KELLY GRANT (NPI# 1710386891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710386891 |
Entity Type | Individual |
Full Name | KELLY GRANT |
Practice Address |
43825 Michigan Ave Canton MI 48188-2551 |
Practice Telephone | 7343973088 |
Practice Fax Number | 7343970078 |
Mailing Telephone | 7343973088 |
Mailing Fax Number | 7343970078 |
Enumeration Date | 2014-08-14 |
Last Update Date | 2014-09-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
4704191116 | MI | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871958116 | Kelly Grant | Day Training, Developmentally Disabled Services | 3311 Colby Rd Ste I, Whitehall, MI 49461-9289 | 2015-12-30 |
1871619072 | Kelly Grant | Physical Therapist | 2988 Eaton Rd, Shaker Heights, OH 44122-2516 | 2007-03-21 |
1649274002 | Kelly Kirkman Grant | Nurse Practitioner | 510 N Elam Ave Ste 202, Greensboro, NC 27403-1177 | 2005-06-13 |
1235760687 | Kelly Ann Grant | Occupational Therapy Assistant | 1204 Greensburg St, Columbia, KY 42728-1811 | 2020-02-03 |
1285128181 | Kelly Nagel Grant | Nurse Practitioner | 19176 Hall Rd, Clinton Township, MI 48038 | 2018-06-15 |
1790161198 | Kelly Grant | Behavioral Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2015-08-07 |
1194042721 | Kelly Grant | General Practice | 359 Middlefield Rd, Palo Alto, CA 94301-1345 | 2010-04-21 |
1720296817 | Kelly Katherine Grant | Emergency Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2007-05-20 |
Street Address |
43825 MICHIGAN AVE |
City | CANTON |
State | MI |
Zip Code | 48188-2551 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841248176 | Julia Oliver | Counselor | 43825 Michigan Ave, Canton, MI 48188-2551 | 2006-05-05 |
1275130858 | Dawn Nichol Goldberg | Registered Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-10-06 |
1902411259 | Mamoona Hameed Khan | Registered Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-09-14 |
1932711652 | Renee N/a Pollard | Registered Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-08-24 |
1932710209 | Anthony J Dondero | Student in an Organized Health Care Education/Training Program | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-08-11 |
1881212777 | Michael Lee Rosewood | Social Worker | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-07-08 |
1104454537 | Chelsea Compton | Social Worker | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-03-31 |
1275169930 | Marcelle Schneider | Peer Specialist | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-03-13 |
1144855115 | Brandy Ann Chappell | Licensed Practical Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-03-10 |
1104458819 | Lindsey Anne Smith | Licensed Practical Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-02-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
1013473925 | Yen Do Ruiz | Pharmacist | 41460 Haggerty Circle South, Canton, MI 48188 | 2019-02-15 |
1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
1720589427 | Audrey Imbur | Physical Therapist | 4111 S. Canton Center Rd, Canton, MI 48188 | 2018-02-27 |
1639687700 | Tanveer Hussain | Physical Therapist | 3439 Brooklyn Dr, Canton, MI 48188 | 2018-01-11 |
1376054833 | Cherry Hill Village Pharmacy LLC | Pharmacy | 50429 Independence St, Canton, MI 48188 | 2017-10-23 |
1396262101 | Enid Alexandra Moore | Social Worker | 40946 Crossbow Cir, Apt 201, Canton, MI 48188 | 2017-08-23 |
1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
Find all providers in zip 48188 |
Taxonomy Code | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366049215 | Molly Rose Kathleen Davis | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-05 |
1932711652 | Renee N/a Pollard | Registered Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-08-24 |
1427660596 | Larry Scott Fitzgerald | Registered Nurse | 43825 Michigan Ave Ste 1, Canton, MI 48188-2551 | 2020-08-20 |
1932734167 | Bonny Jeanne Jarvis | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-03-09 |
1013568633 | Vanessa Lynn Sanders | Registered Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2019-09-25 |
1184163669 | Karla Monte | Registered Nurse | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2017-02-17 |
1215383872 | Karen Maxon | Registered Nurse | 1341 Market Ave N, Canton, OH 44714-2605 | 2016-05-12 |
1629438700 | Kathleen Coladonato | Registered Nurse | 1341 Market Ave N, Canton, OH 44714-2605 | 2016-03-02 |
1477912582 | Kathleen Tawney | Registered Nurse | 1341 Market Ave N, Canton, OH 44714-2605 | 2016-02-17 |
1861870727 | Terrie Batdorff | Registered Nurse | 1341 Market Ave N, Canton, OH 44714-2605 | 2015-05-12 |
Find all providers in CANTON |
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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.