KRISTIN SUE HALSELL (NPI# 1629024856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629024856 |
| Entity Type | Individual |
| Full Name | KRISTIN SUE HALSELL |
| Credential | PA |
| Practice Address |
130 N Sherman St Leslie MI 49251-9409 |
| Mailing Address |
Department 272801 Po Box 67000 Detroit MI 48267-2728 |
| Practice Telephone | 5175895071 |
| Practice Fax Number | 5175895452 |
| Mailing Telephone | 5178416913 |
| Mailing Fax Number | 5178416917 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2018-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601004358 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
130 N SHERMAN ST |
| City | LESLIE |
| State | MI |
| Zip Code | 49251-9409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378185 | Marie Dawn Slisher | Physician Assistant | 130 N Sherman St, Leslie, MI 49251-9409 | 2018-12-27 |
| 1275018442 | Sarah A Cardenas | Nurse Practitioner | 130 N Sherman St, Leslie, MI 49251-9409 | 2018-10-03 |
| 1326542226 | W. A. Foote Memorial Hospital, Inc. | Clinical Medical Laboratory | 130 N Sherman St, Leslie, MI 49251-9409 | 2018-03-23 |
| 1467983346 | Lana Black | Nurse Practitioner | 130 N Sherman St, Leslie, MI 49251-9409 | 2017-03-23 |
| 1396969267 | Raechel Elizabeth Coombs | Family Medicine | 130 N Sherman St, Leslie, MI 49251-9409 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467599258 | Leslie Dental Associates | Dentist | 159 S Main, Leslie, MI 49251 | 2007-01-31 |
| 1417068628 | Timur Anum Baruti | Family Medicine | 207 E Bellevue, Leslie, MI 49251 | 2006-08-31 |
| 1740481167 | Robert Joseph Mondragon | Dentist | 159 South Main Street, Leslie, MI 49251-2530 | 2007-05-31 |
| 1609885003 | Ltc Leonard LLC | Durable Medical Equipment & Medical Supplies | 826 W Bellevue St, Leslie, MI 49251-9302 | 2006-08-05 |
| 1942829395 | Ltc Leonard LLC | Pharmacy | 826 W Bellevue St, Leslie, MI 49251-9302 | 2020-04-15 |
| 1174679187 | Gary Michael Prieskorn | Pharmacist | 826 W Bellevue St, Leslie, MI 49251-9302 | 2007-01-25 |
| 1316160971 | Leslie Medical Center P C | Clinic/Center | 207 E Bellevue St, Leslie, MI 49251-9373 | 2007-04-11 |
| 1427046481 | Leslie Area Ambulance Service, Inc. | Ambulance | 210 E Bellevue St, Leslie, MI 49251-9373 | 2005-10-12 |
| 1598254088 | Integrated Solutions II LLC | Registered Nurse | 207 E Bellevue St, Leslie, MI 49251-9373 | 2018-05-09 |
| 1740714849 | Total Wellness Urgent Care Pllc | Family Medicine | 207 E Bellevue St, Leslie, MI 49251-9373 | 2017-04-14 |
| Find all providers in zip 49251 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
| 1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
| 1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
| 1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
| 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.