MISS KAELYN MONROE (NPI# 1356826044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356826044 |
Entity Type | Individual |
Full Name | MISS KAELYN MONROE |
Credential | CPNP |
Practice Address |
2100 4th St Jackson MI 49203-4518 |
Practice Telephone | 5177874332 |
Enumeration Date | 2018-09-27 |
Last Update Date | 2018-09-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704300215 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2100 4TH ST |
City | JACKSON |
State | MI |
Zip Code | 49203-4518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841286937 | Katikineni V Rao | Pediatrics | 2100 4th St, Jackson, MI 49203-4518 | 2005-09-23 |
1154723344 | Stephanie Johnson | Nurse Practitioner | 2100 4th St, Jackson, MI 49203-4518 | 2014-09-19 |
1477781169 | Parkside Pediatric Clinic,p.c. | Pediatrics | 2100 4th St, Jackson, MI 49203-4518 | 2009-07-01 |
1265533764 | Susan Ellen Beck | Nurse Practitioner | 2100 4th St, Jackson, MI 49203-4518 | 2006-09-26 |
1396792560 | Timothy S Van Schoick, M.d.,p.c. | Legal Medicine | 2100 4th St, Jackson, MI 49203-4518 | 2006-05-31 |
1689626400 | Lenae E Vanwagnen | Specialist | 2100 4th St, Jackson, MI 49203-4518 | 2006-05-17 |
1760441455 | Timothy Scott Vanschoick | Pediatrics | 2100 4th St, Jackson, MI 49203-4518 | 2006-03-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760900120 | Cynthia A Rider Dmd Pllc | Oral & Maxillofacial Surgery | 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 | 2017-09-06 |
1407224280 | Lucinda Gail Taggart | Licensed Practical Nurse | 1515 Greenwood Ave., Jackson, MI 49203 | 2015-09-10 |
1134514045 | Christopher Dauterman | Registered Nurse | 1320 East Mcdevitt, Jackson, MI 49203 | 2015-03-30 |
1710386826 | Steven Andrew Edwards | Social Worker | 505 Hickory Court, #2d, Jackson, MI 49203 | 2014-08-14 |
1861800666 | Michigan Continuum Care Pllc | Internal Medicine | 1310 Greenwood Ave., Jackson, MI 49203 | 2014-07-25 |
1497014831 | Barbara Cliffe-miller | Physical Therapist | 3510 Page Ave, Jackson, MI 49203 | 2012-05-04 |
1871822718 | Sharon Ann Arendsen | Respite Care | 4043 Clarkway Rd, Jackson, MI 49203 | 2009-12-23 |
1669700456 | Teresa Lynn Cox | Technician, Other | 3884 Franklin Rd., Jackson, MI 49203 | 2009-12-07 |
1942537097 | Stacy Marie Chinevere I | Counselor | 326 Johnson St, Jackson, MI 49203 | 2009-11-11 |
1366672370 | Sarah Elizabeth Hazlett | Counselor | 1522joy Avenue, Jackson, MI 49203 | 2009-07-24 |
Find all providers in zip 49203 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881219129 | Esther Epstein | Nurse Practitioner | 9 Dorchester Ct, Jackson, NJ 08527-2221 | 2020-06-12 |
1891233276 | Optimum Healthcare Associates, Pa | Nurse Practitioner | 5350 Executive Pl, Suite 8, Jackson, MS 39206-4100 | 2017-02-06 |
1285778639 | Felesia R Bowen | Nurse Practitioner | 17 Twin Oaks Ct, Jackson, NJ 08527-5359 | 2007-02-19 |
1972500536 | Colleen Chadderton | Nurse Practitioner | 760 W Franklin St, Jackson, MI 49201-2048 | 2005-06-28 |
1942817366 | Jenna Rhodig | Nurse Practitioner | 1418 E Michigan Ave, Jackson, MI 49202-3518 | 2020-09-29 |
1407466428 | Alexandra Brittain | Nurse Practitioner | 19 Security Dr, Jackson, TN 38305-3626 | 2020-08-04 |
1184189680 | Lyndi Nicole Ryan | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2019-02-08 |
1487123923 | Leah Lenaee Warner | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2018-11-14 |
1104300615 | Emileigh S Williams | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2018-09-20 |
1194209981 | Alan Gray | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2018-09-18 |
Find all providers in JACKSON |
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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.