MS. KYRA MONIQUE SHIVELY (NPI# 1295249415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295249415 |
| Entity Type | Individual |
| Full Name | MS. KYRA MONIQUE SHIVELY |
| Practice Address |
3205 Supply Rd Traverse City MI 49696-9486 |
| Mailing Address |
3049 Crimson Ranch Ln Traverse City MI 49685-9767 |
| Practice Telephone | 2319351070 |
| Mailing Telephone | 2312392468 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704339826 | MI | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | 4703119005 | MI | Nursing Service Providers |
| Street Address |
3205 SUPPLY RD |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49696-9486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336511393 | Jessica Rose Loose | Occupational Therapist | 3205 Supply Rd, Traverse City, MI 49696-9486 | 2015-10-29 |
| 1235772385 | Joan Mary Cloutier | Registered Nurse | 3205 Supply Rd, Traverse City, MI 49696-9486 | 2019-10-22 |
| 1710407069 | Alison Johns | Registered Nurse | 3205 Supply Rd, Traverse City, MI 49696-9486 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669965901 | Audrey Jo Cornell | Behavior Technician | 3163 Douglas Drive, Suite 110, Traverse City, MI 49696 | 2018-06-12 |
| 1972026680 | Stacey Lesnick Beyer | Occupational Therapist | 1810 Chartwell Dr., Traverse City, MI 49696 | 2017-07-25 |
| 1821527359 | James Harper | Day Training, Developmentally Disabled Services | 1364 Alexander Dr., Traverse City, MI 49696 | 2017-06-08 |
| 1407383490 | Cassandra Mccarty | Behavior Technician | 1363 Douglas Drvie, Suite 104, Traverse City, MI 49696 | 2017-05-22 |
| 1346776317 | Kaitlynd Hamstra | Behavior Technician | 304 Christina Lane, Traverse City, MI 49696 | 2017-05-11 |
| 1831526748 | Helena Kay Evans | Home Health Aide | 176 Island View Dr., Traverse, MI 49696 | 2013-10-09 |
| 1932543295 | Quality Elder Care L.L.C. | In Home Supportive Care | 2141 Blackforest Ln, Traverse, MI 49696 | 2013-04-17 |
| 1134462195 | Tc Chiropractic PC | Chiropractor | 1000 3 Mile Road, Traverse City, MI 49696 | 2013-03-28 |
| 1134663594 | Keith Finley | Behavioral Analyst | 1363 Douglas Dr, Traverse City, MI 49696 | 2016-12-05 |
| 1295755122 | Northwest Senior Resources Incorporated | Case Management | 1609 Park Dr, Traverse City, MI 49696-5946 | 2006-07-21 |
| Find all providers in zip 49696 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1225506132 | James Edward Scarbrough IIi | Registered Nurse | 3619 Forest Lakes Dr, Traverse City, MI 49696-9119 | 2018-11-08 |
| 1619484524 | Elaine Lober | Registered Nurse | 1221 Sixth St Ste 210, Traverse City, MI 49684-2360 | 2018-01-02 |
| 1164957270 | Christtraude Croissant | Registered Nurse | 1919 Sequoia St, Traverse City, MI 49686-3045 | 2017-04-26 |
| 1396270427 | Sherry Cunningham | Registered Nurse | 2456 Holland Cir, Traverse City, MI 49685-7960 | 2017-04-26 |
| 1023559788 | Aaron Phillips | Registered Nurse | 1756 Dracka Rd, Traverse City, MI 49685-8818 | 2017-03-14 |
| 1134576853 | Paula Mclane | Registered Nurse | 2400 W Crown Dr Unit 1, Traverse City, MI 49685-6715 | 2016-05-23 |
| 1740641117 | Tressa Orlowksi | Registered Nurse | 3333 Mahoney Dr, Traverse City, MI 49696-9187 | 2016-03-14 |
| 1760848618 | Dawn Kettler | Registered Nurse | 1291 E Harvest, Traverse City, MI 49685-8625 | 2016-01-07 |
| 1659754331 | Jennifer Maue | Registered Nurse | 526 Boardman View Dr, Traverse City, MI 49696-8826 | 2015-06-30 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49696 |
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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.