LUCAS DAVID KELLEY (NPI# 1255789145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255789145 |
| Entity Type | Individual |
| Full Name | LUCAS DAVID KELLEY |
| Practice Address |
668 3 Mile Ave Nw Suite 2 Grand Rapids MI 49544 |
| Mailing Address |
728 Prospect Ave Se Grand Rapids MI 49503-5344 |
| Practice Telephone | 8104448317 |
| Mailing Telephone | 8104448317 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2017-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | MI | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
668 3 MILE AVE NW SUITE 2 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
| 1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
| 1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
| 1427221357 | Jacqueline Ann Morse | Pharmacist | 2350 3 Mile Rd, Grand Rapids, MI 49544 | 2008-04-11 |
| Find all providers in zip 49544 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1497217343 | Tegan Jackson | Technician, Other | 1823 Francis Ave Se, Grand Rapids, MI 49507-2418 | 2019-04-01 |
| 1710442256 | Nancy Higgins | Technician, Other | 4031 Woodland Creek Dr Se Apt 204, Grand Rapids, MI 49512-8330 | 2019-02-08 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1891236626 | Laura Weatherell | Technician, Other | 1192 Edna St Se, Grand Rapids, MI 49507-3707 | 2017-03-13 |
| 1093251696 | Cindy Boersema | Technician, Other | 2184 Woodcliff Ave Se, Grand Rapids, MI 49546-5711 | 2017-01-06 |
| 1669916987 | Andria K Zwerk | Technician, Other | 323 Manzana Ct Nw, 1c, Grand Rapids, MI 49534-8430 | 2016-12-05 |
| 1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
| 1821548439 | Lyla Whitney | Technician, Other | 2017 Edgewood Ave Ne, Grand Rapids, MI 49505-4217 | 2016-10-06 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
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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.