MICHELLE JAYME KLOSS (NPI# 1740842657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740842657 |
| Entity Type | Individual |
| Full Name | MICHELLE JAYME KLOSS |
| Credential | DNP, APRN, AGNP-BC |
| Practice Address |
231 W Pine Lake Dr Newaygo MI 49337-9264 |
| Mailing Address |
10700 Trailside Woods Dr Ne Rockford MI 49341-7213 |
| Practice Telephone | 2316524107 |
| Practice Fax Number | 2316524620 |
| Mailing Telephone | 6162062784 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704309389 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
231 W PINE LAKE DR |
| City | NEWAYGO |
| State | MI |
| Zip Code | 49337-9264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477690428 | Grandview Foot and Ankle PC | Podiatrist | 231 W Pine Lake Dr, Suite Number 102, Newaygo, MI 49337-8028 | 2007-01-31 |
| 1568075364 | Lucille Yurko Vanderwoude | Nurse Practitioner | 231 W Pine Lake Dr, Newaygo, MI 49337-9264 | 2020-08-31 |
| 1427598713 | Community Pace At Home, Inc | PACE Provider Organization | 231 W Pine Lake Dr, Newaygo, MI 49337-9264 | 2017-03-06 |
| 1891100475 | Kay Cole | Social Worker | 231 W Pine Lake Dr, Newaygo, MI 49337-8028 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558907824 | Community Hospice, Inc | Hospice Care, Community Based | 181 West River Valley, Newaygo, MI 49337 | 2019-11-21 |
| 1295289973 | Kayla Rose Smith | Social Worker | 232 E 82nd St., Newaygo, MI 49337 | 2016-08-10 |
| 1952674954 | Herminigilda Dadulia Delantar | Physical Therapist | 211 W Pine Lake Drive, Newaygo, MI 49337 | 2012-02-22 |
| 1194982355 | Gale Ann Beach | Social Worker | 12 W Wood, Newaygo, MI 49337 | 2008-05-16 |
| 1275652224 | Jackie Ann Malsom | Social Worker | 12 West Wood, Newaygo, MI 49337 | 2007-03-29 |
| 1841318755 | Joyce Marie Dykstra | Psychologist | 12 W Wood St, Newaygo, MI 49337 | 2007-03-27 |
| 1689726531 | Ronald Paul Leyder | Dentist | 7166 S Croton Hardy Drive, Newaygo, MI 49337 | 2007-01-18 |
| 1356434849 | Melinda Meendering | Physical Therapist | 194 E 82nd St, Newaygo, MI 49337 | 2006-10-02 |
| 1528168929 | Susan Magee Wente | Advanced Practice Midwife | 116 W Northland Drive, Newaygo, MI 49337 | 2006-09-25 |
| 1043263825 | Shopko Stores Operating Co LLC | Pharmacy | 91 Pine Lake Dr, Newaygo, MI 49337 | 2006-05-19 |
| Find all providers in zip 49337 | ||||
| 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 |
| 1720621709 | Kelsey Nicole Kloosterman | Nurse Practitioner | Susan P. Wheatlake Regional Cancer Center, 4499 220th Ave, Reed City, MI 49677 | 2019-10-23 |
| 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 |
| 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.