STACI SUE CATTANEO (NPI# 1780051839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780051839 |
| Entity Type | Individual |
| Full Name | STACI SUE CATTANEO |
| Other Name | STACI SUE KRIEBEL |
| Practice Address |
1201 E Michigan Ave Ste 100 Jackson MI 49201-1852 |
| Practice Telephone | 5177807224 |
| Mailing Telephone | 5177807224 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2018-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704288888 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5301 East Huron River, Anestheia Department, Ypsilanti, MI 48197 | 7347123456 | |
| 7575 West Grand River, Anesthesia Department, Brighton, MI 48114 | 8108447511 |
| Street Address |
1201 E MICHIGAN AVE STE 100 |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-1852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033101225 | Tudor R Tien | Specialist | 1201 E Michigan Ave, Suite 300, Jackson, MI 49201-1852 | 2005-08-16 |
| 1205325180 | Amy M Miskowski | Physical Therapist | 1201 E Michigan Ave, Jackson, MI 49201-1852 | 2018-05-06 |
| 1073002366 | Brett Walter Nowery | Occupational Therapist | 1201 E Michigan Ave, Jackson, MI 49201-1852 | 2018-05-02 |
| 1437651478 | Samantha Sherwood | Nurse Practitioner | 1201 E Michigan Ave, Jackson, MI 49201-1852 | 2018-03-06 |
| 1003314519 | Suzanne Kathleen Harmon | Specialist/Technologist | 1201 E Michigan Ave, Jackson, MI 49201-1852 | 2018-01-30 |
| 1598117319 | Lindsay Michelle Fausett | Specialist/Technologist | 1201 E Michigan Ave, Ste 300, Jackson, MI 49201-1852 | 2016-07-05 |
| 1811254956 | Nanette Embury | Nurse Practitioner | 1201 E Michigan Ave, Ste 120, Jackson, MI 49201-1852 | 2012-04-13 |
| 1306174982 | Wa Foote Memorial Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 1201 E Michigan Ave, Suite 110, Jackson, MI 49201-1852 | 2009-11-19 |
| 1043543747 | Amy Lynne Herrick | Nurse Practitioner | 1201 E Michigan Ave, Ste 300, Jackson, MI 49201-1852 | 2009-09-12 |
| 1275627366 | John Joseph Wald | Psychiatry & Neurology | 1201 E Michigan Ave, Ste 230, Jackson, MI 49201-1852 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113627 | Jessicah Blasdel | Nurse Practitioner | 113 W Michigan Ave, Jackson, MI 49201-1340 | 2020-10-31 |
| 1801406335 | Jade Russell | Nurse Practitioner | 2205 W Morrell St, Jackson, MI 49203-1357 | 2020-08-10 |
| 1992315212 | Patrecia Campbell | Nurse Practitioner | 2570 Bailey Ave Ste 7, Jackson, MS 39213-6905 | 2020-08-01 |
| 1669008926 | Kristine Edwards | Nurse Practitioner | 723 Woodlawn Ave, Jackson, MI 49203-2921 | 2020-03-19 |
| 1295366391 | Christy White | Nurse Practitioner | 363 Old Pinson Rd, Jackson, TN 38301-9576 | 2020-01-28 |
| 1972141620 | Primary Care - Bemis, LLC | Nurse Practitioner | 1385 S Highland Ave Ste B4, Jackson, TN 38301-7547 | 2019-12-12 |
| 1174164263 | Tami Anne Miller | Nurse Practitioner | 124 N Bast St, Jackson, MO 63755-1704 | 2019-10-01 |
| 1265080584 | Cameron Nicole Howard | Nurse Practitioner | 1860 Chadwick Dr Ste 256, Jackson, MS 39204-3486 | 2019-08-29 |
| 1831750843 | Rhiannon Michelle Andresen | Nurse Practitioner | 1022 Greystone Sq, Jackson, TN 38305-3580 | 2019-06-21 |
| 1902376361 | Jenay B Krumm | Nurse Practitioner | 1201 E Michigan Ave Ste 200, Jackson, MI 49201-1855 | 2018-11-28 |
| Find all providers in JACKSON | ||||
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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.