KELLY MARIE MITCHELL (NPI# 1528676061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528676061 |
| Entity Type | Individual |
| Full Name | KELLY MARIE MITCHELL |
| Other Name | KELLY MARIE KLINGER |
| Practice Address |
1012 W Villas Dr Vicksburg MI 49097-9626 |
| Practice Telephone | 5863377343 |
| Mailing Telephone | 5863377343 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704273546 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1063976660 | Kelly Erin Mitchell | Nurse Practitioner | 7401 Beaufort Springs Dr, Suite 205, Richmond, VA 23225 | 2019-01-28 |
| 1073089769 | Kelly Jean Mitchell | Home Health Aide | 1293 Niagara Ave, Akron, OH 44305-2774 | 2018-10-19 |
| 1306266820 | Kelly Mitchell | Counselor | 3540 S Highway 27 Ste 4, Somerset, KY 42501-3124 | 2014-04-23 |
| 1467877068 | Kelly Mitchell | Developmental Therapist | 191 Blue Top Rd, Jacksonville, NC 28540-2948 | 2014-02-19 |
| 1104266188 | Kelly Leshawn Mitchell | Licensed Practical Nurse | 238 Lawrence Ave, Apartment#9, Lawrence, NY 11559-1297 | 2013-07-05 |
| 1891064085 | Kelly Mitchell | Contractor | 15194 21 Mile Rd, Tustin, MI 49688-8545 | 2011-12-19 |
| 1811146749 | Kelly Marie Mitchell | Social Worker | Bia Road # 7 Building #152, Belcourt, ND 58316-1970 | 2008-09-16 |
| 1053967059 | Kelly Mitchell | Pharmacist | 609 Luzerne St, Scranton, PA 18504-2626 | 2019-08-15 |
| 1902467848 | Kelly Kathleen Mitchell | Registered Nurse | 10802 College Place, Cerritos, CA 90703 | 2019-06-21 |
| Street Address |
1012 W VILLAS DR |
| City | VICKSBURG |
| State | MI |
| Zip Code | 49097-9626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912132168 | Jo Lynne Kirchhoff | Pharmacist | 110 S. Main Streets, Vicksburg, MI 49097 | 2009-05-18 |
| 1558429605 | Ellen Marie Tavarone | Dentist | 602 West Prairie St, Vicksburg, MI 49097 | 2006-12-04 |
| 1598875601 | Robert L Dornbos Dds PC | Dentist | 102 S Main, Vicksburg, MI 49097 | 2006-08-30 |
| 1982680468 | Freds Super Pharmacy Inc | Pharmacy | 121 W Prairie St, Vicksburg, MI 49097 | 2005-12-16 |
| 1477853422 | South County Home Health Providers | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 115 N 3rd St, Vicksburg, MI 49097-1017 | 2010-10-25 |
| 1023214921 | Aaron C Ford | Dentist | 602 W Prairie St, Vicksburg, MI 49097-1178 | 2007-06-26 |
| 1154573392 | Family & Children Services, Inc. | Clinic/Center | 101 S Main St, Vicksburg, MI 49097-1210 | 2008-10-21 |
| 1144756610 | Pamela Hendershot | Pharmacist | 110 S Main St, Vicksburg, MI 49097-1211 | 2017-05-03 |
| 1598990525 | Kelly Ann Soekarmoen | Pharmacist | 110 S Main St, Vicksburg, MI 49097-1211 | 2009-05-19 |
| 1184670085 | Hill's Pharmacy of Vicksburg, Inc. | Pharmacy | 110 S Main St, Vicksburg, MI 49097-1211 | 2006-05-25 |
| Find all providers in zip 49097 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1508234584 | Gladys Scott | Registered Nurse | 212 First Ave, Vicksburg, MS 39183-2011 | 2015-09-09 |
| 1568729846 | Cindy Quimby Higgins | Registered Nurse | 855 Dudley Rd, Vicksburg, MS 39180-6880 | 2012-04-11 |
| 1770876377 | Amy Calvert Campbell | Registered Nurse | 2080 S Frontage Rd Ste 112, Vicksburg, MS 39180-5882 | 2011-05-16 |
| 1144547555 | Erin Sullivan Bennett | Registered Nurse | 2100 Highway 61 North, Vicksburg, MS 39183-6243 | 2010-04-24 |
| 1053882928 | Ezrah Gunn | Registered Nurse | 1110 Clay St, Vicksburg, MS 39183-2912 | 2018-12-17 |
| 1215454418 | Whitney Barrier Brock | Registered Nurse | 100 Maxwell Dr, Vicksburg, MS 39180-4476 | 2017-08-28 |
| 1831637495 | Lindy Clifton | Registered Nurse | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2017-02-03 |
| 1073960647 | Andrew Hendrix | Registered Nurse | 2100 Highway 61 N, Vicksburg, MS 39183-8211 | 2016-05-24 |
| 1255733358 | Natalie Edwards | Registered Nurse | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2014-09-19 |
| 1689005852 | Stacy Leist | Registered Nurse | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2013-12-12 |
| Find all providers in VICKSBURG | ||||
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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.