KELLY ANN RICE (NPI# 1104864222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104864222 |
| Entity Type | Individual |
| Full Name | KELLY ANN RICE |
| Credential | NP MSN |
| Practice Address |
4160 John R St Suite 724 Detroit MI 48201 |
| Mailing Address |
4160 John R St Suite 724 Detroit MI 48201-2014 |
| Practice Telephone | 3139937777 |
| Practice Fax Number | 3139932563 |
| Mailing Telephone | 3138328888 |
| Mailing Fax Number | 3138324988 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 4704220636 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704220636 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386128197 | Kelly Rice | Behavioral Analyst | 1094 Orchard Rd, Lafayette, CA 94549-3147 | 2018-09-18 |
| 1215418397 | Kelly Rice | Physician Assistant | 3053 Medical Center Pkwy Ste F, Murfreesboro, TN 37129-4186 | 2018-08-27 |
| 1003052671 | Kelly Lynn Rice | Counselor | 106 Whippoorwill Dr, Livingston, TX 77351-3465 | 2009-01-01 |
| 1760567796 | Kelly L. Rice | Occupational Therapist | 1015 Tiverton Rd, Mechanicsburg, PA 17050-7699 | 2006-10-26 |
| 1346471851 | Kelly Ann Rice | Nurse Practitioner | 535 Main St, Olean, NY 14760-1500 | 2009-07-31 |
| 1891992715 | Kelly J Rice | Occupational Therapist | 6135 Roosevelt Hwy, Warm Springs, GA 31830 | 2007-07-03 |
| 1316015787 | Kelly Rice | Marriage & Family Therapist | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2006-12-01 |
| 1437237112 | Kelly Rice | Speech-Language Pathologist | 520 N Main St, Belen, NM 87002-3720 | 2006-11-01 |
| Street Address |
4160 JOHN R ST SUITE 724 |
| City | DETROIT |
| State | MI |
| Zip Code | 48201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508864240 | Uma D Gorrepati | Internal Medicine | 4160 John R St, Suite 730, Detroit, MI 48201-2020 | 2005-07-07 |
| 1306466826 | Joseph Trak | Student in an Organized Health Care Education/Training Program | 4160 John R St, Suite 615, Detroit, MI 48201 | 2020-04-24 |
| 1437717097 | Fauzia Zubair Arain | Student in an Organized Health Care Education/Training Program | 4160 John R St, Detroit, MI 48201-2020 | 2019-05-30 |
| 1821520495 | Yang Liu | Student in an Organized Health Care Education/Training Program | 4160 John R St, Suite 615, Detroit, MI 48201-2020 | 2017-04-01 |
| 1053859256 | Karin Calviti | Audiologist | 4160 John R St, Detroit, MI 48201-2020 | 2017-02-07 |
| 1932551348 | Ayman Abulawi | Student in an Organized Health Care Education/Training Program | 4160 John R St, Suite 510, Detroit, MI 48201-2020 | 2016-07-09 |
| 1407204027 | Amir Laktineh | Student in an Organized Health Care Education/Training Program | 4160 John R St, 510, Detroit, MI 48201-2020 | 2016-05-25 |
| 1801243548 | Mohannad Alhasani | Internal Medicine | 4160 John R St, Suite 510, Detroit, MI 48201-2020 | 2016-05-23 |
| 1073976353 | Catherine Peterson | Student in an Organized Health Care Education/Training Program | 4160 John R St, Suite 930, Detroit, MI 48201-2020 | 2016-04-03 |
| 1598128902 | Aubrey Brian Allen | Student in an Organized Health Care Education/Training Program | 4160 John R St, 1021, Detroit, MI 48201-2020 | 2016-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205293057 | Karen Milana | Nurse Practitioner | 201 E Kirby St, Detroit, MI 48202-4048 | 2016-01-25 |
| 1568858793 | Michelle Wagner-smith | Nurse Practitioner | John D. Dingell Vamc, 4646 John R Street, Detroit, MI 48201-1916 | 2015-04-14 |
| 1477836419 | Helene June Krouse | Nurse Practitioner | 5557 Cass Ave, Cohn 146, Detroit, MI 48202-3615 | 2011-09-26 |
| 1639466055 | Wsu Physician Group | Nurse Practitioner | 4201 St. Antoine - University Health Center, Pod 5a, Detroit, MI 48201 | 2011-07-06 |
| 1356595441 | Danyelle Syvette Armour | Nurse Practitioner | 6001 W. Outer Drive, Suite 207, Detroit, MI 48235 | 2008-11-17 |
| 1023172699 | Theresa Marie Cirocco | Nurse Practitioner | 2799 W Grand Blvd Rm E235, Detroit, MI 48202-2608 | 2006-12-20 |
| 1336226422 | Naima Latriese Ogletree | Nurse Practitioner | 2799 W Grand Blvd # Cfp-547, Detroit, MI 48202-2608 | 2006-11-01 |
| 1982642054 | Kelly K Wietecha | Nurse Practitioner | Harper Professional Bldg Ste 1007, 4160 John R, Detroit, MI 48201 | 2006-06-02 |
| 1023055019 | Lisa Binns-emerick | Nurse Practitioner | 4201 St Antoine Ste 5b, Drh Rosa Parks Wellness Institute for Sr Health, Detroit, MI 48201 | 2006-05-31 |
| 1104863000 | Rebecca Hunnicutt Farren | Nurse Practitioner | Childrens Hospital Mi Pediatric Administration, 3901 Beaubien, Detroit, MI 48201 | 2006-05-31 |
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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.