JENNIFER SQUIRES (NPI# 1972051712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972051712 |
| Entity Type | Individual |
| Full Name | JENNIFER SQUIRES |
| Credential | P.A. |
| Practice Address |
1701 Gull Rd Kalamazoo MI 49048-1609 |
| Practice Telephone | 2692267000 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601007887 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700315736 | Jennifer Squires | Physical Medicine & Rehabilitation | 1405 S Orange Ave Ste 101, Orlando, FL 32806-2147 | 2017-06-04 |
| 1073834214 | Jennifer Crutchfield Squires | Pediatrics | 2630 E 7th St Ste 101, Charlotte, NC 28204-4319 | 2010-06-22 |
| 1316279235 | Jennifer D Squires | Physician Assistant | 22 Bramhall St, Cardiac Services, Portland, ME 04102-3134 | 2010-02-03 |
| 1306880588 | Jennifer Ballard Squires | Nurse Practitioner | 8503 Arlington Blvd, Suite 400, Fairfax, VA 22031-4628 | 2006-06-16 |
| Street Address |
1701 GULL RD |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073620720 | Susan Nelson | Nurse Practitioner | 1701 Gull Rd, Kalamazoo, MI 49048-1609 | 2006-08-25 |
| 1114152667 | Tami M Schab | Social Worker | 1701 Gull Rd, Kalamazoo, MI 49048-1609 | 2009-05-27 |
| 1962563254 | Promed Healthcare | Durable Medical Equipment & Medical Supplies | 1701 Gull Rd, Kalamazoo, MI 49048-1609 | 2006-12-12 |
| 1750479192 | Patricia Day | Nurse Practitioner | 1701 Gull Rd, Kalamazoo, MI 49048-1609 | 2006-10-11 |
| 1942311725 | Linda Baker | Nurse Practitioner | 1701 Gull Rd, Kalamazoo, MI 49048-1609 | 2006-08-31 |
| 1588775365 | Tammy Vanderstelt | Nurse Practitioner | 1701 Gull Rd, Kalamazoo, MI 49048-1609 | 2006-08-31 |
| 1770693749 | Terry Wortz | Internal Medicine | 1701 Gull Rd, Kalamazoo, MI 49048-1609 | 2006-08-30 |
| 1720198799 | Roseanne Yancey | Nurse Practitioner | 1701 Gull Rd, Kalamazoo, MI 49048-1609 | 2006-08-30 |
| 1902914385 | Alexandra Oprescu | Internal Medicine | 1701 Gull Rd, Kalamazoo, MI 49048-1609 | 2006-08-27 |
| 1083722425 | Julie Noteboom | Nurse Practitioner | 1701 Gull Rd, Kalamazoo, MI 49048-1609 | 2006-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1619574654 | Conor Mccabe | Physician Assistant | 2413 Logan Ave, Kalamazoo, MI 49008-3949 | 2020-10-02 |
| 1134766942 | Scott E Boyd | Physician Assistant | 8071 N 6th St, Kalamazoo, MI 49009-8808 | 2019-12-01 |
| 1720566847 | Lydia Chardel Bruenjes | Physician Assistant | 6565 W Main St #100, Kalamazoo, MI 49009-9199 | 2018-07-31 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1467901892 | Brian Christopher Rensch | Physician Assistant | 916 Austin St, Kalamazoo, MI 49008-1105 | 2016-09-27 |
| 1427415462 | Katelyn Vasicek | Physician Assistant | 601 John St Ste M-302, Kalamazoo, MI 49007 | 2016-01-21 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1700291549 | Lauren Gilbertson | Physician Assistant | 1722 Shaffer St Ste 3, Kalamazoo, MI 49048-1633 | 2014-06-30 |
| 1447445002 | Jennifer Hurtt | Physician Assistant | 1541 Gull Rd Ste 200, Kalamazoo, MI 49048-1644 | 2007-09-07 |
| Find all providers in KALAMAZOO | ||||
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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.