KATHLEEN GRACE HAAS (NPI# 1720589740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720589740 |
| Entity Type | Individual |
| Full Name | KATHLEEN GRACE HAAS |
| Credential | PT |
| Practice Address |
14700 Lake Shore Dr Charlevoix MI 49720-1931 |
| Mailing Address |
13157 Robins Ridge Rd Charlevoix MI 49720-8975 |
| Practice Telephone | 2315478630 |
| Mailing Telephone | 2318814503 |
| Enumeration Date | 2018-02-25 |
| Last Update Date | 2018-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
38-1459366 | MI | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548343668 | Kathleen A Haas | Nurse Practitioner | 3925 Old Redwood Hwy, Santa Rosa, CA 95403-1719 | 2006-10-23 |
| Street Address |
14700 LAKE SHORE DR |
| City | CHARLEVOIX |
| State | MI |
| Zip Code | 49720-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528065034 | Thomas G Ling | Internal Medicine | 14700 Lake Shore Dr, Charlevoix, MI 49720-1931 | 2005-06-30 |
| 1477163392 | Tracey Allers | Physical Therapist | 14700 Lake Shore Dr, Charlevoix, MI 49720-1931 | 2020-08-05 |
| 1518581610 | David L Grof | Physical Therapist | 14700 Lake Shore Dr, Charlevoix, MI 49720-1931 | 2020-06-04 |
| 1366944118 | Carolyn Ann Navarre | Physical Therapist | 14700 Lake Shore Dr, Charlevoix, MI 49720-1931 | 2018-03-07 |
| 1720589393 | Marla Ane Marrs | Occupational Therapist | 14700 Lake Shore Dr, Charlevoix, MI 49720-1931 | 2018-02-28 |
| 1831690023 | Tracey Sherman | Physical Therapist | 14700 Lake Shore Dr, Charlevoix, MI 49720-1931 | 2018-02-23 |
| 1982105169 | Andrew Funsch | Physical Therapist | 14700 Lake Shore Dr, Charlevoix, MI 49720-1931 | 2018-02-23 |
| 1902307259 | Karyn Lynn Dunlap | Occupational Therapist | 14700 Lake Shore Dr, Charlevoix, MI 49720-1931 | 2018-02-22 |
| 1154822484 | Candice Wiers | Physical Therapist | 14700 Lake Shore Dr, Charlevoix, MI 49720-1931 | 2018-02-22 |
| 1154821742 | Sharron Mizak-schwein | Physical Therapist | 14700 Lake Shore Dr, Charlevoix, MI 49720-1931 | 2018-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1215587498 | Amanda Evans | Dietitian, Registered | 09210 North Pointe Woods Drive, Charlevoix, MI 49720 | 2019-09-18 |
| 1508229980 | Charlevoix Physicians Clinic | Specialist | 14709 W. Upright, Charlevoix, MI 49720 | 2016-04-01 |
| 1881014348 | Tracy Skinner | Social Worker | 220 W. Garfield Ave, Charlevoix, MI 49720 | 2014-04-23 |
| 1720414097 | Jennifer Jean Swenor | Occupational Therapist | 10270 Burnett Rd, Charlevoix, MI 49720 | 2013-09-18 |
| 1801171863 | Leslie Lukins | Pharmacist | 1500 Bridge Street, Charlevoix, MI 49720 | 2011-10-20 |
| 1164670949 | Northwest Michigan Community Health Agency | Hospice Care, Community Based | 220 W Garfield Street, Charlevoix, MI 49720 | 2008-09-04 |
| 1275722191 | Robert Dennis Cook | Pharmacist | 301 Bridge Street, Charlevoix, MI 49720 | 2007-10-16 |
| 1629191648 | Susan Mary Killam | Nurse Practitioner | Northwest Michigan Community Health Agency, 220 W. Garfield Street, Charlevoix, MI 49720 | 2007-04-06 |
| 1851410153 | Joelle M Beaudoin | Specialist/Technologist | 06510 M-66 N, Charlevoix, MI 49720 | 2007-03-28 |
| Find all providers in zip 49720 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972589489 | Memorial Medical Center of West Michigan | General Acute Care Hospital | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2005-12-16 |
| 1396732103 | West Branch Regional Medical Center | General Acute Care Hospital | 2463 S M 30, West Branch, MI 48661-9312 | 2005-10-06 |
| 1083010953 | Munson Healthcare Grayling | General Acute Care Hospital | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2014-11-05 |
| 1548662893 | Marquette General Hosptial-dlp | General Acute Care Hospital | 580 W College Ave, Marquette, MI 49855-2736 | 2014-09-18 |
| 1306277421 | Setu Sharma | General Acute Care Hospital | 234 Lake St, Roscommon, MI 48653-9203 | 2013-12-01 |
| 1184947756 | Huron Valley Sinai Hospital | General Acute Care Hospital | 1 William Carls Dr, Ohs, Commerce Township, MI 48382-2201 | 2010-03-10 |
| 1598099699 | Sturgis Hospital, Inc. | General Acute Care Hospital | 916 Myrtle St, Sturgis, MI 49091-2326 | 2009-09-23 |
| 1144479338 | Bell Memorial Hospital | General Acute Care Hospital | 101 S 4th St, Ishpeming, MI 49849-2151 | 2008-09-12 |
| 1881877819 | Alpena Regional Medical Center Behavioral Health Services | General Acute Care Hospital | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2007-12-13 |
| 1356565170 | Bronson Lakeview Hospital | General Acute Care Hospital | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2007-04-12 |
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| City | CHARLEVOIX |
| Zip Code | 49720 |
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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.