KELLY CASSIDY (NPI# 1457895245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457895245 |
Entity Type | Individual |
Full Name | KELLY CASSIDY |
Practice Address |
30057 8 Mile Rd Livonia MI 48152-1893 |
Practice Telephone | 2142693875 |
Practice Fax Number | 9033286568 |
Enumeration Date | 2016-12-13 |
Last Update Date | 2016-12-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861797615 | Kelly Lee Cassidy | Counselor | 955 E Thompson Blvd, Ventura, CA 93001-3008 | 2011-01-25 |
1194048330 | Kelly Patrick Cassidy | Case Manager/Care Coordinator | 735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 | 2010-03-02 |
Street Address |
30057 8 MILE RD |
City | LIVONIA |
State | MI |
Zip Code | 48152-1893 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841734647 | David Figueroa | Specialist/Technologist, Other | 30057 8 Mile Rd, Livonia, MI 48152-1893 | 2016-12-13 |
1033653837 | Paula Istamboulian | Specialist/Technologist, Other | 30057 8 Mile Rd, Livonia, MI 48152-1893 | 2016-12-13 |
1164966958 | Jared Patton | Specialist/Technologist, Other | 30057 8 Mile Rd, Livonia, MI 48152-1893 | 2016-12-13 |
1043754849 | Taylor Sharp | Specialist/Technologist, Other | 30057 8 Mile Rd, Livonia, MI 48152-1893 | 2016-12-13 |
1669916458 | David Buggia | Specialist/Technologist, Other | 30057 8 Mile Rd, Livonia, MI 48152-1893 | 2016-12-13 |
1780128579 | Jillian Bacon | Specialist/Technologist, Other | 30057 8 Mile Rd, Livonia, MI 48152-1893 | 2016-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
Find all providers in zip 48152 |
Taxonomy Code | 246ZE0600X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Electroneurodiagnostic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841734647 | David Figueroa | Specialist/Technologist, Other | 30057 8 Mile Rd, Livonia, MI 48152-1893 | 2016-12-13 |
1346705571 | Ryan Awe | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-02-01 |
1942765185 | Ellen M Miller | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-02-01 |
1346705589 | Christopher M Curry | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-02-01 |
1033653837 | Paula Istamboulian | Specialist/Technologist, Other | 30057 8 Mile Rd, Livonia, MI 48152-1893 | 2016-12-13 |
1164966958 | Jared Patton | Specialist/Technologist, Other | 30057 8 Mile Rd, Livonia, MI 48152-1893 | 2016-12-13 |
1043754849 | Taylor Sharp | Specialist/Technologist, Other | 30057 8 Mile Rd, Livonia, MI 48152-1893 | 2016-12-13 |
1669916458 | David Buggia | Specialist/Technologist, Other | 30057 8 Mile Rd, Livonia, MI 48152-1893 | 2016-12-13 |
1780128579 | Jillian Bacon | Specialist/Technologist, Other | 30057 8 Mile Rd, Livonia, MI 48152-1893 | 2016-12-13 |
1558736033 | Myles C Baarson | Specialist/Technologist, Other | 31330 Schoolcraft Rd, Ste 200, Livonia, MI 48150-2041 | 2015-12-09 |
Find all providers in LIVONIA |
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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.