KELSEY TERESE MCCONNELL (NPI# 1669840450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669840450 |
| Entity Type | Individual |
| Full Name | KELSEY TERESE MCCONNELL |
| Credential | PA-C |
| Practice Address |
416 Connable Ave Petoskey MI 49770-2212 |
| Mailing Address |
3660 Resort Pike Rd Petoskey MI 49770-9228 |
| Practice Telephone | 8002486777 |
| Mailing Telephone | 9893394688 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2016-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601007499 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437615143 | Kelsey Nicole Mcconnell | Occupational Therapist | 2001 N Macarthur Blvd Ste 550, Irving, TX 75061-2255 | 2019-02-18 |
| Street Address |
416 CONNABLE AVE |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512687 | Michael A Angileri | Radiology | 416 Connable Ave, Petoskey, MI 49770-2212 | 2005-07-15 |
| 1023619483 | Bay Radiation Oncology, Pllc | Radiology | 416 Connable Ave, Petoskey, MI 49770-2212 | 2020-11-03 |
| 1972116895 | Cameron P Burns | Nurse Practitioner | 416 Connable Ave, Petoskey, MI 49770-2212 | 2020-08-29 |
| 1447878566 | Tiffany Hornbeck | Registered Nurse | 416 Connable Ave, Petoskey, MI 49770-2212 | 2020-07-07 |
| 1083231963 | Cory Mills | Registered Nurse | 416 Connable Ave, Petoskey, MI 49770-2212 | 2020-06-26 |
| 1508417031 | Alexander Joseph Perry | Registered Nurse | 416 Connable Ave, Petoskey, MI 49770-2212 | 2019-09-25 |
| 1699332668 | Murphy Gillespie | Nurse Practitioner | 416 Connable Ave, Petoskey, MI 49770-2212 | 2019-05-24 |
| 1407322985 | Shanna Macclaren | Nurse Practitioner | 416 Connable Ave, Petoskey, MI 49770-2212 | 2018-10-22 |
| 1730664186 | Emily Powell | Occupational Therapist | 416 Connable Ave, Petoskey, MI 49770-2212 | 2018-10-02 |
| 1831673458 | Mary Ford | Occupational Therapist | 416 Connable Ave, Petoskey, MI 49770-2212 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| 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 |
|---|---|---|---|---|
| 1952949810 | Colin Brennan Knipper | Physician Assistant | 560 W Mitchell St Ste 125, Petoskey, MI 49770-2276 | 2019-12-11 |
| 1265689392 | Heather Lynn Ferber | Physician Assistant | 116 W. Mitchell St., Petoskey, MI 49770-8369 | 2008-08-20 |
| 1417974197 | Sharon Sierzputowski | Physician Assistant | 1080 Hager Dr, Petoskey, MI 49770-8774 | 2006-07-17 |
| 1285659953 | Tina M Crook | Physician Assistant | 4170 Cedar Bluff Dr., Petoskey, MI 49770 | 2006-07-13 |
| 1235130576 | Carolyn Marie Wiese | Physician Assistant | 2390 Mitchell Park Dr Ste D, Petoskey, MI 49770 | 2005-08-09 |
| 1265071211 | Whitney Marie Warner | Physician Assistant | 116 W Mitchell St, Petoskey, MI 49770-2357 | 2019-12-21 |
| 1841691656 | Katelyn June Blohm | Physician Assistant | 560 W Mitchell St Ste M40, Petoskey, MI 49770-2278 | 2014-09-11 |
| 1750782991 | Paul Cunningham | Physician Assistant | 416 Connable Ave, Petoskey, MI 49770-2212 | 2014-09-08 |
| 1740520980 | Chelsea Navarro | Physician Assistant | 116 W Mitchell St, Petoskey, MI 49770-2357 | 2013-02-26 |
| 1851622542 | Deanna Lynn Geisler | Physician Assistant | 4170 Cedar Bluff Dr., Petoskey, MI 49770-9600 | 2010-01-20 |
| Find all providers in PETOSKEY | ||||
Please comment or provide details below to improve the information on KELSEY TERESE MCCONNELL.
| 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.