RANDAL JOYCE (NPI# 1972041176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972041176 |
Entity Type | Individual |
Full Name | RANDAL JOYCE |
Practice Address |
422 W 4th Ave Flint MI 48503-2404 |
Practice Telephone | 8104965777 |
Mailing Telephone | 8104965777 |
Enumeration Date | 2017-02-08 |
Last Update Date | 2017-02-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
422 W 4TH AVE |
City | FLINT |
State | MI |
Zip Code | 48503-2404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093750515 | Kathryn Gallagher | Social Worker | 422 W 4th Ave, Flint, MI 48503-2404 | 2006-06-18 |
1790207819 | Robert Merrow | Peer Specialist | 422 W 4th Ave, Flint, MI 48503-2404 | 2017-07-11 |
1750814448 | Fredrick Coleman | Peer Specialist | 422 W 4th Ave, Flint, MI 48503-2404 | 2017-04-10 |
1609234384 | Russ Hill | Community Health Worker | 422 W 4th Ave, Flint, MI 48503-2404 | 2016-02-09 |
1437517117 | Sarah Sergent | Community Health Worker | 422 W 4th Ave, Flint, MI 48503-2404 | 2016-02-09 |
1487027264 | Stevie Bingham | Community Health Worker | 422 W 4th Ave, Flint, MI 48503-2404 | 2015-11-03 |
1386017028 | David Stashko | Community Health Worker | 422 W 4th Ave, Flint, MI 48503-2404 | 2015-11-03 |
1952774747 | Jessica Kuzawinski | Community Health Worker | 422 W 4th Ave, Flint, MI 48503-2404 | 2015-11-03 |
1760864375 | Genci Shkembi | Nurse Practitioner | 422 W 4th Ave, Flint, MI 48503-2404 | 2015-06-19 |
1174932255 | Tihesa Chisolm | Social Worker | 422 W 4th Ave, Flint, MI 48503-2404 | 2014-08-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
Find all providers in zip 48503 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003453267 | Patricia Ann Love | Peer Specialist | Training& Treatment Innovations,inc, 929 Stevenson St, Flint, MI 48502 | 2019-12-06 |
1851861447 | Mia Riggs | Peer Specialist | 932 Beach St., Flint, MI 48502 | 2018-11-27 |
1952870263 | Joshua Enrique Gonzalez | Peer Specialist | 1320 Martin Luther King Ave, Flint, MI 48503-1448 | 2018-11-15 |
1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
1033717871 | Stephanie Creel | Peer Specialist | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-10-14 |
1932706348 | Sara Vanessa Williams | Peer Specialist | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-10-08 |
1073126116 | Vederia L Jenkins | Peer Specialist | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-08-28 |
1649880246 | Meghan Peake | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
1265042857 | Dana Witzka | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
1558971143 | Raina Patterson | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
Find all providers in FLINT |
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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.