MRS. ELISHIA M. KELLEY (NPI# 1790013290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790013290 |
| Entity Type | Individual |
| Full Name | MRS. ELISHIA M. KELLEY |
| Other Name | ELISHIA MARIE SPITLER |
| Credential | APN, NNP-BC |
| Practice Address |
5301 Mcauley Dr Ypsilanti MI 48197-1051 |
| Mailing Address |
Po Box 446 Ann Arbor MI 48106-0446 |
| Practice Telephone | 7347123325 |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2016-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
4704246715 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
209010253 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5301 MCAULEY DR |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629066535 | Marla C Mikelait | Pediatrics | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2005-10-13 |
| 1790301638 | Amy Nicole Wiechec | Registered Nurse | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2020-06-16 |
| 1982228151 | Lauren Patricia Williams | Physician Assistant | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2020-06-03 |
| 1225659196 | Hannah Rose Miller | Physician Assistant | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2020-05-02 |
| 1841811825 | Mercedes Bakian | Registered Nurse | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2020-05-01 |
| 1073152617 | Kayla Lynne Prasch | Nurse Practitioner | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2019-12-30 |
| 1174162150 | Najwan Raban | Nurse Anesthetist, Certified Registered | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2019-12-23 |
| 1528606589 | Marissa Stromberg | Nurse Anesthetist, Certified Registered | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2019-12-20 |
| 1861037251 | Suzanne Rado Carlisle | Registered Nurse | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2019-11-09 |
| 1922654821 | Janelle Jean Davis | Physician Assistant | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2019-08-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
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| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659886083 | Stephanie M Jay | Nurse Practitioner | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2017-12-07 |
| 1558735712 | Katherine Chloe Taylor Hillig | Nurse Practitioner | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2015-11-25 |
| 1952779431 | Ashley Whitfield | Nurse Practitioner | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2015-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497248223 | Karen Elizabeth Strauel | Nurse Practitioner | 7131 Houghton Dr, Davison, MI 48423-2335 | 2018-06-06 |
| 1366848053 | Rachel O'neil | Nurse Practitioner | 41054 Williamsburg Blvd, Canton, MI 48187-3878 | 2014-11-07 |
| 1790113223 | Kathy Biehl Kelly | Nurse Practitioner | 3355 Morningview Terrace, Bloomfield Hills, MI 48301 | 2013-10-18 |
| 1740544204 | Edith Ann Bardzilowski | Nurse Practitioner | 7393 N Seymour Rd, Flushing, MI 48433-9265 | 2012-06-29 |
| 1437313020 | Patricia Ann Atkins | Nurse Practitioner | 5473 Hillsboro Ct, Commerce Twp, MI 48382-5135 | 2008-07-14 |
| 1407995459 | Stacey Elizabeth Tilbury | Nurse Practitioner | 1500 E Medical Center, 5th Floor Mott Hospital Rm F5790, Ann Arbor, MI 48109-5254 | 2007-02-06 |
| 1386245967 | Ashley Nicole Heffner | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2020-11-02 |
| 1487260030 | Jessica Lee Moret | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-18 |
| 1447866215 | Marisa Mcalister | Nurse Practitioner | 16001 W 9 Mile Rd, Southfield, MI 48075-4803 | 2020-09-17 |
| 1629695218 | Jillian Arlene Morris | Nurse Practitioner | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-29 |
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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.