ERIN KELLE GARDNER (NPI# 1578112124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578112124 |
Entity Type | Individual |
Full Name | ERIN KELLE GARDNER |
Other Name | ERIN KELLE KENNEDY |
Credential | LLPC, CAADC |
Practice Address |
520 Cobb St Cadillac MI 49601-2588 |
Mailing Address |
1012 Warbler Ln Cadillac MI 49601-9545 |
Practice Telephone | 2317756521 |
Practice Fax Number | 2317751366 |
Mailing Telephone | 2313571274 |
Enumeration Date | 2019-09-06 |
Last Update Date | 2020-09-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
6401016271 | MI | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
6401018598 | MI | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1012 Warbler Ln, Cadillac, MI 496019545 | 2313571274 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861941023 | Erin Gardner | Registered Nurse | 4115 Stillwater Ave, Cutchogue, NY 11935-2449 | 2016-09-29 |
1285630061 | Erin Scott Gardner | Dermatology | 9717 Landmark Parkway Dr, Ste 115, Saint Louis, MO 63127-1628 | 2005-06-25 |
1730544495 | Erin Gardner | Counselor | 2301 Glenwood Ave, Joliet, IL 60435-5481 | 2015-12-23 |
1760730154 | Erin L Gardner | Nurse Anesthetist, Certified Registered | 15790 Paul Vega Md Dr, Anesthesia Department, Hammond, LA 70403-1434 | 2012-08-16 |
1285938878 | Erin Elizabeth Gardner | Rehabilitation Practitioner | 4285 N Rancho Dr, Suite 130, Las Vegas, NV 89130-3446 | 2010-12-22 |
1003140393 | Erin Gardner | Physical Therapy Assistant | 13011 Summerfield Square Dr, Riverview, FL 33578-7402 | 2009-09-21 |
Street Address |
520 COBB ST |
City | CADILLAC |
State | MI |
Zip Code | 49601-2588 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962405670 | Augustin Dolorfino | Pediatrics | 520 Cobb St, Cadillac, MI 49601-2588 | 2005-05-27 |
1457977175 | Lauren Herba | Dentist | 520 Cobb St, Cadillac, MI 49601-2588 | 2020-06-18 |
1306476213 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 520 Cobb St, Cadillac, MI 49601-2588 | 2020-01-20 |
1881197242 | Cheryl Lynn Dise | Dental Hygienist | 520 Cobb St, Cadillac, MI 49601-2588 | 2018-03-13 |
1790205870 | Joselyn M Verdelli | Dentist | 520 Cobb St, Cadillac, MI 49601-2588 | 2017-06-21 |
1275081820 | Andrew Goldin Mintzer | Dentist | 520 Cobb St, Cadillac, MI 49601-2588 | 2016-09-12 |
1588038095 | Sherry Ann Barnes | Counselor | 520 Cobb St, Cadillac, MI 49601-2588 | 2015-11-20 |
1255704144 | Thomas Mceldowney | Dental Hygienist | 520 Cobb St, Cadillac, MI 49601-2588 | 2015-11-02 |
1386021582 | Baldwin Family Health Care | Internal Medicine | 520 Cobb St, Cadillac, MI 49601-2588 | 2015-04-27 |
1023413986 | Leslie Kibbe | Psychologist | 520 Cobb St, Cadillac, MI 49601-2588 | 2014-11-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720691983 | Hailey Amlott | Pharmacist | Walgreens 07660, 1220 N. Mitchell Street, Cadillac, MI 49601 | 2020-08-27 |
1558901454 | Diane Lyn Stearns | Physical Therapy Assistant | Samaritas Senior Living, 460 Pearl Street, Cadillac, MI 49601 | 2020-01-09 |
1902363013 | Marcella Marie Metzger | Pharmacist | 520 Cobb Street, Cadillac, MI 49601 | 2019-02-25 |
1558864447 | Tricia Wing | Physical Therapist | 704 Oak Street, Cadillac, MI 49601 | 2018-03-16 |
1386174134 | Marjorie Middel | Social Worker | 1909 N. Mitchell Street, Aleda E. Lutz Veterans Affairs Medical Center Cadillac, Cadillac, MI 49601 | 2017-06-14 |
1841726171 | T & M Helping Hand | Home Health | 325 Howard St, Cadillac, MI 49601 | 2017-05-05 |
1841731486 | Vicki Lynne Schutte | Behavior Technician | 7716 S. 27 Rd, Cadillac, MI 49601 | 2017-03-15 |
1518407220 | Rosanne Marie Denny | Behavior Technician | 605 Cadillac Shores Dr #106, Cadillac, MI 49601 | 2017-02-28 |
1821495532 | James David Shadoan | Family Medicine | 133 N. Shore Dr E., Cadillac, MI 49601 | 2014-11-24 |
1841632007 | Serenity Adult Foster Care Home LLC | Foster Care Agency | 2883 S. 41 Rd., Cadillac, MI 49601 | 2013-07-29 |
Find all providers in zip 49601 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306200704 | Donal James Dwyer V | Counselor | 125 Ayer St, Cadillac, MI 49601-1220 | 2016-04-12 |
1932576097 | Deanna Rose Couture | Counselor | 500 Chestnut St Ste 1, Cadillac, MI 49601-1824 | 2015-08-25 |
1174762025 | Steve W Loring | Counselor | 214 E Harris St, Cadillac, MI 49601-2125 | 2009-02-17 |
1760649669 | Bryan Patrick Mcconnell | Counselor | 8426 E 48 Rd, Cadillac, MI 49601-8427 | 2008-05-19 |
1033318340 | Midwest Michigan Psychological Associates, Pllc | Counselor | 811 Sunnyside Dr, Suite I, Cadillac, MI 49601-7002 | 2007-07-16 |
1053428896 | Steven G. Wheeler | Counselor | 2721 Sunnyside Dr, Suite B, Cadillac, MI 49601-8748 | 2006-08-25 |
1952926727 | Kathrine Ann Robertson | Counselor | 527 Cobb St, Cadillac, MI 49601-2540 | 2020-06-08 |
1184289910 | Patrick James Aron | Counselor | 107 N Mitchell St, Cadillac, MI 49601-1832 | 2019-05-07 |
1649758889 | Laura Porter | Counselor | 114 N Mitchell St, Cadillac, MI 49601-1833 | 2018-07-31 |
1588150007 | Laurie Katherine Steere | Counselor | 527 Cobb St, Cadillac, MI 49601-2540 | 2018-07-09 |
Find all providers in CADILLAC |
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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.