KELLY MICHELE LANE (NPI# 1427572163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427572163 |
| Entity Type | Individual |
| Full Name | KELLY MICHELE LANE |
| Credential | AT |
| Practice Address |
300 W Main St Apt 2b Springport MI 49284-9517 |
| Mailing Address |
300 W Main St Springport MI 49284-9517 |
| Practice Telephone | 5172149511 |
| Practice Fax Number | 5172149511 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | ATHLETIC TRAINER | 225A2300X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790025526 | Kelly Lane | Registered Nurse | 1327 Garfield Ave, Sidney, OH 45365-1723 | 2013-02-14 |
| 1962439737 | Kelly A Lane | Nurse Practitioner | 147 Parliament Loop Ste 1005, Lake Mary, FL 32746-3560 | 2006-06-27 |
| 1154376192 | Kelly M Lane | Anesthesiologist Assistant | 6326 Hospital Pkwy, Building 1000, Suite 111, Johns Creek, GA 30097 | 2006-05-24 |
| 1225594005 | Kelly Lane | Counselor | 7821 N Dale Mabry Hwy, Tampa, FL 33614-3275 | 2019-02-16 |
| 1740704535 | Kelly Shea Lane | Physical Therapist | 1702 Hillcrest Dr, Bellevue, NE 68005-3652 | 2017-08-02 |
| 1124474119 | Kelly M Lane | Counselor | 501 N Monroe St, Hutchinson, KS 67501-1345 | 2016-05-09 |
| 1952765745 | Kelly Lane | Physician Assistant | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2016-04-08 |
| 1538525738 | Kelly Lane | Counselor | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2016-01-05 |
| 1861745440 | Kelly Beakley Lane | Psychologist | 18 N Hanson St, Easton, MD 21601-3176 | 2012-10-19 |
| 1669756375 | Kelly Ann Lane | Licensed Practical Nurse | 2400 S 48th St, Springdale, AR 72762-6683 | 2011-09-30 |
| Street Address |
300 W MAIN ST APT 2B |
| City | SPRINGPORT |
| State | MI |
| Zip Code | 49284-9517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104203447 | Michelle Marie Kolassa | Registered Nurse | 119 Maple St, Springport, MI 49284-9505 | 2015-05-06 |
| 1841431780 | Simply Smiles Inc. | Public Health or Welfare | 11510 Clement Rd, Springport, MI 49284-9713 | 2009-03-22 |
| 1740533215 | Elissa Ely | Occupational Therapist | 10550 N Parma Rd, Springport, MI 49284-9720 | 2012-10-22 |
| 1295863314 | Jeffrey Gerard Brenner | Physician Assistant | 400 E Main St, Ste 200, Springport, MI 49284-9774 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972010122 | Theraspeech LLC | Speech-Language Pathologist | 9314 N Prairie Rd, Springport, IN 47386-9502 | 2018-01-09 |
| 1811378599 | Amy Leonard | Physical Therapy Assistant | 6966 N Orchard Dr, Springport, IN 47386-9781 | 2015-06-17 |
| 1740533215 | Elissa Ely | Occupational Therapist | 10550 N Parma Rd, Springport, MI 49284-9720 | 2012-10-22 |
| 1841431780 | Simply Smiles Inc. | Public Health or Welfare | 11510 Clement Rd, Springport, MI 49284-9713 | 2009-03-22 |
| 1376707208 | Clarian Health Partners | General Acute Care Hospital | 209 N 2nd St, Springport, IN 47386-9744 | 2008-07-10 |
| 1104203447 | Michelle Marie Kolassa | Registered Nurse | 119 Maple St, Springport, MI 49284-9505 | 2015-05-06 |
| 1295863314 | Jeffrey Gerard Brenner | Physician Assistant | 400 E Main St, Ste 200, Springport, MI 49284-9774 | 2007-03-01 |
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052027 | Brianna Redmond | Specialist/Technologist | 2145 Sunset Ln, Saginaw, MI 48604-2443 | 2020-10-31 |
| 1386243913 | Carrie A Lindsay | Specialist/Technologist | 4761 Highland Rd, Waterford, MI 48328-1178 | 2020-10-24 |
| 1528667128 | Bethany Lynn York | Specialist/Technologist | 1461 Crest Rd, Gladwin, MI 48624-7606 | 2020-10-23 |
| 1255930962 | Benjamin Foddrill | Specialist/Technologist | 7380 Clearview Dr, Caledonia, MI 49316-9309 | 2020-10-22 |
| 1427656040 | Travis Zaborowski | Specialist/Technologist | 2412 W 4th Ave, Sault Sainte Marie, MI 49783-1212 | 2020-10-15 |
| 1730787912 | Batoul Kassem | Specialist/Technologist | 6045 Steadman St, Dearborn, MI 48126-2052 | 2020-10-11 |
| 1801493697 | Janelle Dorsey | Specialist/Technologist | 24311 Ithaca St, Oak Park, MI 48237-1788 | 2020-10-05 |
| 1194332379 | Bryan Keith Baines Sr. | Specialist/Technologist | 4333 John R Rd, Troy, MI 48085-3681 | 2020-09-30 |
| 1205443553 | Emma Weber | Specialist/Technologist | 7776 Percheron St, Kalamazoo, MI 49009-5990 | 2020-09-29 |
| 1295342616 | Margaret Ann Gilbeau | Specialist/Technologist | 38051 Metro Villa Dr Unit 114f, Harrison Township, MI 48045-3553 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGPORT |
| Zip Code | 49284 |
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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.