MS. JODIE MARIE KELLY (NPI# 1609304187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609304187 |
| Entity Type | Individual |
| Full Name | MS. JODIE MARIE KELLY |
| Credential | NP-C |
| Practice Address |
3720 Katalin Ct Bay City MI 48706-2106 |
| Practice Telephone | (989) 686-2800 |
| Mailing Telephone | 9896862800 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704248731 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3720 KATALIN CT |
| City | BAY CITY |
| State | MI |
| Zip Code | 48706-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831162460 | Revan Maragiri | Internal Medicine | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2006-02-13 |
| 1588219257 | Bay Area Physician Services PC | Clinic/Center | 3720 Katalin Ct, Bay City, MI 48706-2106 | 2019-08-08 |
| 1952770976 | Andrew Willson | Physician Assistant | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2015-09-21 |
| 1245521152 | Harmohan S Kochar Md | Internal Medicine | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2011-04-26 |
| 1629369988 | Mclaren Medical Group | Internal Medicine | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2011-04-21 |
| 1407185499 | Sulaiman Mohammad | Psychiatry & Neurology | 3720 Katalin Ct, Bay City, MI 48706-2106 | 2009-12-22 |
| 1003143835 | Revan Maragiri Md Plc | Internal Medicine | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2009-11-16 |
| 1144554106 | Vjr Inc | Pharmacy | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2009-09-23 |
| 1194914069 | Abul F Islam Md PC | Internal Medicine | 3720 Katalin Ct, Suite 203, Bay City, MI 48706-2160 | 2007-10-17 |
| 1013923770 | Bay Area Health Clinic PC | Internal Medicine | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574357 | Kalie Keyes | Behavior Technician | 3710 Katalin Ct, Bay City, MI 48706 | 2020-10-06 |
| 1790251049 | Leann Marie Miller | Nurse Practitioner | Visiting Physicians Association, 1484 Straits Drive, Bay City, MI 48706 | 2018-10-15 |
| 1659883676 | Matthew Zamora | Internal Medicine | 4818 S Professional Dr, Bay City, MI 48706 | 2017-10-31 |
| 1376082230 | Deidre Dotson | Social Worker | 1217 S Euclid, Bay City, MI 48706 | 2017-02-13 |
| 1790100717 | Kochar Plc | Internal Medicine | 4817 E. Professional Drive, Bay City, MI 48706 | 2014-02-27 |
| 1992136477 | Janelle Gale Ballard | Music Therapist | 4106 Wilder Rd, Bay City, MI 48706 | 2013-12-09 |
| 1619319084 | Jessica T Jang | Veterinarian | 6015 West Side Saginaw Rd, Bay City, MI 48706 | 2013-07-25 |
| 1427493634 | Cynthia Marie Bordeau | Social Worker | 1217 S. Euclid, Bay City, MI 48706 | 2013-05-01 |
| 1902162746 | Delta Family Clinic South PC | Psychologist | 901 N. Euclid Ave., Bay City, MI 48706 | 2012-04-05 |
| 1669762985 | James Norbert Stachowski | Pharmacist | 3880 Wilder, Bay City, MI 48706 | 2011-04-08 |
| Find all providers in zip 48706 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380352 | Belma H Cruz | Nurse Practitioner | 1820 Sunset Ave, Bay City, TX 77414-4655 | 2020-09-10 |
| 1790251049 | Leann Marie Miller | Nurse Practitioner | Visiting Physicians Association, 1484 Straits Drive, Bay City, MI 48706 | 2018-10-15 |
| 1023592516 | Jennifer Dinsmoore | Nurse Practitioner | 4 Columbus Ave Ste 140, Bay City, MI 48708-6469 | 2018-09-20 |
| 1275019812 | Melissa Mae Hawkins | Nurse Practitioner | 600 Hospital Cir Ste 201, Bay City, TX 77414-4772 | 2018-07-17 |
| 1295225506 | Justin Leray Main | Nurse Practitioner | 1913 S Jefferson St, Bay City, MI 48708-8742 | 2018-05-11 |
| 1508377482 | Emily Spyker | Nurse Practitioner | 4 Columbus Ave # 308, Bay City, MI 48708-6457 | 2017-10-18 |
| 1508215997 | Shanna Lee Bellamy | Nurse Practitioner | 2205 Avenue K, Bay City, TX 77414-5128 | 2016-06-07 |
| 1376905844 | Cathy Green | Nurse Practitioner | 600 Hospital Circle, Suite 201, Bay City, TX 77414 | 2016-03-24 |
| 1184837700 | Katie K Gilbert | Nurse Practitioner | 1700 Golden Ave, Bay City, TX 77414-3122 | 2007-05-08 |
| 1588736433 | Jennifer Alice Kreiner | Nurse Practitioner | 3170 South Professional Drive, Bay City, MI 48706 | 2006-11-15 |
| Find all providers in BAY CITY | ||||
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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.