KELLIE MARTIN (NPI# 1629032636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629032636 |
| Entity Type | Individual |
| Full Name | KELLIE MARTIN |
| Credential | CRNA |
| Practice Address |
22101 Moross Detroit MI 48226 |
| Mailing Address |
39086 Vassar Sterling Heights MI 48313 |
| Practice Telephone | 3133434766 |
| Mailing Telephone | 5865327074 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704173942 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS OF MI | KM173942 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770935116 | Kellie Martin | Social Worker | 10 Hickory St, Central Islip, NY 11722-4704 | 2016-07-11 |
| Street Address |
22101 MOROSS |
| City | DETROIT |
| State | MI |
| Zip Code | 48226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023088168 | Ascension St John Hospital | Clinic/Center | 22101 Moross, Detroit, MI 48236 | 2006-01-23 |
| 1134601586 | Jennifer Modina Roque | Registered Nurse | 22101 Moross, Detroit, MI 48236 | 2018-09-02 |
| 1922158450 | Rose Satterwhite | Social Worker | 22101 Moross, Detroit, MI 48236 | 2007-01-10 |
| 1295705945 | Ascension St John Hospital | Psychiatric Unit | 22101 Moross, Detroit, MI 48236 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065314 | Henr Y Ford Health System | Pharmacy | 1777 3rd. Ave, Detroit, MI 48226 | 2019-10-21 |
| 1912413386 | Vitalizing Care Consultants LLC | Home Health Aide | 1420 Washington Blvd Ste 301, Detroit, MI 48226 | 2017-12-21 |
| 1639699945 | Runners Transportation LLC | Non-emergency Medical Transport (VAN) | 111 Cadilac, Apt 16j, Detroit, MI 48226 | 2017-06-27 |
| 1174056857 | Nariman Nassiri | Student in an Organized Health Care Education/Training Program | 200 Riverfront Dr., Apt 11g, Detroit, MI 48226 | 2017-04-10 |
| 1982143384 | Strategic Operation Solutions | Case Management | 407 E. Fort St., Suite 407, Detroit, MI 48226 | 2017-02-17 |
| 1700329315 | Jacob Chaffee | Pharmacist | 600 E. Lafayette Blvd, Mail Code 512c, Detroit, MI 48226 | 2016-11-30 |
| 1487059325 | Lions Hearing Center of Michigan | Audiologist | 1326 St. Antoine, Detroit, MI 48226 | 2014-11-04 |
| 1811320336 | Ralph T Topolewski | Orthotist | 525 E.jefferson Ave, Detroit, MI 48226 | 2013-08-20 |
| 1689006488 | The Literacy Center | Non-emergency Medical Transport (VAN) | 645 Griswold Street, Suite 1300, Detroit, MI 48226 | 2013-08-02 |
| 1972834422 | Lydia J Commissaris | Nurse Practitioner | 45 W. Grand River Ave, Detroit, MI 48226 | 2010-01-22 |
| Find all providers in zip 48226 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891352464 | Amanda Lori Cremeens | Nurse Anesthetist, Certified Registered | 4707 Saint Antoine St Ste E510, Detroit, MI 48201-1427 | 2019-05-20 |
| 1003355934 | Kurt Belen | Nurse Anesthetist, Certified Registered | 10814 Duprey St, Detroit, MI 48224-1295 | 2017-02-12 |
| 1891153672 | Elizabeth Smith | Nurse Anesthetist, Certified Registered | 232 E Palmer St, Apt #5, Detroit, MI 48202-3857 | 2016-02-08 |
| 1750748869 | Joshua Olson | Nurse Anesthetist, Certified Registered | 2945 Burns St, Detroit, MI 48214-1800 | 2016-01-20 |
| 1871959395 | Bianca Fields | Nurse Anesthetist, Certified Registered | 20271 Murray Hill St, Detroit, MI 48235-2130 | 2016-01-13 |
| 1205230315 | Jason Amador | Nurse Anesthetist, Certified Registered | 301 E Palmer St, Detroit, MI 48202-3823 | 2014-10-17 |
| 1609012590 | Lashonda Tiyon Turner | Nurse Anesthetist, Certified Registered | 3663 Woodward Ave, 200, Detroit, MI 48201-2445 | 2008-12-23 |
| 1518013044 | Michael Ford | Nurse Anesthetist, Certified Registered | 1 Ford Pl # 4e, Detroit, MI 48202-3450 | 2007-01-26 |
| 1154367399 | Margarete Holmes-ross | Nurse Anesthetist, Certified Registered | 244 Arden Park Blvd, Detroit, MI 48202-1302 | 2006-06-22 |
| 1760477871 | John Mckay Perkowski | Nurse Anesthetist, Certified Registered | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2005-09-14 |
| Find all providers in DETROIT | ||||
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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.