MARTHA LITTRUP (NPI# 1992858286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992858286 |
| Entity Type | Individual |
| Full Name | MARTHA LITTRUP |
| Credential | CNP |
| Practice Address |
990 W Ann Arbor Trl Suite 210 Plymouth MI 48170-6204 |
| Mailing Address |
2100 Commonwealth Blvd Suite 202 Ann Arbor MI 48105-1593 |
| Practice Telephone | 7344554600 |
| Practice Fax Number | 7344555637 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704128522 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
990 W ANN ARBOR TRL SUITE 210 |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-6204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629075577 | Christine Stankovic | Pediatrics | 990 W Ann Arbor Trl, Suite 210, Plymouth, MI 48170-6204 | 2005-07-07 |
| 1437608965 | Tara Valentine | Nurse Practitioner | 990 W Ann Arbor Trl, Suite 210, Plymouth, MI 48170-6204 | 2016-09-26 |
| 1780027805 | Craig Steven Gertner | Internal Medicine | 990 W Ann Arbor Trl, Suite 208, Plymouth, MI 48170-6204 | 2013-04-08 |
| 1922345107 | Praveen Modi, M.d., P.C. | Internal Medicine | 990 W Ann Arbor Trl, Suite 102, Plymouth, MI 48170-6204 | 2013-01-09 |
| 1285998377 | Jeffrey Vanhooser | Internal Medicine | 990 W Ann Arbor Trl, Suite 208, Plymouth, MI 48170-6204 | 2012-07-03 |
| 1437410263 | Matthew A Kohlenberg | Internal Medicine | 990 W Ann Arbor Trl, Suite 208, Plymouth, MI 48170-6204 | 2012-06-07 |
| 1730455569 | Ashley Ann Schmehl | Internal Medicine | 990 W Ann Arbor Trl, Ste 208, Plymouth, MI 48170-6204 | 2012-03-27 |
| 1992095467 | Stephanie Jill Donovan | Podiatrist | 990 W Ann Arbor Trl, Suite 200, Plymouth, MI 48170-6204 | 2011-04-18 |
| 1912206368 | Lisa Odaibo | Pediatrics | 990 W Ann Arbor Trl, Ste 210, Plymouth, MI 48170-6204 | 2011-03-24 |
| 1447566559 | Sondra Raubacher | Nurse Practitioner | 990 W Ann Arbor Trl, Suite 210, Plymouth, MI 48170-6204 | 2010-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154796811 | Megan Stark | Nurse Practitioner | 2805 Campus Dr Ste 235, Plymouth, MN 55441-2678 | 2015-12-07 |
| 1982072856 | Kristen Joan Rheaume | Nurse Practitioner | Plymouth Pediatric Associates, 139 Sandwich Street, Plymouth, MA 02360 | 2015-09-09 |
| 1033484647 | Ellie Flannery | Nurse Practitioner | 5046 Everest Ln N, Plymouth, MN 55446-4520 | 2012-03-14 |
| 1508375544 | Amy L Lilly | Nurse Practitioner | 990 W Ann Arbor Trl Ste 210, Plymouth, MI 48170-6202 | 2017-09-21 |
| 1437608965 | Tara Valentine | Nurse Practitioner | 990 W Ann Arbor Trl, Suite 210, Plymouth, MI 48170-6204 | 2016-09-26 |
| 1134591472 | Amy Miklich | Nurse Practitioner | 139 Sandwich St, Plymouth, MA 02360-2449 | 2015-10-27 |
| 1114312071 | Jessica Flutie | Nurse Practitioner | 139 Sandwich St, Plymouth, MA 02360-2449 | 2015-03-30 |
| 1043568827 | Kacie Kiyoko Nakamura Gaudet | Nurse Practitioner | 6 Resnik Rd, Plymouth, MA 02360-4873 | 2012-08-27 |
| 1447566559 | Sondra Raubacher | Nurse Practitioner | 990 W Ann Arbor Trl, Suite 210, Plymouth, MI 48170-6204 | 2010-08-26 |
| 1922334036 | Allison N Goulson | Nurse Practitioner | 2855 Campus Dr, #350, Plymouth, MN 55441-2649 | 2009-10-23 |
| Find all providers in PLYMOUTH | ||||
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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.