KELLY NOEL BECKER (NPI# 1629355813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629355813 |
| Entity Type | Individual |
| Full Name | KELLY NOEL BECKER |
| Credential | NP |
| Practice Address |
1717 Shaffer St Ste. 124 Kalamazoo MI 49048-1647 |
| Practice Telephone | 2692265965 |
| Mailing Telephone | 2692265965 |
| Mailing Fax Number | 2692265056 |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2015-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704229883 | MI | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 4704229883 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979930 | Kelly Anne Becker | Registered Nurse | 121 Bridle Rd, Billerica, MA 01821-1718 | 2018-10-29 |
| 1093099772 | Kelly Becker | Pharmacist | 1775 W Dempster St Ste To1116, Park Ridge, IL 60068-1143 | 2011-09-29 |
| 1356641997 | Kelly Becker | Speech-Language Pathologist | 17901 Mountainside Village Dr, Anchorage, AK 99516-5735 | 2010-10-29 |
| 1871629386 | Kelly M Becker | Family Medicine | 18181 Pearl Rd Ste B202, Strongsville, OH 44136-6951 | 2007-02-26 |
| 1477013647 | Kelly Becker | Behavior Technician | 1522 E Superior St, Duluth, MN 55812-1634 | 2019-03-22 |
| 1124477328 | Kelly Rose Becker | Physical Therapist | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2016-06-08 |
| 1619295292 | Kelly Ann Becker | Nurse Anesthetist, Certified Registered | 2301 Holmes St, Kansas City, MO 64108-2640 | 2010-05-06 |
| 1780814905 | Kelly Becker | Occupational Therapy Assistant | 625 Probasco St, Cincinnati, OH 45220-2710 | 2009-07-22 |
| Street Address |
1717 SHAFFER ST STE. 124 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457353658 | John A Carr | Surgery | 1717 Shaffer St, Kalamazoo, MI 49048-1647 | 2005-06-01 |
| 1114425279 | Restorix Health Inc | Nurse Practitioner | 1717 Shaffer St, Kalamazoo, MI 49048-1647 | 2018-01-24 |
| 1073982104 | Alexandra Rae Cook | Dietitian, Registered | 1717 Shaffer St, Suite 108, Kalamazoo, MI 49048-1647 | 2015-09-18 |
| 1881026300 | Amy Lynn Fedewa | Dietitian, Registered | 1717 Shaffer St, Kalamazoo, MI 49048-1647 | 2013-08-07 |
| 1104166909 | Alexandra M Timpson | Dietitian, Registered | 1717 Shaffer St, Ste 124, Kalamazoo, MI 49048-1647 | 2013-02-15 |
| 1992042295 | Emelia C Hirschman | Dietitian, Registered | 1717 Shaffer St, Kalamazoo, MI 49048-1647 | 2013-01-08 |
| 1144575283 | Adnan Kassier | Internal Medicine | 1717 Shaffer St, Kalamazoo, MI 49048-1647 | 2012-07-16 |
| 1679831358 | Bethany Herder | Dietitian, Registered | 1717 Shaffer St, Kalamazoo, MI 49048-1647 | 2012-05-01 |
| 1730465584 | Linda E Kline | Nurse Practitioner | 1717 Shaffer St, Kalamazoo, MI 49048-1647 | 2011-10-25 |
| 1598058455 | Elmira Tulegenovna Yessengaliyeva | Psychiatry & Neurology | 1717 Shaffer St, Ste. 010, Kalamazoo, MI 49048-1647 | 2011-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457913725 | Erika Lynn Sullenberger | Nurse Practitioner | 601 John St Ste M-273, Kalamazoo, MI 49007-5360 | 2019-07-08 |
| 1104318369 | Marathon Health LLC | Nurse Practitioner | 3520 Covington Rd, Kalamazoo, MI 49001 | 2018-06-04 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1750810495 | Charmaine Kwei | Nurse Practitioner | 3601 S 9th St Rm 6, Kalamazoo, MI 49009-9538 | 2017-06-07 |
| 1558646976 | Kimberly Ann Applebey | Nurse Practitioner | 601 John St Ste M-318, Kalamazoo, MI 49007 | 2011-10-17 |
| 1154639748 | Deborah R Lee | Nurse Practitioner | 1521 Gull Rd Ste 130, Kalamazoo, MI 49048-1640 | 2010-09-17 |
| 1346495355 | Lisa C Bury | Nurse Practitioner | 535 S Burdick St Ste 160, Kalamazoo, MI 49007-6113 | 2008-11-19 |
| 1073620720 | Susan Nelson | Nurse Practitioner | 1701 Gull Rd, Kalamazoo, MI 49048-1609 | 2006-08-25 |
| 1295757623 | Catherine Mae Williams | Nurse Practitioner | 348 N Burdick St, Kalamazoo, MI 49007-3830 | 2006-07-24 |
| 1972532463 | Pamela S Miller | Nurse Practitioner | 353 South Burdick, Suite 256, Kalamazoo, MI 49007-5341 | 2006-06-30 |
| Find all providers in KALAMAZOO | ||||
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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.