CORRIE LYNN WILLIAMSON (NPI# 1912511452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912511452 |
Entity Type | Individual |
Full Name | CORRIE LYNN WILLIAMSON |
Practice Address |
30701 Woodward Ave Royal Oak MI 48073-0987 |
Mailing Address |
925 Tecumseh Ave Waterford MI 48327-3139 |
Practice Telephone | 2485542222 |
Enumeration Date | 2020-09-02 |
Last Update Date | 2020-09-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704307059 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
30701 WOODWARD AVE |
City | ROYAL OAK |
State | MI |
Zip Code | 48073-0987 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528057270 | Vincent J Granowicz | Family Medicine | 30701 Woodward Ave, Suite 314, Royal Oak, MI 48073-0987 | 2005-10-17 |
1811456734 | Brenda Basel Brikho | Counselor | 30701 Woodward Ave, Royal Oak, MI 48073-0987 | 2019-03-19 |
1518433895 | Keith Mosa-basha | Social Worker | 30701 Woodward Ave, Royal Oak, MI 48073-0987 | 2018-10-15 |
1699128389 | Andrew Smith | Social Worker | 30701 Woodward Ave, Suite 200, Royal Oak, MI 48073-0987 | 2016-07-18 |
1902253354 | Victoria Cuadrio | Counselor | 30701 Woodward Ave, 200, Royal Oak, MI 48073-0987 | 2016-05-16 |
1124424874 | Deianira C Leach | Counselor | 30701 Woodward Ave, Ste 200, Royal Oak, MI 48073-0987 | 2014-11-07 |
1154724474 | Alisha Kristine Whitney | Social Worker | 30701 Woodward Ave, Suite #n200, Royal Oak, MI 48073-0987 | 2014-10-01 |
1124445341 | Julie Brusca | Clinical Nurse Specialist | 30701 Woodward Ave, Royal Oak, MI 48073-0987 | 2014-03-26 |
1972920536 | Nabil Zafer Al-hourani | Internal Medicine | 30701 Woodward Ave, Royal Oak, MI 48073-0987 | 2014-03-20 |
1538404108 | Kristi Lyn Rose | Social Worker | 30701 Woodward Ave, Suite 200, Royal Oak, MI 48073-0987 | 2012-12-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
Find all providers in zip 48073 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508224056 | Shelley Salamango | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2016-01-29 |
1447527585 | Carolyn A Grabiel | Nurse Practitioner | 30701 Woodward Ave, Suite S-301, Royal Oak, MI 48073-0987 | 2011-11-17 |
1346481637 | Bella Yagolkovskaya | Nurse Practitioner | 3555 W 13 Mile Rd Ste N120, Royal Oak, MI 48073-6710 | 2009-03-16 |
1720094790 | Pamela Jennings | Nurse Practitioner | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2006-07-31 |
1811913684 | Lisa Marie Paulun | Nurse Practitioner | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2006-07-14 |
1356374540 | Constance M. Kangas | Nurse Practitioner | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2006-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851991061 | Sarah Elizabeth Barber | Nurse Practitioner | 12918 Lake Point Pass, Van Buren Twp, MI 48111-2243 | 2020-10-27 |
1730700881 | Kelsey Olinik | Nurse Practitioner | 22200 Barclay Dr, Novi, MI 48374-3874 | 2020-04-29 |
1467080705 | Jessica Nicole Heichel | Nurse Practitioner | 7729 Brass Creek Ct, Dexter, MI 48130-9384 | 2020-03-31 |
1114550506 | Katlyn Roberts | Nurse Practitioner | 60160 E 8 Mile Rd, South Lyon, MI 48178-9768 | 2020-02-13 |
1093351595 | Emily Janina Jamett | Nurse Practitioner | 31815 Southfield Rd Ste 10, Beverly Hills, MI 48025-5471 | 2019-11-20 |
1508410747 | Clorissa Diedrich | Nurse Practitioner | 829 N Center Ave Ste 130, Gaylord, MI 49735-1684 | 2019-07-25 |
1255895355 | Jessica Lynn Kata | Nurse Practitioner | 19229 Mack Ave Ste 28, Grosse Pointe Woods, MI 48236-2857 | 2019-01-23 |
1467934679 | Anita Lynn Riddle | Nurse Practitioner | 100 W. Vanburen Street, Battle Creek, MI 49017 | 2018-09-04 |
1285120634 | Alexandra Danko | Nurse Practitioner | 5500 Auto Club Dr Ste 160, Dearborn, MI 48126-2779 | 2018-07-09 |
1417442617 | Shelby Fredricks | Nurse Practitioner | 1205 S Mission St Ste 4, Mount Pleasant, MI 48858-3939 | 2018-06-29 |
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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.