KATHRYN ELLENS (NPI# 1154819035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154819035 |
| Entity Type | Individual |
| Full Name | KATHRYN ELLENS |
| Other Name | KATHRYN JIPPING |
| Credential | NP |
| Practice Address |
7751 Byron Center Ave Sw Ste C Byron Center MI 49315 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162677668 |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704278582 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7751 BYRON CENTER AVE SW STE C |
| City | BYRON CENTER |
| State | MI |
| Zip Code | 49315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609880616 | Carlos Orval Weiss | Internal Medicine | 7751 Byron Center Ave Sw Ste C, Byron Center, MI 49315-8001 | 2006-07-27 |
| 1295373736 | Ashley Brooke Gavin | Nurse Practitioner | 7751 Byron Center Ave Sw Ste C, Byron Center, MI 49315-8001 | 2019-12-16 |
| 1841842192 | Kathy Amber Crystal | Nurse Practitioner | 7751 Byron Center Ave Sw Ste C, Byron Center, MI 49315-8001 | 2019-07-16 |
| 1922502269 | Laura Schipper | Nurse Practitioner | 7751 Byron Center Ave Sw Ste C, Byron Center, MI 49315 | 2018-03-21 |
| 1992209522 | Lisa Cook | Nurse Practitioner | 7751 Byron Center Ave Sw Ste C, Byron Center, MI 49315-8001 | 2018-03-20 |
| 1467951160 | Emily A Radtke | Nurse Practitioner | 7751 Byron Center Ave Sw Ste C, Byron Center, MI 49315-8001 | 2018-02-08 |
| 1710404587 | Kaitlin Demaagd | Nurse Practitioner | 7751 Byron Center Ave Sw Ste C, Byron Center, MI 49315-8001 | 2017-08-23 |
| 1831509876 | Gerohnda Lynn Rushton | Family Medicine | 7751 Byron Center Ave Sw Ste C, Byron Center, MI 49315-8001 | 2014-04-29 |
| 1255777397 | Tuyen D Nguyen | Family Medicine | 7751 Byron Center Ave Sw Ste C, Byron Center, MI 49315-8001 | 2013-05-15 |
| 1730416462 | Allison Ana Ilem | Psychologist | 7751 Byron Center Ave Sw Ste C, Byron Center, MI 49315-8001 | 2009-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205225687 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 6500 Byron Center Sw Ste 100, Byron Center, MI 49315 | 2015-01-22 |
| 1285038158 | Amanda Foster | Social Worker | 500 South Third Ave, Big Rapids, MI 49315 | 2014-10-21 |
| 1245411016 | Janette Seager | Psychologist | 2147 Center Grange Dr, Byron Center, MI 49315 | 2007-11-20 |
| 1720127822 | Robert Louis Harrison | Chiropractor | 2360 84th Street, Byron Center, MI 49315 | 2007-02-05 |
| 1457377483 | Ann M Knapp | Emergency Medicine | 2373 64th St, Ste 1200, Byron Center, MI 49315 | 2006-07-14 |
| 1215985114 | John Adrian Mulder | Specialist | 8412 Pfeiffer Farms Dr, Byron Center, MI 49315 | 2006-05-04 |
| 1871550525 | Russel F Curtis | Optometrist | 2155 84th St Sw, Byron Center, MI 49315 | 2006-04-27 |
| 1033183371 | Thomas B Foster | Internal Medicine | 2373 64th St Sw, Ste 1300, Grand Rapids, MI 49315 | 2006-02-14 |
| 1366884942 | Orthopaedic Associates of Grand Rapids, PC | Plastic Surgery | 2373 64th St Sw Ste 2500, Byron Center, MI 49315 | 2013-07-23 |
| 1154760015 | Kortni Lynn Matteson | Dentist | 820 84th Street Sw, Byron Center, MI 49315 | 2013-06-24 |
| Find all providers in zip 49315 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373736 | Ashley Brooke Gavin | Nurse Practitioner | 7751 Byron Center Ave Sw Ste C, Byron Center, MI 49315-8001 | 2019-12-16 |
| 1255811246 | Edward Louis-james Matusik | Nurse Practitioner | 7751 Byron Center Ave Sw, Byron Center, MI 49315-8001 | 2018-08-19 |
| 1467951160 | Emily A Radtke | Nurse Practitioner | 7751 Byron Center Ave Sw Ste C, Byron Center, MI 49315-8001 | 2018-02-08 |
| 1841673787 | Suzanne Lee | Nurse Practitioner | 7751 Byron Center Ave Sw, Suite C, Byron Center, MI 49315-8001 | 2015-07-08 |
| 1114997624 | Brenda Lee Graham | Nurse Practitioner | 7751 Byron Center Ave Sw, Suite C, Byron Center, MI 49315-8001 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800768 | Yuri L Guzman | Nurse Practitioner | 795 N Ford Blvd, Ypsilanti, MI 48198-4116 | 2020-10-30 |
| 1144830803 | Robert Eugene Scribner IIi | Nurse Practitioner | 13913 Toepfer Rd, Warren, MI 48089-5842 | 2020-08-06 |
| 1124644661 | Denika Leflora Dalton | Nurse Practitioner | 5260 Fairway Trl, Grand Blanc, MI 48439-9445 | 2020-06-21 |
| 1780206995 | Jennifer Kay Marino | Nurse Practitioner | 20407 Mauer St, Saint Clair Shores, MI 48080-3789 | 2020-05-11 |
| 1720621709 | Kelsey Nicole Kloosterman | Nurse Practitioner | Susan P. Wheatlake Regional Cancer Center, 4499 220th Ave, Reed City, MI 49677 | 2019-10-23 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1306318498 | Ashley Marie Jacobson | Nurse Practitioner | 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 | 2018-12-30 |
| 1568931673 | Jennifer Lavigne | Nurse Practitioner | 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 | 2018-11-19 |
| 1134694292 | Sheryl Ann Newton | Nurse Practitioner | 810 W South St, Kalamazoo, MI 49007-4601 | 2018-10-04 |
| 1386123180 | Alison M Sesock | Nurse Practitioner | 5202 Miller Rd Ste B, Flint, MI 48507-1040 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
| City | BYRON CENTER |
| Zip Code | 49315 |
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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.