KELLY J STAFFORD (NPI# 1437626942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437626942 |
Entity Type | Individual |
Full Name | KELLY J STAFFORD |
Practice Address |
1060 W Norton Ave Muskegon MI 49441-4175 |
Mailing Address |
15126 160th Ave Grand Haven MI 49417-8922 |
Practice Telephone | 2317772222 |
Mailing Telephone | 6166383818 |
Enumeration Date | 2018-11-01 |
Last Update Date | 2018-11-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326659186 | Kelly Stafford | Behavioral Analyst | 6195 N Minnesota Ave Apt 1d, Portland, OR 97217-4788 | 2020-08-13 |
1578833521 | Kelly Logan Stafford | Counselor | 357 Towne Center Pl, Suite 402, Ridgeland, MS 39157-4870 | 2012-01-09 |
1447558572 | Kelly A Stafford | Occupational Therapist | 171 Madison Ave Fl 5, New York, NY 10016 | 2011-03-15 |
1073843512 | Kelly M Stafford | Specialist/Technologist | 631 S College Ave, Newark, DE 19716-2010 | 2010-01-06 |
1184626806 | Kelly L. Stafford | Physician Assistant | 2001 Vail Ave, Suite 200, Charlotte, NC 28207-1219 | 2005-08-12 |
Street Address |
1060 W NORTON AVE |
City | MUSKEGON |
State | MI |
Zip Code | 49441-4175 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992201461 | Shontrice Yvette Holbrook | Social Worker | 1060 W Norton Ave, Muskegon, MI 49441-4175 | 2018-04-03 |
1669095360 | Madison Kathleen Eskola | Social Worker | 1060 W Norton Ave, Muskegon, MI 49441-4175 | 2020-05-28 |
1871138560 | Shakira Hill | Assistant Behavior Analyst | 1060 W Norton Ave, Muskegon, MI 49441-4175 | 2019-11-17 |
1861035875 | Rachael Elizabeth Engelsman | Case Manager/Care Coordinator | 1060 W Norton Ave, Muskegon, MI 49441-4175 | 2019-10-22 |
1629637467 | Ashley L. Briggs | Social Worker | 1060 W Norton Ave, Muskegon, MI 49441-4175 | 2019-06-06 |
1720642267 | Morgan Budde | Social Worker | 1060 W Norton Ave, Muskegon, MI 49441-4175 | 2019-04-30 |
1134614696 | Arbor Circle Corporation | Counselor | 1060 W Norton Ave, Muskegon, MI 49441-4175 | 2018-06-27 |
1649760943 | Brenda Ann Waslusky | Case Manager/Care Coordinator | 1060 W Norton Ave, Muskegon, MI 49441-4175 | 2018-05-14 |
1609365261 | Joshua Stinger | Social Worker | 1060 W Norton Ave, Muskegon, MI 49441-4175 | 2018-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
1598222952 | Kimberlee K Erickson-worpel Ma,llp | Psychologist | 3611 Henry Street, Norton Shores, MI 49441 | 2019-02-21 |
1164921011 | Brittany Ann Bayne | Behavior Technician | 640 Seminole, Muskegon, MI 49441 | 2018-02-06 |
1497273403 | Rx Optical Laboratories, Inc. | Optometrist | 3445 Henry St, Norton Shores, MI 49441 | 2017-08-30 |
1801320072 | Gentle Souls Home Care, LLC | In Home Supportive Care | 2743 Henry Street Pmb #117, Muskegon, MI 49441 | 2017-04-14 |
1467814889 | Lyle Karp | Hearing Instrument Specialist | 3145 Henry St., Muskegon, MI 49441 | 2016-03-24 |
1649653817 | Jessica Marie Lambert | Dentist | 5978 Harvey St., Muskegon, MI 49441 | 2015-07-06 |
1114320595 | Mark Reider | Counselor | 3944 Grand Haven Rd Apt 204c, Norton Shores, MI 49441 | 2014-09-30 |
1679826002 | Kathleen M Dole | Social Worker | 800 E Ellis Rd Ste 222, Norton Shores, MI 49441 | 2012-10-23 |
1144523119 | Terri Lee Garza | Social Worker | 1095 Third St, Muskegon, MI 49441 | 2010-12-14 |
Find all providers in zip 49441 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093010175 | Daniel Clapper | Specialist | 2021 Hoyt St, Muskegon, MI 49444-1118 | 2011-01-20 |
1104005065 | Shoreline Neurosurgical Consulting, Plc | Specialist | 1675 Leahy St., Suite 401, Muskegon, MI 49442 | 2007-10-29 |
1649368093 | John E Mcdonald | Specialist | 1762 Wagner Ave, Muskegon, MI 49442-2400 | 2006-10-11 |
1275553513 | Raymond Robert Komray | Specialist | 1365 Mercy Dr, Muskegon, MI 49444-1837 | 2006-07-20 |
1639123771 | John Leclaire M.d., P.l.c. | Specialist | 172 E Forest Ave, Muskegon, MI 49442-5541 | 2006-05-22 |
1487621967 | Daniel Weller | Specialist | 1440 E Harbour Towne Cir, Muskegon, MI 49441-6401 | 2006-03-03 |
1396740825 | Hikmet H Sipahi II | Specialist | 1440 E Sherman Blvd, Suite 200, Muskegon, MI 49444-1816 | 2005-06-21 |
1255334397 | Willard Peter Debraber | Specialist | 1761 Wells Ave, Muskegon, MI 49442-2459 | 2005-05-23 |
1932721602 | Joshua Stewart Vandenberg | Specialist | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-05-15 |
1669875779 | Kathy Varboncoeur | Specialist | 1823 Commerce St, Muskegon, MI 49441-2608 | 2014-10-02 |
Find all providers in MUSKEGON |
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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.