KIANNA MICHELLE LYONS (NPI# 1134435878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134435878 |
| Entity Type | Individual |
| Full Name | KIANNA MICHELLE LYONS |
| Credential | NP |
| Practice Address |
28963 Little Mack Ave 101 Saint Clair Shores MI 48081-3017 |
| Practice Telephone | 5864470700 |
| Practice Fax Number | 5864980707 |
| Mailing Telephone | 5864470700 |
| Mailing Fax Number | 5864980707 |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2011-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704249768 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
28963 LITTLE MACK AVE 101 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134565989 | Patricia Marina Laroche | Nurse Practitioner | 28963 Little Mack Ave, Suite 101, Saint Clair Shores, MI 48081-3017 | 2013-05-21 |
| 1679858625 | Susan Dawn Ireland | Nurse Practitioner | 28963 Little Mack Ave, Suite101, Saint Clair Shores, MI 48081-3017 | 2011-10-20 |
| 1235365289 | Eastside Group LLC | Nurse Anesthetist, Certified Registered | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 | 2009-06-04 |
| 1841412293 | Mary Beth Christensen | Physician Assistant | 28963 Little Mack Ave, Suite 101, Saint Clair Shores, MI 48081-3017 | 2007-05-03 |
| 1154311405 | G I Medical Assoc PC | Internal Medicine | 28963 Little Mack Ave, Suite 101, Saint Clair Shores, MI 48081-3017 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699296772 | Lance Raymond Woody | Nurse Practitioner | 22622 Oconnor St, Saint Clair Shores, MI 48080-4122 | 2017-06-29 |
| 1629133301 | Maria Gloria Pigon Schneider | Nurse Practitioner | 21631 Edmunton St, Saint Clair Shores, MI 48080-2314 | 2006-12-24 |
| 1629581970 | Caitlin Marie Kelly | Nurse Practitioner | 29001 Harper Ave, Saint Clair Shores, MI 48081-2711 | 2017-11-08 |
| 1669760070 | Fatme Barakat Coba | Nurse Practitioner | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 | 2011-07-19 |
| 1790832319 | Marni Lynn Young | Nurse Practitioner | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759396 | Zainab Ali Hachem | Nurse Practitioner | 5158 Neckel St, Dearborn, MI 48126-3217 | 2020-10-29 |
| 1861092900 | Lindsay Overall | Nurse Practitioner | 1962 Sherlynn Dr, Brighton, MI 48114-7618 | 2020-10-28 |
| 1588289144 | Anne Elizabeth Stephan | Nurse Practitioner | 1320 Addington Ln, Ann Arbor, MI 48108-8951 | 2020-06-10 |
| 1447872965 | Gagan Preet Kaur Dhaliwal | Nurse Practitioner | 45418 Glengarry Blvd, Canton, MI 48188-3001 | 2020-05-07 |
| 1023637766 | Jbnp Services, LLC | Nurse Practitioner | 19520 Parker St, Livonia, MI 48152-1579 | 2020-04-13 |
| 1912536137 | Mary Bailey | Nurse Practitioner | 8254 Twin Creek Cir, Temperance, MI 48182-8202 | 2020-04-08 |
| 1679108500 | Jennifer Ann Rutzen | Nurse Practitioner | 5802 Montebello Ave, Haslett, MI 48840-8208 | 2020-03-11 |
| 1871126813 | Gregory M Ali | Nurse Practitioner | 26750 Providence Pkwy Ste 120, Novi, MI 48374-1211 | 2020-02-18 |
| 1730712969 | Anthony Joseph Jurecic | Nurse Practitioner | 2382 Us 41 W, Marquette, MI 49855-2456 | 2020-02-17 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
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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.