KELSIE SMITH (NPI# 1881165835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881165835 |
Entity Type | Individual |
Full Name | KELSIE SMITH |
Credential | AGPCNP-BC |
Practice Address |
1201 E Michigan Ave Ste 300 Jackson MI 49201-1853 |
Mailing Address |
714 Henry St Apt 4 Ann Arbor MI 48104-4366 |
Practice Telephone | 5172051431 |
Mailing Telephone | 1269339792 |
Enumeration Date | 2018-12-16 |
Last Update Date | 2018-12-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2018015741 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932723855 | Kelsie Smith | Pharmacist | 2400 Michigan St, Sidney, OH 45365-9080 | 2020-06-05 |
1740818954 | Kelsie Marie Smith | Student in an Organized Health Care Education/Training Program | 624 E Front Ave, Spokane, WA 99202-2139 | 2020-04-01 |
Street Address |
1201 E MICHIGAN AVE STE 300 |
City | JACKSON |
State | MI |
Zip Code | 49201-1853 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942208749 | John J Walper Jr. | Orthopaedic Surgery | 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 | 2005-07-14 |
1669964243 | Nicole D Bristow | Physical Therapist | 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 | 2018-05-31 |
1972008415 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 | 2018-03-27 |
1639694292 | Dana Czekaj | Nurse Practitioner | 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 | 2017-08-04 |
1841746815 | Woodrow Holder IIi | Physician Assistant | 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 | 2016-08-30 |
1144685520 | Miga Smith | Physician Assistant | 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 | 2015-12-29 |
1013392547 | Caleb Baker | Physician Assistant | 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 | 2015-07-27 |
1740664218 | Eric Kalis | Nurse Practitioner | 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 | 2015-07-15 |
1033514997 | Ryan Rompola | Specialist/Technologist | 1201 E Michigan Ave Ste 300, Jackson, MI 49201 | 2014-11-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
Find all providers in zip 49201 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215537220 | John Franklin Niswonger | Nurse Practitioner | 861 Canyon Trl, Jackson, MO 63755-4001 | 2020-10-28 |
1902421746 | Rebecca Mcwhirter | Nurse Practitioner | 1512 Roswell Dr, Jackson, MS 39211-5928 | 2020-06-08 |
1023656642 | Nicole Lynn Mckee | Nurse Practitioner | 170 Bridge St, Jackson, OH 45640-1144 | 2019-12-13 |
1104387695 | Chatina Spears Martin | Nurse Practitioner | 308 Melba Hill Dr, Jackson, MS 39209-2833 | 2019-03-27 |
1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
1942649686 | Jennifer Annette Paulson | Nurse Practitioner | 113 W Michigan Ave Ste 201, Jackson, MI 49201-1340 | 2013-06-16 |
1770880171 | Tracy Little | Nurse Practitioner | 2782 N Highland Ave Ste C, Jackson, TN 38305-1797 | 2011-02-21 |
1750554267 | Barbara Darlington | Nurse Practitioner | 14 Abes Way, Jackson, NJ 08527-4440 | 2008-04-04 |
1902075401 | Dana Leanne Wilhite | Nurse Practitioner | 38 Abbey Pl, Jackson, TN 38305-1794 | 2008-02-28 |
1659550036 | Kristen Elizabeth Tweedy | Nurse Practitioner | 1100 E Michigan Ave Ste 307, Jackson, MI 49201-1850 | 2007-11-01 |
Find all providers in JACKSON |
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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.