JEANNA MASTRACCI (NPI# 1861814220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861814220 |
| Entity Type | Individual |
| Full Name | JEANNA MASTRACCI |
| Practice Address |
44344 Dequindre Rd Sterling Heights MI 48314-1038 |
| Practice Telephone | 5862625060 |
| Mailing Telephone | 5862625060 |
| Enumeration Date | 2014-01-19 |
| Last Update Date | 2016-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
4704275270 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
44344 DEQUINDRE RD |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48314-1038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043218621 | Sharon K Geimer | Internal Medicine | 44344 Dequindre Rd, Suite 480, Sterling Heights, MI 48314-1003 | 2005-07-08 |
| 1144866013 | Casey Renno | Nurse Practitioner | 44344 Dequindre Rd, Sterling Heights, MI 48314-1038 | 2019-11-26 |
| 1518475078 | Donike Veliaj | Nurse Practitioner | 44344 Dequindre Rd, Sterling Heights, MI 48314-1038 | 2018-01-18 |
| 1982119673 | Christy L Berriman-sauve | Internal Medicine | 44344 Dequindre Rd, Sterling Heights, MI 48314-1038 | 2017-12-04 |
| 1942754213 | Kimberly Robertson | Nurse Practitioner | 44344 Dequindre Rd, Suite 260, Sterling Heights, MI 48314-1038 | 2016-08-04 |
| 1639520141 | Kristin Bratek | Optometrist | 44344 Dequindre Rd, Suite 110, Sterling Heights, MI 48314-1038 | 2016-06-27 |
| 1598166324 | Michigan Rheumatology Center | Internal Medicine | 44344 Dequindre Rd, Suite 470, Sterling Heights, MI 48314-1038 | 2014-09-11 |
| 1538437066 | Skywalk Internal Medicine, PC | Internal Medicine | 44344 Dequindre Rd, Suite 540, Sterling Heights, MI 48314-1038 | 2011-12-12 |
| 1548553845 | April Lynn Nofzinger | Internal Medicine | 44344 Dequindre Rd, Ste. 260, Sterling Heights, MI 48314-1038 | 2011-05-18 |
| 1619271830 | Jennifer L Jehle | Nurse Practitioner | 44344 Dequindre Rd, Suite 260, Sterling Heights, MI 48314-1038 | 2011-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961720 | Sterling Heights Comfort Care LLC | Assisted Living Facility | 44456 Mound Rd, Sterling Heights, MI 48314 | 2020-01-13 |
| 1053875591 | Preztige Medical Transportation | Non-emergency Medical Transport (VAN) | 43656 Vintage Oaks Drive, Sterling Heights, MI 48314 | 2019-01-29 |
| 1396215935 | Alice Arulselvi Andrews | Nurse Practitioner | 4697 Aspenwood Dr, Sterling Heights, MI 48314 | 2018-11-27 |
| 1861938680 | Hope Physical Therapy | Physical Therapist | 42301 Mound Rd, Sterling Heights, MI 48314 | 2017-01-18 |
| 1972050292 | Sudomir Sleep Solutions, L.L.C. | Pediatrics | 43184 Dequindre Rd., Suite 206, Sterling Heights, MI 48314 | 2016-09-02 |
| 1457720534 | Soltions 2 Life LLC | Home Health | 3220 Cherry Creek Lane, Sterling Heights, MI 48314 | 2015-09-18 |
| 1326449091 | Lauren Ehardt | Dentist | 43060 Mound Rd, Sterling Heights, MI 48314 | 2014-09-11 |
| 1134554819 | Amy Kathryn Barnes | Social Worker | 5995 Nineteen Mile Rd, Sterling Heights, MI 48314 | 2013-09-12 |
| 1952666117 | Michigan's Dental Health Professional | Dentist | 42370 Van Dyke Ave Suite 101, Sterling Hts, MI 48314 | 2012-07-12 |
| 1699051557 | Sanju Koithara | Physical Therapist | 2644 Balsam Way Drive, Sterling Heights, MI 48314 | 2011-10-24 |
| Find all providers in zip 48314 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255607032 | Maureen M Westfall | Nurse Practitioner | 4200 Whitehall Dr Ste 330, Ann Arbor, MI 48105-9694 | 2012-03-27 |
| 1306121660 | Julie Sokolow | Nurse Practitioner | 317 S Drake Rd Ste B, Kalamazoo, MI 49009-1171 | 2011-10-19 |
| 1073835302 | Leah Foucart | Nurse Practitioner | 6920 Tamarack Ln, Holly, MI 48442-9157 | 2010-03-01 |
| 1265547749 | Karen J Pociluyko | Nurse Practitioner | 205 N Hintz Rd, Owosso, MI 48867-9019 | 2006-08-21 |
| 1790765139 | Kyoung Kelly Lee | Nurse Practitioner | 3300 West Centre Ave, Bronson Ob/gyn Associates, Portage, MI 49024 | 2006-01-20 |
| 1063924926 | Jennifer Ann Soper | Nurse Practitioner | 3300 W Centre Ave, Portage, MI 49024-4666 | 2017-11-01 |
| 1790206019 | Christy Lynn Klieman | Nurse Practitioner | 1701 South Boulevard, East, Suite 200, Rochester Hills, MI 48307 | 2017-06-28 |
| 1942613252 | Lorrie Lorraine Youngs | Nurse Practitioner | 2012 E Preston St, Mt Pleasant, MI 48858-8990 | 2014-06-04 |
| 1639517758 | Sarah Sharp | Nurse Practitioner | 8333 Felch St Ste 202, Zeeland, MI 49464-2609 | 2013-06-11 |
| 1962840397 | Shelly L Betancourt | Nurse Practitioner | 639 E Main St, Carson City, MI 48811-9795 | 2013-06-07 |
| Find all providers with the same taxonomy | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48314 |
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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.