KATHLEEN KELLY (NPI# 1295208999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295208999 |
| Entity Type | Individual |
| Full Name | KATHLEEN KELLY |
| Practice Address |
41521 W 11 Mile Rd Novi MI 48375-1803 |
| Practice Telephone | 2482990030 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704347181 | MI | Nursing Service Providers |
| 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 |
41521 W 11 MILE RD |
| City | NOVI |
| State | MI |
| Zip Code | 48375-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821075482 | Albert Fisk IIi | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2005-12-27 |
| 1316548480 | Javon Ellis | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2020-11-05 |
| 1174123921 | Breanna Brandy | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2020-10-30 |
| 1609476746 | Courtney Clark | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2020-10-28 |
| 1245830306 | Mohammed Alzayadi | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2020-10-28 |
| 1932708518 | Sukaina Alhassen | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2020-10-23 |
| 1447859103 | Eric Donald Klages | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2020-10-22 |
| 1588263347 | Amaya Michelle Echarte | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2020-10-22 |
| 1932708906 | Danielle Harris | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2020-10-21 |
| 1598364622 | Danyelle Foster | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2020-10-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1205475209 | Terri Lynn Tiederman | Registered Nurse | Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 | 2019-12-23 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1962044644 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2019-10-14 |
| 1700440203 | Arman C. Moshyedi, Md, Pllc | Psychiatry & Neurology | 4000 Grand River Avenue, Suite 306, Novi, MI 48375 | 2019-04-30 |
| 1225593726 | Daniel Woodward Mead | Nurse Practitioner | 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 | 2019-02-08 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
| 1447735626 | Timothy Holland | Behavior Technician | 41521 W Ll Mile Rd, Novi, MI 48375 | 2018-10-03 |
| 1750874376 | Christian Field | Behavior Technician | 41512 W 11 Mile Rd, Novi, MI 48375 | 2018-06-08 |
| 1114415668 | O2 Pharmacy, LLC | Pharmacy | 39765 Grand River Ave, Novi, MI 48375 | 2018-04-30 |
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| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1205475209 | Terri Lynn Tiederman | Registered Nurse | Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 | 2019-12-23 |
| 1083114987 | Joanne Shobe | Registered Nurse | 41613 Blair Dr, Novi, MI 48377-1543 | 2018-02-16 |
| 1407249758 | Gwendelyn Jeter | Registered Nurse | 23410 Little Rapids Ct, Apt 1911, Novi, MI 48375-3295 | 2015-03-11 |
| 1952708976 | Mary R Holland | Registered Nurse | 41521 W 11 Mile Road, Centria Healthcare LLC, Novi, MI 48475 | 2014-11-20 |
| 1750704821 | Michelle Dirette | Registered Nurse | 41651 W 11 Mile Rd, Novi, MI 48375-1804 | 2014-01-27 |
| 1417578147 | Sean Patrick Hohl | Registered Nurse | 47601 Grand River Ave, Novi, MI 48374-1233 | 2020-05-05 |
| 1851924542 | Jennifer Moore | Registered Nurse | 24230 Karim Blvd Ste 100, Novi, MI 48375-2960 | 2020-02-20 |
| 1285281931 | Raylene Marie Wiggle | Registered Nurse | 24230 Karim Blvd, Novi, MI 48375-2960 | 2019-08-19 |
| 1982177861 | Lareca Webber | Registered Nurse | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-01-03 |
| 1992277180 | Kimberly Nahhat | Registered Nurse | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-12-28 |
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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.