MS. SHELLY CROMERKENNEDY (NPI# 1265033831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265033831 |
| Entity Type | Individual |
| Full Name | MS. SHELLY CROMERKENNEDY |
| Other Name | MS. SHELLY CROMER |
| Credential | RN |
| Practice Address |
14583 Archdale St Detroit MI 48227-1441 |
| Mailing Address |
3200 Greenfield Rd Ste 200 Dearborn MI 48120-1802 |
| Practice Telephone | 2482006290 |
| Mailing Telephone | 2482006290 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
4704259456 | MI | Nursing Service Providers |
| Street Address |
14583 ARCHDALE ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48227-1441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215493549 | Sammie Edwards | Counselor | 15734 Sussex St, Detroit, MI 48227 | 2019-02-12 |
| 1124505698 | Unique Home of Love | Home Health | 15380 Snowden St, Detroit, MI 48227 | 2018-07-26 |
| 1386150977 | Saterra Squalls | Licensed Practical Nurse | 202048 Wyoming St., Detroit, MI 48227 | 2017-12-19 |
| 1952822967 | Extremely Blessed LLC | Non-emergency Medical Transport (VAN) | 11341 Longacre, Detroit, MI 48227 | 2017-06-29 |
| 1669920070 | Gina Clark-alexander | Technician, Other | 14271 Coyle St, Detroit, MI 48227 | 2016-09-14 |
| 1619423613 | Rala Jenice Ford | Behavioral Analyst | 15461 Whitcomb, Detroit, MI 48227 | 2016-08-30 |
| 1376927442 | Rena Adell Jackson | Homeopath | 14881greenfield Rd, Detroit, MI 48227 | 2015-07-17 |
| 1104226786 | Loving Heart Home Care | In Home Supportive Care | 12875 Archdale, Detroit, MI 48227 | 2014-09-02 |
| 1205265709 | Edward Cornelius Simmons | Massage Therapist | 15756 Forrer Street, Detroit, MI 48227 | 2013-11-05 |
| 1851641286 | Green Meadows Outreach Ministries | Case Management | 15901 Rutherford Street, Detroit, MI 48227 | 2012-09-13 |
| Find all providers in zip 48227 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235674870 | Debora Ruckes Curtis | Registered Nurse | 18932 Pennington Dr, Detroit, MI 48221-2168 | 2017-01-05 |
| 1689725020 | Parthenia Henry | Registered Nurse | 3681 Preston St, Detroit, MI 48207-2447 | 2007-01-14 |
| 1730296070 | Donna Nealous Brown | Registered Nurse | 603 E Philadelphia St, Detroit, MI 48202-2224 | 2006-08-24 |
| 1588285084 | Jerome E Colon | Registered Nurse | 4646 John R St, Detroit, MI 48201-1916 | 2020-05-06 |
| 1760011472 | Audrey Elizabeth Hua | Registered Nurse | 5557 Cass Ave, Detroit, MI 48202-3615 | 2020-04-04 |
| 1184265639 | Andrea Michelle Marshall-diver | Registered Nurse | 2925 Russell St, Detroit, MI 48207 | 2019-10-07 |
| 1104486877 | Lauren Alexis Kalliantasis | Registered Nurse | 22101 Moross Rd, Detroit, MI 48236-2148 | 2019-06-16 |
| 1336640903 | Tanika Arnold | Registered Nurse | 19940 Conant St, Detroit, MI 48234-1494 | 2018-02-28 |
| 1588905830 | Gwen Lee | Registered Nurse | 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 | 2013-03-12 |
| 1659665370 | Elizabeth Abraham Koyithot | Registered Nurse | 1 Ford Pl, Henry Ford Hospital, Detroit, MI 48202-3450 | 2011-05-31 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on MS. SHELLY CROMERKENNEDY.
| 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.