AMANDA LYNN KELSEY (NPI# 1548615172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548615172 |
| Entity Type | Individual |
| Full Name | AMANDA LYNN KELSEY |
| Other Name | AMANDA LYNN BILOT |
| Credential | NP-C |
| Practice Address |
21647 Ryan Road Warren MI 48091 |
| Mailing Address |
21647 Ryan Rd Warren MI 48091-2795 |
| Practice Telephone | 5867574200 |
| Mailing Telephone | 5867574200 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2017-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704269265 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164405973 | Amanda Kelsey | Chiropractor | 317 Stillwater Road, Willernie, MN 55090-0802 | 2005-11-25 |
| Street Address |
21647 RYAN ROAD |
| City | WARREN |
| State | MI |
| Zip Code | 48091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
| 1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
| 1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
| 1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
| 1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
| 1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
| 1720046188 | Superior Air-ground Ambulance Service of Michigan, Inc | Ambulance | 2000 Centerwood Dr, Warren, MI 48091 | 2006-05-03 |
| Find all providers in zip 48091 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1629695598 | Souzan Siryani | Nurse Practitioner | 31700 Van Dyke Ave Ste A, Warren, MI 48093-7949 | 2020-06-26 |
| 1245856947 | Giavanna M Tkach | Nurse Practitioner | 1695 Niles Cortland Rd Ne Ste 2, Warren, OH 44484-1165 | 2020-06-19 |
| 1306461561 | Stephanie Dawn Ostetrico | Nurse Practitioner | 1454 Grove Ave Nw, Warren, OH 44483-3341 | 2020-06-13 |
| 1457983710 | Lisa Virginia Cameron | Nurse Practitioner | 14103 Lowe Dr, Warren, MI 48088-5735 | 2020-02-05 |
| 1659916955 | Joni Mccoy | Nurse Practitioner | 31110 Saratoga Ave, Warren, MI 48093-1619 | 2019-11-10 |
| 1811450760 | Stephanie Burbick | Nurse Practitioner | 8488 Black Oak Dr Ne, Warren, OH 44484-1615 | 2019-04-08 |
| 1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
| 1194291682 | Mary E Palumbo | Nurse Practitioner | 2517 Forest Springs Dr Se, Warren, OH 44484-5619 | 2018-10-23 |
| 1548735483 | Stephanie Gialdi | Nurse Practitioner | 8545 Common Rd Ste 200, Warren, MI 48093-6775 | 2018-10-08 |
| Find all providers in WARREN | ||||
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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.