KELLI LEIGH BUTERAKOS (NPI# 1437798204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437798204 |
| Entity Type | Individual |
| Full Name | KELLI LEIGH BUTERAKOS |
| Practice Address |
18323 East Rd New Lothrop MI 48460-9612 |
| Practice Telephone | 3216242482 |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703116678 | MI | Nursing Service Providers |
| Street Address |
18323 EAST RD |
| City | NEW LOTHROP |
| State | MI |
| Zip Code | 48460-9612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386911998 | Brittney Paige Lang | Specialist/Technologist | 7528 Old Timber Court, New Lothrop, MI 48460 | 2011-11-28 |
| 1013027457 | Christopher Carl Maki | Dentist | 9509 Genesee St, New Lothrop, MI 48460 | 2006-08-30 |
| 1740816289 | Tami Pobocik | Registered Nurse | 9452 Ash St, New Lothrop, MI 48460-7700 | 2020-03-17 |
| 1114559093 | Nichole Dianne O'keefe | Counselor | 9492 Beech St Apt 1, New Lothrop, MI 48460-7712 | 2020-02-07 |
| 1538619739 | Charlie Birchmeier | Specialist/Technologist | 18068 Bueche Rd, New Lothrop, MI 48460-9602 | 2016-10-12 |
| 1255699021 | Carolyn Ann Mora | Case Manager/Care Coordinator | 17940 Lincoln Rd, New Lothrop, MI 48460-9641 | 2012-04-30 |
| 1063423473 | Twin Township Ambulance, Inc. | Ambulance | 7900 Saginaw St, New Lothrop, MI 48460-9688 | 2006-08-10 |
| 1477788800 | Jennifer L. Bishop | Physical Therapy Assistant | 9310 Maple St, New Lothrop, MI 48460-9811 | 2009-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740816289 | Tami Pobocik | Registered Nurse | 9452 Ash St, New Lothrop, MI 48460-7700 | 2020-03-17 |
| 1114559093 | Nichole Dianne O'keefe | Counselor | 9492 Beech St Apt 1, New Lothrop, MI 48460-7712 | 2020-02-07 |
| 1538619739 | Charlie Birchmeier | Specialist/Technologist | 18068 Bueche Rd, New Lothrop, MI 48460-9602 | 2016-10-12 |
| 1255699021 | Carolyn Ann Mora | Case Manager/Care Coordinator | 17940 Lincoln Rd, New Lothrop, MI 48460-9641 | 2012-04-30 |
| 1386911998 | Brittney Paige Lang | Specialist/Technologist | 7528 Old Timber Court, New Lothrop, MI 48460 | 2011-11-28 |
| 1477788800 | Jennifer L. Bishop | Physical Therapy Assistant | 9310 Maple St, New Lothrop, MI 48460-9811 | 2009-05-29 |
| 1013027457 | Christopher Carl Maki | Dentist | 9509 Genesee St, New Lothrop, MI 48460 | 2006-08-30 |
| 1063423473 | Twin Township Ambulance, Inc. | Ambulance | 7900 Saginaw St, New Lothrop, MI 48460-9688 | 2006-08-10 |
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1730789546 | Lashonda S Noble | Licensed Practical Nurse | 21107 Lahser Rd, Southfield, MI 48033-4400 | 2020-10-30 |
| 1841890670 | Danielle Berry | Licensed Practical Nurse | 58 Murray St Se, Grand Rapids, MI 49548-3304 | 2020-10-30 |
| 1053911719 | Margaret Theresa Fry | Licensed Practical Nurse | 4929 Cedarview St Apt 2c, Ypsilanti, MI 48197-5029 | 2020-10-30 |
| 1821697095 | Andrew Onyemaechi Onyeanula | Licensed Practical Nurse | 8281 Woodcrest Dr Apt 2, Westland, MI 48185-1238 | 2020-10-20 |
| 1255948121 | Nikki Leonard | Licensed Practical Nurse | 806 Chartier, Marine City, MI 48039-2319 | 2020-09-25 |
| 1235746033 | Roberta A Thomas | Licensed Practical Nurse | 399 S Union St Apt 15, Sparta, MI 49345-1534 | 2020-09-25 |
| 1821604562 | Wendy Lynne Hughes | Licensed Practical Nurse | 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 | 2020-09-18 |
| 1043824519 | Linda Hershberger | Licensed Practical Nurse | 219 Lane St, Mendon, MI 49072-9630 | 2020-09-02 |
| 1861006538 | David Bradley | Licensed Practical Nurse | 15540 Prevost St, Detroit, MI 48227-1963 | 2020-09-01 |
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| Find all providers with the same taxonomy | ||||
| City | NEW LOTHROP |
| Zip Code | 48460 |
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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.