MRS. AUDREY ANN KELLEY (NPI# 1144585472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144585472 |
| Entity Type | Individual |
| Full Name | MRS. AUDREY ANN KELLEY |
| Credential | CENA |
| Practice Address |
835 Holden St Detroit MI 48202-3432 |
| Practice Telephone | 3132626393 |
| Mailing Telephone | 3132626393 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 262732742 | MI | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | 823189 | MI | Nursing Service Providers |
| Y | 164W00000X | Licensed Practical Nurse | 236666620390 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770977571 | Audrey Christine Kelley | Physician Assistant | 9150 Jewel Lake Rd # B, Anchorage, AK 99502-5381 | 2015-03-19 |
| Street Address |
835 HOLDEN ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861757189 | Emma J Weaver | Nurse's Aide | 835 Holden St, Detroit, MI 48202-3432 | 2012-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006538 | David Bradley | Licensed Practical Nurse | 15540 Prevost St, Detroit, MI 48227-1963 | 2020-09-01 |
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1518585504 | Lesley Dixon | Licensed Practical Nurse | 16668 Freeland St, Detroit, MI 48235-4500 | 2020-07-07 |
| 1720607237 | Nakesta Richardson | Licensed Practical Nurse | 9994 Bramell, Detroit, MI 48239-1304 | 2020-04-14 |
| 1962021477 | Torie Shatita Taylor | Licensed Practical Nurse | 22556 W Mcnichols Rd, Detroit, MI 48219-3140 | 2020-04-14 |
| 1689203499 | Tiffany Nicole Pierce | Licensed Practical Nurse | 8145 Greenfield Rd, Detroit, MI 48228-2220 | 2020-04-03 |
| 1750917118 | Stephanie Renee Williams | Licensed Practical Nurse | 8919 Prest St, Detroit, MI 48228-2200 | 2020-03-18 |
| 1417581299 | Valerie Adeyemi | Licensed Practical Nurse | 16559 Sorrento St, Detroit, MI 48235-4209 | 2020-03-02 |
| 1386276228 | Vikita Franklin | Licensed Practical Nurse | 16575 Snowden St, Detroit, MI 48235-4274 | 2020-02-09 |
| 1033749387 | Lachelle Mylinda Garrett | Licensed Practical Nurse | 18060 Gruebner St, Detroit, MI 48234-3854 | 2020-01-24 |
| Find all providers in DETROIT | ||||
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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.