KELLY THOMAS (NPI# 1134761042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134761042 |
Entity Type | Individual |
Full Name | KELLY THOMAS |
Credential | MSN, AGPCNP-C |
Practice Address |
2540 16th St Port Huron MI 48060-6405 |
Practice Telephone | 8109871000 |
Mailing Telephone | 8109871000 |
Enumeration Date | 2019-10-11 |
Last Update Date | 2019-10-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704259921 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144782970 | Kelly L Thomas | Pediatrics | 10011 Ink Wells Dr, San Antonio, TX 78250-7011 | 2019-04-01 |
1295217909 | Kelly Thomas | Counselor | 293 Wilson St Fl 3, Manchester, NH 03103-5021 | 2018-08-30 |
1831448430 | Kelly Marie Thomas | Clinic/Center | 4877 Mission Street, San Francisco, CA 94112 | 2012-08-29 |
1942573324 | Kelly Ann Thomas | Health Educator | 2203 Alvin Ave, Baltimore, MD 21228-4731 | 2012-02-16 |
1275838302 | Kelly Marie Thomas | Nurse Practitioner | 300 Keisler Dr Ste 204, Cary, NC 27518-7083 | 2011-01-21 |
1194952440 | Kelly Elizabeth Thomas | Speech-Language Pathologist | 1106 E Santa Clara St, Ventura, CA 93001-3177 | 2009-06-14 |
1932334471 | Kelly Chirstine Thomas | Massage Therapist | 4430 Tropical Dr, Panama City, FL 32404-5201 | 2009-05-28 |
1356509111 | Kelly Thomas | Speech-Language Pathologist | 2811 W Huntsville Ave, Springdale, AR 72762-7736 | 2008-05-29 |
1790973196 | Kelly Latreece Thomas | Internal Medicine | 526 Kingwood Dr # 113, Kingwood, TX 77339-4473 | 2007-10-10 |
1508068347 | Kelly R. Thomas | Dentist | 12575 Sw 3rd St, Beaverton, OR 97005-0517 | 2007-06-04 |
Street Address |
2540 16TH ST |
City | PORT HURON |
State | MI |
Zip Code | 48060-6405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245235654 | John Imad Jarad | Internal Medicine | 2540 16th St, Port Huron, MI 48060-6405 | 2005-06-14 |
1437609781 | Port Huron Internal Medicine | Clinical Nurse Specialist | 2540 16th St, Port Huron, MI 48060-6405 | 2016-10-11 |
1154737609 | Anshum Goel Bhalla | Internal Medicine | 2540 16th St, Port Huron, MI 48060-6405 | 2014-07-04 |
1528252251 | Port Huron Internal Medicine Associates | Internal Medicine | 2540 16th St, Port Huron, MI 48060-6405 | 2007-09-06 |
1013983253 | Sara E Liter-kuester | Internal Medicine | 2540 16th St, Port Huron, MI 48060-6405 | 2006-02-27 |
1164423216 | Cheryl A Canto | Family Medicine | 2540 16th St, Port Huron, MI 48060-6405 | 2005-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
Find all providers in zip 48060 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942800768 | Yuri L Guzman | Nurse Practitioner | 795 N Ford Blvd, Ypsilanti, MI 48198-4116 | 2020-10-30 |
1144830803 | Robert Eugene Scribner IIi | Nurse Practitioner | 13913 Toepfer Rd, Warren, MI 48089-5842 | 2020-08-06 |
1124644661 | Denika Leflora Dalton | Nurse Practitioner | 5260 Fairway Trl, Grand Blanc, MI 48439-9445 | 2020-06-21 |
1780206995 | Jennifer Kay Marino | Nurse Practitioner | 20407 Mauer St, Saint Clair Shores, MI 48080-3789 | 2020-05-11 |
1720621709 | Kelsey Nicole Kloosterman | Nurse Practitioner | Susan P. Wheatlake Regional Cancer Center, 4499 220th Ave, Reed City, MI 49677 | 2019-10-23 |
1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
1306318498 | Ashley Marie Jacobson | Nurse Practitioner | 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 | 2018-12-30 |
1568931673 | Jennifer Lavigne | Nurse Practitioner | 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 | 2018-11-19 |
1134694292 | Sheryl Ann Newton | Nurse Practitioner | 810 W South St, Kalamazoo, MI 49007-4601 | 2018-10-04 |
1386123180 | Alison M Sesock | Nurse Practitioner | 5202 Miller Rd Ste B, Flint, MI 48507-1040 | 2018-08-13 |
Find all providers with the same taxonomy |
City | PORT HURON |
Zip Code | 48060 |
Please comment or provide details below to improve the information on KELLY THOMAS.
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.