KYLE JUSTIN (NPI# 1497133797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497133797 |
| Entity Type | Individual |
| Full Name | KYLE JUSTIN |
| Practice Address |
5295 Timbercrest Trl Jackson MI 49201-9729 |
| Practice Telephone | 5177400004 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5295 TIMBERCREST TRL |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-9729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548354830 | Jirapun Laiprasert | Rehabilitation Practitioner | 1500 East Woodrow Willson Drive, Jackson, MS 39216 | 2006-10-03 |
| 1407384894 | Carmen M Mitchell | Rehabilitation Practitioner | 950 W Monroe St Ste 600, Jackson, MI 49202-2083 | 2017-05-30 |
| 1972036861 | David Lee Sprunger | Rehabilitation Practitioner | 950 W Monroe St Ste 600, Jackson, MI 49202-2083 | 2017-04-06 |
| 1437697349 | Barbara Vanhouten | Rehabilitation Practitioner | 950 W Monroe St, Jackson, MI 49202-2079 | 2017-02-10 |
| 1619353406 | Stacie Nwabueze | Rehabilitation Practitioner | 3050 Charles Dr, Jackson, LA 70748-6135 | 2015-08-04 |
| 1669554382 | Balasubramaniyam Pisupati | Rehabilitation Practitioner | 3235 E Michigan Ave, Jackson, MI 49202-3971 | 2006-10-20 |
| 1639263924 | Liep H Tjeng | Rehabilitation Practitioner | 1500 East Woodrow Wilson Drive, Jackson, MS 39216 | 2006-10-03 |
| 1699756320 | Howard Katz | Rehabilitation Practitioner | 1190 N State St, Suite 202, Jackson, MS 39202-2413 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144785205 | Lindsey Sayles | Rehabilitation Practitioner | 3115 Cascade Rd Se, Grand Rapids, MI 49506-1961 | 2019-02-04 |
| 1891274460 | Lindsey Elizabeth Mcbride | Rehabilitation Practitioner | 1570 E Beltline Ave Se, Grand Rapids, MI 49546-4446 | 2018-08-14 |
| 1003331752 | Restorative Outdoor Services LLC | Rehabilitation Practitioner | 6874 Wildwood Trl Sw, South Boardman, MI 49680-9588 | 2017-08-03 |
| 1912427121 | Kalysia Zimmerman | Rehabilitation Practitioner | 1444 Water St, Eaton Rapids, MI 48827-1860 | 2017-06-20 |
| 1104354349 | Rock Steady Boxing Mid Michigan | Rehabilitation Practitioner | 1914 S Saginaw Rd Apt 408, Midland, MI 48640-6808 | 2017-06-01 |
| 1952839532 | Alexus Miller | Rehabilitation Practitioner | 1314 Langley St Se, Grand Rapids, MI 49508-8925 | 2017-05-26 |
| 1528595055 | Amber Rose Brautigam | Rehabilitation Practitioner | 315 Fuller Ave Se # 2, Grand Rapids, MI 49506-1639 | 2017-05-15 |
| 1831625607 | April D Spotts | Rehabilitation Practitioner | 86 W Clarke Ave, Coldwater, MI 49036-1130 | 2017-05-11 |
| 1285160226 | Patrick Besse | Rehabilitation Practitioner | 10737 Wildwood Rd, Delton, MI 49046-7784 | 2017-05-11 |
| 1386170546 | Carlie Little | Rehabilitation Practitioner | 3913 Leland Ave. Nw, Comstock Park, MI 49321 | 2017-05-10 |
| Find all providers with the same taxonomy | ||||
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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.