KELSEY NICOLE KLOOSTERMAN (NPI# 1720621709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720621709 |
| Entity Type | Individual |
| Full Name | KELSEY NICOLE KLOOSTERMAN |
| Other Name | KELSEY NICOLE LAMER |
| Credential | NP |
| Practice Address |
Susan P. Wheatlake Regional Cancer Center 4499 220th Ave Reed City MI 49677 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 2318327105 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704299879 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
SUSAN P. WHEATLAKE REGIONAL CANCER CENTER 4499 220TH AVE |
| City | REED CITY |
| State | MI |
| Zip Code | 49677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467967950 | Hope Primary and Urgent Care of Reed City Pllc | Clinic/Center | 4361 200th Ave, Reed City, MI 49677 | 2017-12-06 |
| 1285033399 | William David Evans | Pharmacist | 300 N Chestnut, Reed City, MI 49677 | 2014-08-14 |
| 1083039366 | Reed City Dental Health Care Associates, PC | Dentist | 21839 N. Park St, Reed City, MI 49677 | 2014-02-24 |
| 1437383429 | Allen Chiropractic Health Center | Chiropractor | 21717 Howard St, Reed City, MI 49677 | 2009-05-06 |
| 1891947149 | Jerilyn Ann Taylor | Social Worker | 4473 220th Ave., Reed City, MI 49677 | 2008-10-17 |
| 1508950734 | Carl J Kubek | Radiology | 300 N Patterson, Reed City, MI 49677 | 2006-10-03 |
| 1588777429 | Professional Rehab Services Inc. | Clinic/Center | 207 S. Chestnut, Suite B, Reed City, MI 49677 | 2006-08-16 |
| 1417964297 | Lawrence Schappa | Obstetrics & Gynecology | 300 N Patteron, Reed City, MI 49677 | 2006-08-02 |
| 1912975665 | Craig R Witbeck | Physical Therapist | 207 S Chestnut St, Ste B, Reed City, MI 49677 | 2006-03-09 |
| 1235491879 | Trisha L Jadhav | Counselor | 4473 220th Ave, Reed City, MI 49677 | 2012-06-11 |
| Find all providers in zip 49677 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800768 | Yuri L Guzman | Nurse Practitioner | 795 N Ford Blvd, Ypsilanti, MI 48198-4116 | 2020-10-30 |
| 1144830803 | Robert Eugene Scribner IIi | Nurse Practitioner | 13913 Toepfer Rd, Warren, MI 48089-5842 | 2020-08-06 |
| 1124644661 | Denika Leflora Dalton | Nurse Practitioner | 5260 Fairway Trl, Grand Blanc, MI 48439-9445 | 2020-06-21 |
| 1780206995 | Jennifer Kay Marino | Nurse Practitioner | 20407 Mauer St, Saint Clair Shores, MI 48080-3789 | 2020-05-11 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1306318498 | Ashley Marie Jacobson | Nurse Practitioner | 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 | 2018-12-30 |
| 1568931673 | Jennifer Lavigne | Nurse Practitioner | 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 | 2018-11-19 |
| 1134694292 | Sheryl Ann Newton | Nurse Practitioner | 810 W South St, Kalamazoo, MI 49007-4601 | 2018-10-04 |
| 1386123180 | Alison M Sesock | Nurse Practitioner | 5202 Miller Rd Ste B, Flint, MI 48507-1040 | 2018-08-13 |
| 1851886220 | Laura Maclam | Nurse Practitioner | 524 Marywood Dr Ne, Grand Rapids, MI 49505-4149 | 2018-06-27 |
| Find all providers with the same taxonomy | ||||
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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.