MRS. MARY CATHERINE CONNELLY (NPI# 1154658698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154658698 |
| Entity Type | Individual |
| Full Name | MRS. MARY CATHERINE CONNELLY |
| Credential | BSN |
| Practice Address |
6001 W Outer Dr Suite 114 Detroit MI 48235-2614 |
| Practice Telephone | 3139669095 |
| Mailing Telephone | 3139669095 |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
4704078229 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346857992 | Mary Rachel Connelly | Nurse Practitioner | 685 Palm Springs Dr Ste 2a, Altamonte Springs, FL 32701-7896 | 2020-09-28 |
| 1912519422 | Mary Connelly | Student in an Organized Health Care Education/Training Program | 2435 Kenilworth Ave, Berwyn, IL 60402-2546 | 2020-08-18 |
| 1891909347 | Mary Connelly | Registered Nurse | 760 Hospital Circle, Browning, MT 59417 | 2007-05-10 |
| 1265586333 | Mary E Connelly | Internal Medicine | 110 Chauncy St, Boston, MA 02111-1720 | 2007-01-23 |
| 1306850946 | Mary Denise Connelly | Psychologist | 600 Highland Ave, Compliance Mail Code 2433, Madison, WI 53792-0001 | 2006-07-28 |
| 1114972783 | Mary Olsen Connelly | Obstetrics & Gynecology | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2006-05-23 |
| 1841274636 | Mary A Connelly | Family Medicine | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2005-12-05 |
| Street Address |
6001 W OUTER DR SUITE 114 |
| City | DETROIT |
| State | MI |
| Zip Code | 48235-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093780611 | Susan Elaine Harold | Internal Medicine | 6001 W Outer Dr, Suite 429, Detroit, MI 48235-2614 | 2006-02-17 |
| 1891396800 | Ashley Sentell | Nurse Practitioner | 6001 W Outer Dr, Detroit, MI 48235-2614 | 2020-11-05 |
| 1841815974 | Heba Ahmed Elmadhoun | Pharmacist | 6001 W Outer Dr, Detroit, MI 48235-2614 | 2020-06-15 |
| 1710495346 | Katherine Memisevic | Nurse Anesthetist, Certified Registered | 6001 W Outer Dr, Detroit, MI 48235-2614 | 2018-01-17 |
| 1467985911 | Omar Elmadhoun | Student in an Organized Health Care Education/Training Program | 6001 W Outer Dr, Detroit, MI 48235-2614 | 2017-04-11 |
| 1083161905 | Julia Marie Burkhardt | Physician Assistant | 6001 W Outer Dr, Detroit, MI 48235-2614 | 2016-09-08 |
| 1902251879 | Mi Midwife | Advanced Practice Midwife | 6001 W Outer Dr, Suite #320, Detroit, MI 48235-2614 | 2016-04-28 |
| 1255708343 | Emily Bigas | Dietitian, Registered | 6001 W Outer Dr, Detroit, MI 48235-2614 | 2015-08-25 |
| 1407237548 | Elise Wiersma Paulk | Nurse Practitioner | 6001 W Outer Dr, Suite 445, Detroit, MI 48235-2614 | 2015-06-15 |
| 1457754533 | Reina Brojan Pearson | Nurse Practitioner | 6001 W Outer Dr, Suite 114, Detroit, MI 48235-2614 | 2014-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1629690565 | Faseeha Arshad Gondal | Student in an Organized Health Care Education/Training Program | Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 | 2020-05-14 |
| 1902428832 | Muhanad Abou Touk | Student in an Organized Health Care Education/Training Program | Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 | 2020-05-14 |
| 1780206730 | Ahmad Mismar | Student in an Organized Health Care Education/Training Program | Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 | 2020-05-13 |
| 1023630589 | Joao Paulo Fontana Bragagnollo | Student in an Organized Health Care Education/Training Program | 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 | 2020-05-07 |
| 1881216216 | Mohammad Awad Jaber | Student in an Organized Health Care Education/Training Program | 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 | 2020-05-07 |
| 1366064818 | Syeda Busmah Owais | Student in an Organized Health Care Education/Training Program | 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 | 2020-05-07 |
| 1184245680 | Sushmitha Nanja Reddy | Student in an Organized Health Care Education/Training Program | Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 | 2020-05-06 |
| 1972164796 | Jack Phillip Tomen | Student in an Organized Health Care Education/Training Program | Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 | 2019-06-24 |
| 1346809464 | Anusha Bapatla | Student in an Organized Health Care Education/Training Program | 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 | 2019-06-12 |
| Find all providers in zip 48235 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346755972 | Mark Christoper Tanario | Registered Nurse | 1221 E Grand Blvd, Detroit, MI 48211-3428 | 2017-12-05 |
| 1306012778 | Sharon Denise Pittman | Registered Nurse | 5555 Conner St Ste 1000, Detroit, MI 48213-3448 | 2008-05-05 |
| 1710526629 | Johanna Joyce Deleon | Registered Nurse | 6309 Mack Ave, Detroit, MI 48207-2302 | 2019-12-26 |
| 1295372555 | Nausheen None Habib | Registered Nurse | 2925 Russell St, Detroit, MI 48207-4825 | 2019-12-05 |
| 1497263982 | Erica Perryman | Registered Nurse | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2018-01-18 |
| 1730697830 | Jamie Wood | Registered Nurse | 751 E Grand Blvd, Detroit, MI 48207-2529 | 2018-01-11 |
| 1194265108 | Lauren Yvette Campbell-perry | Registered Nurse | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2017-02-24 |
| 1225403827 | Dawn M. Pierzhala | Registered Nurse | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2015-12-08 |
| 1780075705 | Patricia Mckinnin/sandridge | Registered Nurse | 2939 Russell St, Detroit, MI 48207-4825 | 2015-02-12 |
| 1497155501 | Yolanda James | Registered Nurse | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-08-26 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on MRS. MARY CATHERINE CONNELLY.
| 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.