DR. KATHLEEN MARIE KELLY (NPI# 1144264573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144264573 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN MARIE KELLY |
| Other Name | DR. KATHLEEN MARIE BIRCHFIELD |
| Credential | AU.D. |
| Practice Address |
2325 Summit Park Dr Suite B Petoskey MI 49770-8774 |
| Mailing Address |
1101 N Us Highway 31 Petoskey MI 49770-9305 |
| Practice Telephone | 2313471800 |
| Practice Fax Number | 2313471864 |
| Mailing Telephone | 2314891006 |
| Mailing Fax Number | 2317533039 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2017-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 1601000052 | MI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS AUDIOLOGYPROVIDER ID | 640B410780 | 01 |
| MI | BCBS HEARING PROVIDER ID | 540B410790 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335511 | Kathleen Kelly | Social Worker | 1672 S Ocean Ln Apt 155, Fort Lauderdale, FL 33316-3341 | 2020-10-27 |
| 1699226415 | Kathleen Ann Kelly | Clinical Medical Laboratory | David Geffen Medical Ctr Ucla 10833 Le Conte Ave, Mailroom A3-215 Chs, Mailcode 173216, Los Angeles, CA 90095-1732 | 2016-10-17 |
| 1033510359 | Kathleen P Kelly | Licensed Practical Nurse | 25 Rogers Pl, Hyde Park, NY 12538-1112 | 2014-09-05 |
| 1730522418 | Kathleen Kelly | Registered Nurse | 319 Middlesex Rd, Buffalo, NY 14216-3140 | 2013-04-11 |
| 1528328432 | Kathleen Marie Kelly | Behavioral Analyst | 1031 S Crescent Heights Blvd, Los Angeles, CA 90035-2632 | 2012-05-24 |
| 1013241512 | Kathleen Marie Kelly | Psychologist | #1670 Calle Georgina Volga, Urb. Reparto De Diego, San Juan, PR 00926-9998 | 2009-09-30 |
| 1174739882 | Kathleen Petrie Kelly | Physical Therapist | 4 Kildare Walk, Rockaway Point, NY 11697-1708 | 2007-05-16 |
| 1073664710 | Kathleen Lorraine Kelly | Counselor | 1070 W. Horizon Ridge Pkwy., Suite 200, Henderson, NV 89012-6019 | 2007-01-16 |
| 1811062839 | Kathleen Kelly | Nurse Practitioner | 55 Fruit Street Yaw 4b, Boston, MA 02114-2696 | 2006-11-22 |
| 1467455147 | Kathleen A Kelly | Dentist | 44 E Mifflin St, Ste 204, Madison, WI 53703-2895 | 2005-05-24 |
| Street Address |
2325 SUMMIT PARK DR SUITE B |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-8774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568456028 | Robert Scott Sheperd | Dentist | 2325 Summit Park Dr, Suite D, Petoskey, MI 49770-8774 | 2005-09-09 |
| 1346625738 | Michelle Lee Beigle | Clinical Nurse Specialist | 2325 Summit Park Dr, Suite 3, Petoskey, MI 49770-8774 | 2015-07-27 |
| 1235577180 | Amy Cullen | Audiologist | 2325 Summit Park Dr, Suite B, Petoskey, MI 49770-8774 | 2013-06-12 |
| 1629251129 | Bayside Family & Sports Medicine PC | Family Medicine | 2325 Summit Park Dr, Suite 3, Petoskey, MI 49770-8774 | 2007-12-07 |
| 1134345036 | Timothy S. Jarvi Md PC | Technician/Technologist | 2325 Summit Park Dr, Suite A, Petoskey, MI 49770-8685 | 2007-04-18 |
| 1871600676 | Todd Edward Decker | Family Medicine | 2325 Summit Park Dr, Suite 3, Petoskey, MI 49770-8774 | 2006-08-25 |
| 1679597785 | Todd M Sheperd | Family Medicine | 2325 Summit Park Dr, Suite 3, Petoskey, MI 49770-8774 | 2006-07-26 |
| 1164449765 | Lisa M Hoffman | Nurse Practitioner | 2325 Summit Park Dr, Suite 3, Petoskey, MI 49770-8774 | 2006-07-17 |
| 1124053954 | Debra Lin Denton-carlson | Optometrist | 2325 Summit Park Dr, Petoskey, MI 49770-8774 | 2006-07-11 |
| 1770517120 | Timothy Scott Jarvi | Ophthalmology | 2325 Summit Park Dr, Petoskey, MI 49770-8685 | 2006-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
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| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619927803 | John M Goy | Audiologist | 500 Madison St, Petoskey, MI 49770-2208 | 2006-05-11 |
| 1598262974 | Molly Ann Clark | Audiologist | 560 W Mitchell St Ste 250, Petoskey, MI 49770-2277 | 2018-04-11 |
| 1942629530 | Robin Brooks | Audiologist | 560 W Mitchell St, Petoskey, MI 49770-2275 | 2014-04-10 |
| 1235577180 | Amy Cullen | Audiologist | 2325 Summit Park Dr, Suite B, Petoskey, MI 49770-8774 | 2013-06-12 |
| 1043521230 | Robin L Reynolds | Audiologist | 560 W Mitchell St Ste 250, Petoskey, MI 49770-2277 | 2010-06-23 |
| 1770813289 | Adam Jens Wong | Audiologist | 560 W Mitchell St Ste 250, Petoskey, MI 49770-2277 | 2010-01-05 |
| 1154445633 | Michael Koskus | Audiologist | 820 Arlington Ave, Petoskey, MI 49770-2469 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1770192510 | Haas Hearing Pllc | Audiologist | 423 Ludington Street, Escanaba, MI 49829 | 2020-07-28 |
| 1770100992 | Inman Audiology & Consulting LLC | Audiologist | 1651 W Big Beaver Rd, Troy, MI 48084-3501 | 2020-07-03 |
| 1154941748 | Ashley Bookmyer | Audiologist | 1445 Sheldon Rd Ste 303, Grand Haven, MI 49417-2479 | 2020-04-23 |
| 1073143210 | Megan Justine Gustavson | Audiologist | 6140 28th St Se Ste 205, Grand Rapids, MI 49546-6938 | 2020-01-15 |
| 1679121628 | Kati Lynn Stilwell | Audiologist | 901 W Sharon Ave Ste 9, Houghton, MI 49931-1964 | 2019-09-03 |
| 1063068500 | Marla Chaffee | Audiologist | 26850 Providence Pkwy Ste 165, Novi, MI 48374-1255 | 2019-08-12 |
| 1952962201 | Hannah Barclay Reeg | Audiologist | 511 Renaissance Dr Ste 100, Saint Joseph, MI 49085-2180 | 2019-06-27 |
| 1356906051 | Viet Han Huu Nguyen | Audiologist | 4175 N Euclid Ave Ste 10, Bay City, MI 48706-2483 | 2019-05-08 |
| 1922570381 | Superior Audiology, LLC | Audiologist | 333 Magazine St Ste 103, Sault Sainte Marie, MI 49783-1867 | 2018-12-26 |
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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.