KELLY SCOTT (NPI# 1144694290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144694290 |
| Entity Type | Individual |
| Full Name | KELLY SCOTT |
| Practice Address |
15959 Hall Rd #104 Macomb MI 48044-5363 |
| Practice Telephone | 5868842688 |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2016-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704212045 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336651645 | Kelly Scott | Dietitian, Registered | 827 Haymarket Pl, Fort Mill, SC 29708-6972 | 2017-10-26 |
| 1780939181 | Kelly Scott | Contractor | 3818 Brockett Trl, G, Clarkston, GA 30021-1562 | 2012-07-21 |
| 1285932020 | Kelly Lynn Scott | Licensed Practical Nurse | 816 Maple Ave, Sandusky, OH 44870-3252 | 2011-03-02 |
| 1548578867 | Kelly Scott | Pharmacist | 1930 University Ave, Oxford, MS 38655-4114 | 2010-09-21 |
| 1861520967 | Kelly Anne Scott | Occupational Therapist | 3111 Summerfield Dr, Louisville, KY 40220-3329 | 2007-03-01 |
| 1811030513 | Kelly Lynn Scott | Counselor | 1251 East Onstott Road, Yuba City, CA 95991-8828 | 2007-02-14 |
| 1730157454 | Kelly Aline Scott | Nurse Practitioner | 5821 Jameson Ct Ste 1, Carmichael, CA 95608 | 2006-03-09 |
| 1730666504 | Kelly Ann Scott | Pharmacist | 12001 Coastal Hwy, Ocean City, MD 21842-4720 | 2018-07-25 |
| 1477040921 | Kelly Scott | Student in an Organized Health Care Education/Training Program | 1313 21st Avenue S., 703 Oxford House, Nashville, TN 37232-4700 | 2018-04-19 |
| 1225544265 | Kelly Scott | Acupuncturist | 2308 Grays Ferry Ave, Philadelphia, PA 19146-1177 | 2017-12-28 |
| Street Address |
15959 HALL RD #104 |
| City | MACOMB |
| State | MI |
| Zip Code | 48044-5363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003817594 | Andrew Dean Scrogin | Internal Medicine | 15959 Hall Rd, Suite 210, Macomb, MI 48044-5363 | 2005-08-09 |
| 1194291260 | Rebecca Ingles | Speech-Language Pathologist | 15959 Hall Rd, Macomb, MI 48044-5363 | 2018-10-16 |
| 1427524545 | Amanda Marie Lambert | Speech-Language Pathologist | 15959 Hall Rd, Macomb, MI 48044-5363 | 2018-10-16 |
| 1932674595 | Erin Marchione | Occupational Therapist | 15959 Hall Rd, Macomb, MI 48044-5363 | 2018-10-10 |
| 1205323813 | Dana Reinhard | Physical Therapist | 15959 Hall Rd, Macomb, MI 48044-5363 | 2018-04-18 |
| 1932609583 | Ann Marie Vermeesch | Occupational Therapist | 15959 Hall Rd, Macomb, MI 48044-5363 | 2018-02-20 |
| 1396190070 | Margaret Klenner | Nurse Practitioner | 15959 Hall Rd, Suite 104, Macomb, MI 48044-5363 | 2016-04-29 |
| 1912375122 | Angela Valentina Viviano | Nurse Practitioner | 15959 Hall Rd, Suite 301, Macomb, MI 48044-5363 | 2015-09-03 |
| 1417374752 | Piero A. Simone, M.d., P.C. | Eyewear Supplier (Equipment, not the service) | 15959 Hall Rd, Suite 202, Macomb, MI 48044-5363 | 2014-03-25 |
| 1497028260 | Teressa Carol Kuz | Nurse Practitioner | 15959 Hall Rd, Suite 301, Macomb, MI 48044-5363 | 2012-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925788 | Karen Wetzel | Social Worker | 47567 Dennis Baert Dr, Macomb, MI 48044 | 2018-06-09 |
| 1225541956 | Paul John Andary Jr. | Student in an Organized Health Care Education/Training Program | 48599 Penrose Ln, Macomb, MI 48044 | 2017-11-16 |
| 1467972869 | Theresa Lynn Cipponeri | Social Worker | 17937 Hall Road, Macomb, MI 48044 | 2017-06-27 |
| 1407389570 | Nofal Cholag | Pharmacist | 50340 Nesting Ridge Dr, Macomb, MI 48044 | 2017-04-06 |
| 1043754914 | Magdalena Sosnowski | Registered Nurse | 47362 Whippoorwill Dr, Macomb, MI 48044 | 2016-12-13 |
| 1558716894 | Keith Edward Callewaert | Emergency Medical Technician, Paramedic | 48301 Tonawonda Dr, Macomb, MI 48044 | 2016-04-24 |
| 1942684741 | Isabella Scofield | Family Medicine | 46591 Romeo Plank Rd Ste 200, Macomb, MI 48044 | 2015-07-13 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1699118455 | Kostyantyn Shkilnyy | Massage Therapist | 48254 Ellington Drive, Macomb Township, MI 48044 | 2013-04-11 |
| 1962790097 | Daniel Agrusa | Audiologist | 49306 Flint Ct., Macomb, MI 48044 | 2011-07-11 |
| Find all providers in zip 48044 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687785 | Catherine Therese Ensworth | Nurse Practitioner | 50721 Pinnacle Woods Ln, Macomb, MI 48042-5535 | 2020-07-24 |
| 1831734433 | Heather Daiza | Nurse Practitioner | 45649 Heather Ridge Dr, Macomb, MI 48044-4073 | 2019-11-07 |
| 1366092884 | Dana Marie Tozzi | Nurse Practitioner | 20264 Alexander Dr, Macomb, MI 48044-5939 | 2019-09-17 |
| 1821561838 | Francesca Vallin Qualls | Nurse Practitioner | 18048 Crystal River Dr, Macomb, MI 48042-6177 | 2019-01-03 |
| 1295224517 | Laura Maranville | Nurse Practitioner | 433 N Johnson St, Macomb, IL 61455-1420 | 2018-05-02 |
| 1861817348 | Lena Antoski | Nurse Practitioner | 56491 Broadmoor Ln, Macomb, MI 48042-1193 | 2014-02-20 |
| 1922004332 | Susan Adams | Nurse Practitioner | 1600 E Jackson St, Macomb, IL 61455-2530 | 2005-06-22 |
| 1174087829 | Bashar Sileewa | Nurse Practitioner | 21840 23 Mile Rd, Macomb, MI 48042-4422 | 2019-01-28 |
| 1376920819 | Lawrence Holloway IIi | Nurse Practitioner | 46591 Romeo Plank Rd Ste 133, Macomb, MI 48044-5705 | 2015-05-05 |
| 1730515578 | Kirsten Diane Clerkin | Nurse Practitioner | 505 E Grant St, Macomb, IL 61455-3352 | 2013-09-25 |
| Find all providers in MACOMB | ||||
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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.