KRISTIN LEE CASTINE (NPI# 1144224064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144224064 |
| Entity Type | Individual |
| Full Name | KRISTIN LEE CASTINE |
| Credential | NP |
| Practice Address |
630 N Cedar St Mason MI 48854-1017 |
| Mailing Address |
804 Service Rd Ste A109f East Lansing MI 48824-7015 |
| Practice Telephone | 5176768359 |
| Practice Fax Number | 5176768298 |
| Mailing Telephone | 5173533050 |
| Mailing Fax Number | 5174323742 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2019-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
4704738680 | MI | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704138680 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1144224064 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 804 Service Rd Ste A142, East Lansing, MI 488247015 | 5173533050 | 5174323742 |
| Street Address |
630 N CEDAR ST |
| City | MASON |
| State | MI |
| Zip Code | 48854-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982268496 | Julie Hickey | Registered Nurse | 630 N Cedar St, Mason, MI 48854-1017 | 2019-04-30 |
| 1114278041 | Renee Goble | Social Worker | 630 N Cedar St, Mason, MI 48854-1017 | 2012-10-02 |
| 1215185830 | County of Ingham | Clinic/Center | 630 N Cedar St, Mason, MI 48854-1017 | 2008-09-08 |
| 1134243900 | Lynette O'connor | Nurse Practitioner | 630 N Cedar St, Mason, MI 48854-1017 | 2007-03-19 |
| 1811929052 | Stacey Manley | Social Worker | 630 N Cedar St, Mason, MI 48854-1017 | 2006-07-07 |
| 1932166873 | Linda Carter | Social Worker | 630 N Cedar St, Mason, MI 48854-1017 | 2006-04-26 |
| 1669438107 | Alan B Platt | Social Worker | 630 N Cedar St, Mason, MI 48854-1017 | 2006-04-25 |
| 1811951791 | Jeffrey Robert Caler | Social Worker | 630 N Cedar St, Mason, MI 48854-1017 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669919205 | Michael Metcalf | Behavior Technician | 3470 Josephine Lane, Mason, MI 48854 | 2017-01-20 |
| 1891160511 | Carol Heckaman | Social Worker | 818 Charrington Ct., Mason, MI 48854 | 2015-12-07 |
| 1730588765 | Katherine Reeber | Social Worker | 2950 W Howell Rd, Mason, MI 48854 | 2014-08-14 |
| 1417383746 | Melissa F Baker | Counselor | 855 Eaton Drive, Mason, MI 48854 | 2013-09-18 |
| 1881940922 | Jennifer K Ogle | Social Worker | 118 W Oak St Ste 202, Mason, MI 48854 | 2012-07-26 |
| 1326260944 | Douglas W Gray Dds | Dentist | 230 S Temple St, Mason, MI 48854 | 2007-05-03 |
| 1043378185 | Timothy Joseph Zielinski | Dentist | 640 Wash, Mason, MI 48854 | 2006-12-04 |
| 1578635470 | Barbara Ann Begian | Physician Assistant | 790 East Columbia, Care Free Medical Inc, Mason, MI 48854 | 2006-11-15 |
| 1528015336 | University Rehabilitation Alliance, Inc. | Custodial Care Facility | 3181 Sandhill Rd., Mason, MI 48854 | 2006-05-27 |
| 1669428827 | Jeffrey Scott Deweerd | Family Medicine | 710 Temple St, Mason, MI 48854 | 2006-05-26 |
| Find all providers in zip 48854 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679910095 | Sarah E Nole Kimani | Nurse Practitioner | 4834 Socialville Foster Rd, Mason, OH 45040-6827 | 2013-05-24 |
| 1659530376 | Kristine Lynn Cameron | Nurse Practitioner | 4834 Socialville Foster Rd, Suite 20, Mason, OH 45040-6826 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130619 | Mohammad Afzal Khan | Nurse Practitioner | 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 | 2020-10-08 |
| 1528679305 | Eriko Apriliando | Nurse Practitioner | 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 | 2020-08-13 |
| 1245858307 | Katherine Perko Hollander | Nurse Practitioner | 2274 Earlmont Rd, Berkley, MI 48072-1877 | 2020-07-06 |
| 1437782067 | Jamie Lynn Kosalsky | Nurse Practitioner | 1385 Cadmus Dr, Troy, MI 48085-1218 | 2020-02-21 |
| 1326698309 | Maria Christina Mekas | Nurse Practitioner | 423 Tamarack Dr, Saline, MI 48176-9573 | 2019-09-12 |
| 1669021358 | Cheryl Fowler | Nurse Practitioner | 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 | 2019-09-05 |
| 1205482387 | Sarah E Born | Nurse Practitioner | 517 Erie Street, Three Rivers, MI 49093-2029 | 2019-08-14 |
| 1023660321 | Cheri Van Wyngarden | Nurse Practitioner | 6250 Jupiter Ave Ne, Belmont, MI 49306-8711 | 2019-07-16 |
| 1194385500 | Adesuwa Iyoha | Nurse Practitioner | 30509 Halecreek St, Romulus, MI 48174-3224 | 2019-06-18 |
| 1740740190 | John Kenneth Dekock | Nurse Practitioner | 5327 48th Ave, Hudsonville, MI 49426-9412 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
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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.