THERESA ANN KISSCORNI (NPI# 1730710203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730710203 |
| Entity Type | Individual |
| Full Name | THERESA ANN KISSCORNI |
| Practice Address |
3097 Prairie St Sw Grandville MI 49418-2000 |
| Mailing Address |
290 Suncrest Ct Sw Grandville MI 49418-3211 |
| Practice Telephone | 6165319973 |
| Mailing Telephone | 9893929691 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
4704273648 | MI | Nursing Service Providers |
| Street Address |
3097 PRAIRIE ST SW |
| City | GRANDVILLE |
| State | MI |
| Zip Code | 49418-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649257734 | Treece Home Care Inc | Home Health | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2005-12-29 |
| 1568095412 | Patricia Lynn Reed | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-19 |
| 1326671868 | Julie A Langerak | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-12 |
| 1679105381 | Jackie A Bouwman | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-11 |
| 1891327433 | Kristen Gray | Physical Therapist | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-11 |
| 1174155048 | Esmeralda Mclenithan | Licensed Practical Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-10 |
| 1578195327 | Louise Iveren Orkar | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-10 |
| 1396377230 | Jenna Kandow | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-09 |
| 1629600549 | Mary Ann Driggers | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-08 |
| 1962034850 | Kelly Ellen Dewent | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144799669 | Holly Cieslinski | Occupational Therapist | 3550 Fairlines Ave, Grandville, MI 49418 | 2018-11-14 |
| 1639664857 | Athletico Ltd | Physical Therapist | 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418 | 2018-06-29 |
| 1437651916 | Great Lakes Wellness Counseling LLC | Counselor | 2900 Wilson Ave Suite 110, Grandville, MI 49418 | 2018-03-01 |
| 1780111765 | Jenna Sargent | Nurse Practitioner | 2845 44th St Sw, Ste 200, Grandville, MI 49418 | 2017-05-22 |
| 1881132827 | Laura Elizabeth Ramaker | Specialist/Technologist | 2787 Pine Dunes Ct Sw, Wyoming, MI 49418 | 2017-02-10 |
| 1689026130 | Charles Unseld | Hearing Instrument Specialist | O-38 44th St Sw, Grandville, MI 49418 | 2016-07-08 |
| 1972989655 | Laci Dawn Johncock | Physical Therapy Assistant | 2786 56th Street, Wyoming, MI 49418 | 2015-08-05 |
| 1891178570 | Joshua Kolman | Pharmacist | 3434 Century Center Dr Sw, Grandville, MI 49418 | 2015-06-30 |
| 1710368782 | Tracie Medrano- Smith | Family Medicine | 4174 56th St Sw, Wyoming, MI 49418 | 2015-06-15 |
| 1124410808 | Kim Michelle Childress | Counselor | 4565 Wilson Ave Sw Ste 3a, Grandville, MI 49418 | 2015-03-04 |
| Find all providers in zip 49418 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558827626 | Margaret M Makowski | Registered Nurse | 3101 Prairie St Sw, Grandville, MI 49418-2047 | 2019-02-14 |
| 1336771385 | Vivian Bernell Glowinski | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-07 |
| 1578195731 | Jane Catherine Scannell | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-06 |
| 1750913190 | Mary Lynn Vos | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-04 |
| 1669004008 | Hannah Claire Huizingh | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-04 |
| 1184256588 | Roxanne Zuidema | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-04 |
| 1215569611 | Mary Katherine Warwick | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-04 |
| 1760013213 | Mary Anne Cary | Registered Nurse | 3101 Prairie St Sw, Grandville, MI 49418-2047 | 2020-02-03 |
| 1538790035 | Richard Sieting | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605619 | Felicia Simmons | Registered Nurse | 16861 Lesure St, Detroit, MI 48235-4012 | 2020-09-25 |
| 1730796764 | Rebekah J Trivilino | Registered Nurse | 619 W Houstonia Ave, Royal Oak, MI 48073-4083 | 2020-09-24 |
| 1508473653 | Latoia Pharr | Registered Nurse | 22162 Gascony Ave # L, Eastpointe, MI 48021-2574 | 2020-09-23 |
| 1093332843 | Laurence Stephen Reuben | Registered Nurse | 26070 Radclift Pl, Oak Park, MI 48237-1047 | 2020-06-28 |
| 1770105389 | Shanita Blevins | Registered Nurse | 19962 Ferguson St, Detroit, MI 48235-2431 | 2020-05-18 |
| 1558980862 | Kyesha Noble | Registered Nurse | 545 Abbey St Apt G, Muskegon, MI 49442-2155 | 2020-04-16 |
| 1568095222 | Leslie Kidd | Registered Nurse | 8904 Cedar Lake Dr, Jenison, MI 49428-9462 | 2020-02-20 |
| 1164054086 | Brenda S Vanaanhold | Registered Nurse | 643 Lynn Kay Dr Sw, Byron Center, MI 49315-8995 | 2020-02-08 |
| 1891334074 | Lachelle Sophia Carroll | Registered Nurse | 14046 Stahelin Ave, Detroit, MI 48223-2985 | 2020-01-05 |
| 1134777592 | Alicia Marie Gregg | Registered Nurse | 6024 Walton Rd, Kingsley, MI 49649-9275 | 2019-08-29 |
| Find all providers with the same taxonomy | ||||
| City | GRANDVILLE |
| Zip Code | 49418 |
Please comment or provide details below to improve the information on THERESA ANN KISSCORNI.
| 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.