DELASANDRA KELLY (NPI# 1093172710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093172710 |
| Entity Type | Individual |
| Full Name | DELASANDRA KELLY |
| Credential | LLBSW |
| Practice Address |
331 High St Benton Harbor MI 49022-4523 |
| Practice Telephone | 2694197709 |
| Mailing Telephone | 2694197709 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
331 HIGH ST |
| City | BENTON HARBOR |
| State | MI |
| Zip Code | 49022-4523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023558780 | A Beautiful Mind LLC | Home Health | 331 High St, Benton Harbor, MI 49022-4523 | 2017-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852438 | Heather A Harrison | Pharmacist | 1485 S M139, Benton Harbor, MI 49022 | 2017-10-17 |
| 1013426220 | Valerie Fulton | Chore Provider | 2457 Plaza Dr, Benton Harbor, MI 49022 | 2017-09-20 |
| 1124544101 | Felecia Howell | Social Worker | 1485 M139, Benton Harbor, MI 49022 | 2017-08-21 |
| 1548797848 | Lauren Elise Midkiff | Social Worker | 1485 M-139, Benton Harbor, MI 49022 | 2017-05-17 |
| 1780130419 | Jennifer Hoover | Pharmacist | 1701 M-139, Benton Harbor, MI 49022 | 2016-09-01 |
| 1841646395 | Josefina Pena-ogando | Counselor | 185 E Main St Ste 402, Benton Harbor, MI 49022 | 2016-05-13 |
| 1295116648 | Claudia Olivia Pozo | Counselor | 1458 M 139, Benton Harbor, MI 49022 | 2015-06-11 |
| 1063809515 | Patrick K Hanlin | Counselor | 800 M- 139, Benton Harbor, MI 49022 | 2015-04-22 |
| 1912280835 | Kimberly Anne Hardt | Pharmacist | 875 E.napier, Benton Harbor, MI 49022 | 2011-09-27 |
| 1407150279 | Ldbh, LLC | Clinic/Center | 338 8th Street, Benton Harbor, MI 49022 | 2011-01-07 |
| Find all providers in zip 49022 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639527112 | Tanya L Jackson | Technician, Other | 1220 Pearl St, Benton Harbor, MI 49022-5539 | 2016-05-25 |
| 1508211301 | Denise Thrower | Technician, Other | 1156 Pearl St, Benton Harbor, MI 49022-5537 | 2016-04-29 |
| 1205219656 | Kathleen Hill | Technician, Other | 1965 Ogden Ave, Benton Harbor, MI 49022-6540 | 2015-07-02 |
| 1164809935 | Deidre Fields | Technician, Other | 630 Thresher Ave, Benton Harbor, MI 49022-3334 | 2015-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321200 | Jamie Price-tober | Technician, Other | 4777 Spitler Dr, Bay City, MI 48706-9498 | 2020-09-22 |
| 1043824535 | Audrey E Carlson | Technician, Other | 5 Skyhaven Ct, Saginaw, MI 48604-1820 | 2020-09-02 |
| 1417569666 | Nicole Gainforth | Technician, Other | 610 Hickory Ct, Sebewaing, MI 48759-1413 | 2020-08-19 |
| 1205447364 | Bryan David Wilkinson | Technician, Other | 153 E Auburn Trl, Brighton, MI 48114-5011 | 2020-08-12 |
| 1104442656 | Meredith Sparks | Technician, Other | 1053 Kirk Dr Se, Grand Rapids, MI 49546-3740 | 2020-06-21 |
| 1487276366 | Sarah Zimmerman | Technician, Other | 2341 Valleywood Dr Se Apt L12, Grand Rapids, MI 49546-7707 | 2020-05-13 |
| 1649890096 | Justice Kristina-marie Bass | Technician, Other | 401 E Willard Ave Apt 4, Lansing, MI 48910-3078 | 2020-04-24 |
| 1609400522 | Vickie Gaines | Technician, Other | 28096 Palomino Dr, Warren, MI 48093-4232 | 2020-02-29 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1376182766 | Katie Marie Morton | Technician, Other | 3210 Elnor Dr, Gladwin, MI 48624-8366 | 2020-01-02 |
| Find all providers with the same taxonomy | ||||
| City | BENTON HARBOR |
| Zip Code | 49022 |
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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.