KELSIE SMITH


Address: 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853
Phone: 5172051431

KELSIE SMITH (NPI# 1881165835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Providers KELSIE SMITH

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

Office Location

Street Address 1201 E MICHIGAN AVE STE 300
City JACKSON
State MI
Zip Code 49201-1853

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City JACKSON
Zip Code 49201

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Dataset Information

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.

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