MRS. KATIE LOUISE CRELLIN (NPI# 1467013425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467013425 |
| Entity Type | Individual |
| Full Name | MRS. KATIE LOUISE CRELLIN |
| Practice Address |
1000 E Paris Ave Se Ste 200 Grand Rapids MI 49546-8383 |
| Mailing Address |
1931 Michigan St Ne Grand Rapids MI 49503-2110 |
| Practice Telephone | 6166853450 |
| Mailing Telephone | 7015901513 |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704322754 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1000 E PARIS AVE SE STE 200 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952697252 | Abiy Temesgen Nigatu | Internal Medicine | 1000 E Paris Ave Se Ste 200, Grand Rapids, MI 49546 | 2011-06-24 |
| 1962910943 | Jennifer Ann Gole | Nurse Practitioner | 1000 E Paris Ave Se Ste 200, Grand Rapids, MI 49546-8383 | 2018-01-12 |
| 1497116453 | Joseph Paul Urbanski | Nurse Practitioner | 1000 E Paris Ave Se Ste 200, Grand Rapids, MI 49546 | 2016-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908279 | Pauline U Boy | Nurse Practitioner | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2020-10-09 |
| 1487204558 | Sara Jane Moore | Nurse Practitioner | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2019-09-19 |
| 1790342509 | Susan R Littler | Nurse Practitioner | 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503-2563 | 2019-05-28 |
| 1053976258 | Hope Ann Vivian | Nurse Practitioner | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-05-03 |
| 1265940977 | Jayme Boros | Nurse Practitioner | 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503-2559 | 2018-01-16 |
| 1184165995 | Amy Marie Read | Nurse Practitioner | 3923 28th St Se, Suite 374, Grand Rapids, MI 49512-1805 | 2017-03-13 |
| 1124406582 | Susan Grace Passavant | Nurse Practitioner | 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 | 2015-05-18 |
| 1255766390 | Leah Marie Tordi | Nurse Practitioner | 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503-2560 | 2013-09-09 |
| 1639511199 | Michelle A. Rewa | Nurse Practitioner | 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 | 2013-07-25 |
| 1639416662 | Sarah Michele Darnell | Nurse Practitioner | 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 | 2013-01-10 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on MRS. KATIE LOUISE CRELLIN.
| 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.