MS. SANDRA J LERETTE (NPI# 1801833165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801833165 |
| Entity Type | Individual |
| Full Name | MS. SANDRA J LERETTE |
| Credential | PA |
| Practice Address |
632 North Ave Battle Creek MI 49017-3249 |
| Practice Telephone | 2699696145 |
| Practice Fax Number | 2699696133 |
| Mailing Telephone | 2699696145 |
| Mailing Fax Number | 2699696133 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
SL004331 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE | SL004331 | 01 |
| Street Address |
632 NORTH AVE |
| City | BATTLE CREEK |
| State | MI |
| Zip Code | 49017-3249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578730321 | Bchs North Avenue | Internal Medicine | 632 North Ave, Battle Creek, MI 49017-3249 | 2008-05-12 |
| 1679642599 | Battle Creek Medical Associates, PC | Internal Medicine | 632 North Ave, Battle Creek, MI 49017-3249 | 2006-11-07 |
| 1962410407 | Jeanne K Hickman | Nurse Practitioner | 632 North Ave, Battle Creek, MI 49017-3249 | 2006-08-03 |
| 1376586560 | Richard S Kranz | Internal Medicine | 632 North Ave, Battle Creek, MI 49017-3249 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245883784 | Lauren Gressley | Nurse Practitioner | 363 Fremont St Ste 101, Battle Creek, MI 49017 | 2019-07-23 |
| 1619448958 | Carmel T Ryan | Speech-Language Pathologist | 654 Wagner Dr, Battle Creek, MI 49017 | 2018-12-16 |
| 1467934679 | Anita Lynn Riddle | Nurse Practitioner | 100 W. Vanburen Street, Battle Creek, MI 49017 | 2018-09-04 |
| 1841799749 | Carolyn R Boyle | Social Worker | 2 West Michigan Ave. Suite 300, Battle Creek, MI 49017 | 2018-02-06 |
| 1962928879 | Battle Creek Family Chiropractic PC | Chiropractor | 32 Van Buren W, Battle Creek, MI 49017 | 2017-08-22 |
| 1598292146 | Melissa Elizabeth Kellogg | Counselor | 2 West Michigan Ave., Suite 300, Battle Creek, MI 49017 | 2017-05-15 |
| 1104230523 | Gary Zachary White | Otolaryngology | 300 North Ave Ste 1400, Battle Creek, MI 49017 | 2014-06-13 |
| 1770822462 | Mindy Newhouse-oisten | Psychologist | 140 West Michigan Avenue, Battle Creek, MI 49017 | 2013-01-31 |
| 1033403118 | Charlotte G Andreasen | Nurse Practitioner | 70 Michigan Ave. West, Neurology of Battle Creek, Battle Creek, MI 49017 | 2011-06-06 |
| 1841504727 | Louise Ann Vollwiler | Optometrist | 12737 Cotton Lake Road, Sam's Club Store No.6429, Battle Creek, MI 49017 | 2010-08-03 |
| Find all providers in zip 49017 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518190461 | Hayley Janice Schwartz | Physician Assistant | 2545 Capital Ave S.w., Battle Creek, MI 49015 | 2009-08-26 |
| 1912050758 | Amy C Ball | Physician Assistant | 3770 Capital Ave Sw Ste B, Battle Creek, MI 49015-9411 | 2007-01-18 |
| 1346352325 | Kristi Ann Smith | Physician Assistant | 219 Singletree Ln, Battle Creek, MI 49014-7519 | 2006-08-31 |
| 1376547869 | Connie Keys | Physician Assistant | 265 Fremont St, Battle Creek, MI 49017-3354 | 2005-06-13 |
| 1598314031 | Daniel Buehler | Physician Assistant | 181 Emmett St W, Battle Creek, MI 49037-2963 | 2019-09-07 |
| 1700386232 | Amanda Susan Davis | Physician Assistant | 363 Fremont St Ste 203, Battle Creek, MI 49017-3398 | 2018-02-21 |
| 1366960197 | Rory Patrick Wildner | Physician Assistant | 363 Fremont St Ste 203, Battle Creek, MI 49017-3398 | 2017-08-31 |
| 1245628098 | Courtney Rose-meyer Smith | Physician Assistant | 363 Fremont St, Suite 203, Battle Creek, MI 49017-3389 | 2015-01-02 |
| 1780072538 | Ronna Lee-warner Zeluff | Physician Assistant | 363 Fremont St, Suite 203, Battle Creek, MI 49017-3389 | 2015-01-02 |
| 1740680354 | Summer Marie Clay | Physician Assistant | 363 Fremont St, Suite 203, Battle Creek, MI 49017-3389 | 2014-09-02 |
| Find all providers in BATTLE CREEK | ||||
| City | BATTLE CREEK |
| Zip Code | 49017 |
Please comment or provide details below to improve the information on MS. SANDRA J LERETTE.
| 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.