018-09-07 |
| 1134601685 | Shannon Marie Scott | Nurse Practitioner | 901 Lakeshore Dr, Ishpeming, MI 49849-1367 | 2018-08-31 |
| 1871087809 | Bell Physician Practices Inc | Health Educator | 901 Lakeshore Dr, Ishpeming, MI 49849-1367 | 2018-06-22 |
| 1134610371 | Brett Ian Peterson | Dietitian, Registered | 901 Lakeshore Dr, Ishpeming, MI 49849-1367 | 2018-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707912 | Trevor Doren | Physician Assistant | 813 Braastads Road, Ishpeming, MI 49849 | 2020-03-31 |
| 1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
| 1316351224 | Great Lakes Recovery Centers | Clinic/Center | 97 S. 4th Street, Suite C, Ishpeming, MI 49849 | 2014-06-18 |
| 1689098857 | Karen Duquette | Psychologist | 540 E Division St, Ishpeming, MI 49849 | 2014-02-09 |
| 1063796456 | Brian E. Anderson, D.d.s., Pllc | Clinic/Center | 125 N. Pansy St, Ishpeming, MI 49849 | 2011-10-04 |
| 1689658973 | Joel A Johnson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 901 Lakeshore Dr., Ishpeming, MI 49849 | 2005-12-01 |
| 1538791975 | David Scott Swanson | Registered Nurse | 901 Lakeshore Drive, Ishpeming, MI 49849 | 2020-02-04 |
| 1669831756 | Bell Auxiliary | Voluntary or Charitable | 901 Lakeshore Drive, Ishpeming, MI 49849 | 2016-02-17 |
| 1982831749 | Brian Edward Anderson | Dentist | 125 N Pansy Street, Ishpeming, MI 49849 | 2009-06-18 |
| 1356546378 | Kelly Rose Menge | Obstetrics & Gynecology | 901 Lakeshore Dr., Ishpeming, MI 49849 | 2007-06-19 |
| Find all providers in zip 49849 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161600 | Tiffini Ann Jones | Registered Nurse | 3624 8th St, Wyandotte, MI 48192-6509 | 2020-10-12 |
| 1093334294 | Sally M Kidman | Registered Nurse | 535 S Burdick St Ste 256, Kalamazoo, MI 49007-6112 | 2020-04-09 |
| 1205339595 | Janet Banks-mcelrath | Registered Nurse | 43421 Garfield Rd Ste 203, Clinton Twp, MI 48038-1133 | 2018-03-13 |
| 1275032849 | Bethany Wolter | Registered Nurse | 175 S Waverly Rd Ste A, Holland, MI 49423-7906 | 2018-02-08 |
| 1568974038 | Point A Organization | Registered Nurse | 12091 Cloverlawn St, Detroit, MI 48204-1012 | 2017-10-24 |
| 1992226773 | Linda Loou Thopmson | Registered Nurse | 335 E. Houghton Ave., West Branch, MI 48661 | 2017-06-30 |
| 1619346780 | Kathy Ann Bowers | Registered Nurse | 2300 N. Stallman Rd, Suttons Bay, MI 49682 | 2015-09-18 |
| 1639589526 | Jill Moore | Registered Nurse | 829 N Center Ave Ste 140, Gaylord, MI 49735-1598 | 2014-05-01 |
| 1104165851 | Frances Pachota | Registered Nurse | 28100 Grand River Ave Ste 301, Farmington Hills, MI 48336-5970 | 2013-01-31 |
| 1225292832 | Cynthia Marie Hoganson | Registered Nurse | 7696 E Claymore Ct, Canton, MI 48187-1842 | 2008-07-13 |
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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.