MCKENNA BLYLY (NPI# 1568094308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568094308 |
| Entity Type | Individual |
| Full Name | MCKENNA BLYLY |
| Practice Address |
1280 E Campus Dr Mount Pleasant MI 48859-2033 |
| Mailing Address |
8537 2nd St Mattawan MI 49071-9409 |
| Practice Telephone | 9897742478 |
| Mailing Telephone | 2698088894 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MI | Student, Health Care |
| Street Address |
1280 E CAMPUS DR |
| City | MOUNT PLEASANT |
| State | MI |
| Zip Code | 48859-2033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852464 | Kirk Dettloff | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mount Pleasant, MI 48858-3803 | 2020-08-19 |
| 1609491943 | Nolan Hayden | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mount Pleasant, MI 48859-2033 | 2020-06-12 |
| 1558996744 | Alwin David | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mount Pleasant, MI 48859-2033 | 2020-03-08 |
| 1376178566 | Vivian Frances Lu | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mount Pleasant, MI 48859-3323 | 2020-03-08 |
| 1396377883 | Taylor Rae Root | Physician Assistant | 1280 E Campus Dr, Mount Pleasant, MI 48858-3803 | 2020-02-12 |
| 1891327631 | Luke Denzer | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mount Pleasant, MI 48858-3803 | 2020-02-10 |
| 1073145819 | Logan James Piontek | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mount Pleasant, MI 48858-3803 | 2020-02-10 |
| 1336771179 | Megan Jo Altizer | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mount Pleasant, MI 48858-3803 | 2020-02-10 |
| 1245862085 | Hannah Scherba | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mount Pleasant, MI 48859-2033 | 2020-02-10 |
| 1053943894 | Kendra Freund | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mount Pleasant, MI 48859-2033 | 2020-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598255481 | Kimberly Kay Wyse | Psychologist | 2520 S University Park Drive, Building D Caat Center, Mount Pleasant, MI 48859 | 2018-05-16 |
| 1255888558 | Central Michigan University | Behavioral Analyst | 600 E Preston, Mount Pleasant, MI 48859 | 2016-09-02 |
| 1992852461 | Christina Eyers | Specialist/Technologist | 1172 Hpb, Mt. Pleasant, MI 48859 | 2007-01-05 |
| 1710332440 | Jennifer Barnstable | Speech-Language Pathologist | 301 Williamston Center Rd, Suite 800, Williamston, MI 48859 | 2016-05-02 |
| 1447423942 | Roschelle A Heuberger | Dietitian, Registered | 1101 Health Professions Bldg, Mt Pleasant, MI 48859 | 2008-04-07 |
| 1659559375 | Linda Jean Patterson | Speech-Language Pathologist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859 | 2008-02-05 |
| 1083798540 | Michael Anthony Nerbonne | Audiologist | 1101 Health Professions Building, Mount Pleasant, MI 48859 | 2006-10-24 |
| 1942818919 | Dominique Hope Dimatteo | Specialist/Technologist | 145c Rose Center, Mount Pleasant, MI 48859-0001 | 2020-07-16 |
| 1750913596 | Elizabeth Kay Edson | Student in an Organized Health Care Education/Training Program | 1280 East Camus Dr, Mt Pleasant, MI 48859-0001 | 2020-02-10 |
| 1528617438 | Marlene K Vandyke | Specialist/Technologist | 1203 Health Profession Building, Mt Pleasant, MI 48859-0001 | 2019-09-04 |
| Find all providers in zip 48859 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457970576 | Cayla Mitzkovitz | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr Bldg 1101, Mount Pleasant, MI 48858-3803 | 2020-04-09 |
| 1235776683 | Ciara Deborah Grubinski | Student in an Organized Health Care Education/Training Program | 622 Whitney St, Mount Pleasant, MI 48858-1213 | 2019-12-04 |
| 1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
| 1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1841717469 | Cassandra Tatum | Student in an Organized Health Care Education/Training Program | 2024 Chatelain Way, Mount Pleasant, SC 29464-3273 | 2017-08-24 |
| 1023437563 | Michael Scott Larrabee | Student in an Organized Health Care Education/Training Program | 5332 Zachary Dr, Mount Pleasant, WI 53403-9752 | 2014-04-14 |
| 1437491727 | Bhaviniben S Patel | Student in an Organized Health Care Education/Training Program | 913 W 16th St, Mount Pleasant, TX 75455-2436 | 2013-03-25 |
| 1346852464 | Kirk Dettloff | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mount Pleasant, MI 48858-3803 | 2020-08-19 |
| 1376169177 | Joseph John Hellrung Jr. | Student in an Organized Health Care Education/Training Program | 2591 S Leaton Rd, Mount Pleasant, MI 48858-8421 | 2020-06-18 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 48859 |
Please comment or provide details below to improve the information on MCKENNA BLYLY.
| 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.