KELLI ANN LEWIS (NPI# 1376866350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376866350 |
Entity Type | Individual |
Full Name | KELLI ANN LEWIS |
Credential | RN BSN |
Practice Address |
1200 N West Ave Suite 300 Jackson MI 49202-2179 |
Practice Telephone | 5177891234 |
Practice Fax Number | 5177847040 |
Mailing Telephone | 5177891234 |
Mailing Fax Number | 5177847040 |
Enumeration Date | 2010-03-05 |
Last Update Date | 2010-03-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
4704181487 | MI | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BOARD OF NURSING | 4704181487 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699089789 | Kelli S Lewis | Licensed Practical Nurse | 2996 Wardall Ave, Apt 4, Cincinnati, OH 45211-4960 | 2010-07-30 |
1750768164 | Kelli Lewis | Speech-Language Pathologist | 9041 Executive Park Dr, Suite 126, Knoxville, TN 37923-4621 | 2015-05-05 |
1053694299 | Kelli Elizabeth Lewis | Pharmacist | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2011-09-23 |
1184775587 | Kelli Suzanne Lewis | Technician/Technologist | 1508 6th Ave, Huntington, WV 25701-2902 | 2007-01-15 |
1386653467 | Kelli Lewis | Emergency Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-08-06 |
Street Address |
1200 N WEST AVE SUITE 300 |
City | JACKSON |
State | MI |
Zip Code | 49202-2179 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366496051 | Dennis J Glandon | Social Worker | 1200 N West Ave, Suite 400, Jackson, MI 49202-2179 | 2006-05-19 |
1669084810 | Sarah Lynn Ackerman | Case Manager/Care Coordinator | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-08-19 |
1265055925 | Kelly Ann Parten | Case Manager/Care Coordinator | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-05-28 |
1568084143 | James L Horrigan II | Social Worker | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-05-18 |
1821619099 | Kimberly Kay Bomar | Social Worker | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-04-29 |
1255951281 | Stephanie Elizabeth Goodrich | Case Manager/Care Coordinator | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-04-20 |
1104463306 | Chad Lige | Health Educator | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-12-06 |
1578100244 | Vickie Lynn Kittle | Peer Specialist | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-12-02 |
1710522701 | Crystal Ann Chaffee | Social Worker | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-11-13 |
1184269169 | Stephanie Leeann Justice | Case Manager/Care Coordinator | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-11-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
Find all providers in zip 49202 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811502024 | Wendy Hopkins | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-09-14 |
1174154678 | Lisa Houghton | Registered Nurse | 3369 Miles Rd, Jackson, MI 49201-8707 | 2020-02-03 |
1710534565 | Joanne Easter | Registered Nurse | 502 Mccarty Ln Ste 5, Jackson, OH 45640-7025 | 2019-08-26 |
1356808794 | Cynthia Ann Coppage | Registered Nurse | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-02-21 |
1316488950 | Kimberly Cole | Registered Nurse | 1200 N West Ave, Jackson, MI 49202-2179 | 2017-03-15 |
1043427982 | Kimba J Keel | Registered Nurse | 45 Executive Dr, Jackson, TN 38305-2337 | 2007-05-17 |
1891817268 | Valinda Carol Nobles | Registered Nurse | 238 Summar Dr, Jackson, TN 38301-3906 | 2007-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154946705 | Ahuva Lakier | Registered Nurse | 15895 Harden Cir, Southfield, MI 48075-3042 | 2020-06-09 |
1891351540 | Frederick Patrick | Registered Nurse | 2864 125th Ave, Allegan, MI 49010-9276 | 2019-05-17 |
1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
1275003113 | Cathleen Brooks | Registered Nurse | 1200 N Telegraph Rd # 32, Pontiac, MI 48341-1032 | 2018-12-04 |
1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
1780168856 | Alison Male | Registered Nurse | 530 W Oldfield St, Alpena, MI 49707-1810 | 2018-09-24 |
1508346800 | Colleen Botos | Registered Nurse | 5671 N Skeel Ave Ste 6, Oscoda, MI 48750-1535 | 2018-08-16 |
1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
1083131924 | Kristen Lynn Little | Registered Nurse | 3726 Spruce Run, White Lake, MI 48383-3523 | 2017-08-22 |
1396269379 | Emily Elisabeth Ann Pawlowski | Registered Nurse | 12021 Cardwell St, Livonia, MI 48150-2355 | 2017-08-01 |
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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.