MRS. KELLY TREADWAY (NPI# 1881115764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881115764 |
| Entity Type | Individual |
| Full Name | MRS. KELLY TREADWAY |
| Credential | DNP, RN, AGNP-C |
| Practice Address |
8275 Holly Rd Ste 1 Grand Blanc MI 48439-2442 |
| Mailing Address |
8275 Holly Rd Suite 1 Grand Blanc MI 48439-2442 |
| Practice Telephone | 8106030990 |
| Mailing Telephone | 8106030990 |
| Mailing Fax Number | 8106031678 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704265942 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704265942 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704265942 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8275 HOLLY RD STE 1 |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376053801 | Daros Alternative, Plc | Clinic/Center | 8275 Holly Rd Ste 1, Grand Blanc, MI 48439-2442 | 2017-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349732 | Nicholas Beaver | Nurse Practitioner | 3399 Pollock Rd Ste A, Grand Blanc, MI 48439-8395 | 2019-11-05 |
| 1770096125 | Emily Lynn Roberts | Nurse Practitioner | 1 Genesys Pkwy Ste 2620, Grand Blanc, MI 48439-8065 | 2017-11-08 |
| 1962014670 | Heather Cravener | Nurse Practitioner | 4632 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2020-08-24 |
| 1851950034 | Emilie Anne Davis | Nurse Practitioner | 600 Health Park Blvd Ste G, Grand Blanc, MI 48439-2558 | 2019-06-11 |
| 1043778699 | Natalie Gomez-evans | Nurse Practitioner | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2019-03-02 |
| 1851870109 | Lisa Bentley | Nurse Practitioner | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2018-08-08 |
| 1275984809 | Christopher Naismith | Nurse Practitioner | 9450 S Saginaw Rd Ste E, Grand Blanc, MI 48439-8206 | 2016-06-24 |
| 1114374691 | Brianne Frankini | Nurse Practitioner | 2313 E Hill Rd, Grand Blanc, MI 48439-5059 | 2016-05-16 |
| 1174932594 | Erika Kristine Haddon | Nurse Practitioner | 414 Perry Rd, Grand Blanc, MI 48439-1467 | 2014-08-11 |
| 1104236249 | Ascension Genesys Hospital | Nurse Practitioner | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2014-04-29 |
| Find all providers in GRAND BLANC | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
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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.