KARLY ROSE MCLEOD HISER (NPI# 1730628199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730628199 |
| Entity Type | Individual |
| Full Name | KARLY ROSE MCLEOD HISER |
| Other Name | KARLY ROSE MCLEOD |
| Credential | D.N.P., RN, CPNP-PC |
| Practice Address |
330 Barclay Ave Ne Ste 300 Grand Rapids MI 49503-2527 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163918810 |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2018-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704324281 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1309 Sheldon Rd, Grand Haven, MI 494172404 | 6168423600 |
| Street Address |
330 BARCLAY AVE NE STE 300 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306070529 | Anita Bridget Sebastian | Pathology | 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2009-05-04 |
| 1609491109 | Emmanuel Kumar | Student in an Organized Health Care Education/Training Program | 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503-2527 | 2020-06-10 |
| 1588288161 | Aamna Abid Hafeez | Student in an Organized Health Care Education/Training Program | 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503-2527 | 2020-05-30 |
| 1083233209 | Elizabeth Ranae Davis | Student in an Organized Health Care Education/Training Program | 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503-2527 | 2020-04-09 |
| 1225657315 | Lisa Rose Cronkright | Social Worker | 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503-2527 | 2020-04-09 |
| 1679102867 | Urmi Sheth | Student in an Organized Health Care Education/Training Program | 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503-2527 | 2020-04-08 |
| 1417576604 | Sophia Khalil | Student in an Organized Health Care Education/Training Program | 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503-2527 | 2020-04-08 |
| 1144859554 | Jonathan M Shabab | Student in an Organized Health Care Education/Training Program | 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503-2527 | 2020-04-07 |
| 1700415130 | Heather Blickenstaff | Student in an Organized Health Care Education/Training Program | 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503-2527 | 2020-04-07 |
| 1518596238 | Zachary Patrick Tolstyka | Student in an Organized Health Care Education/Training Program | 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503-2527 | 2020-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669807970 | Lisa Ann Watkins | Nurse Practitioner | 1545 68th St Se Ste 100, Grand Rapids, MI 49508-7896 | 2013-09-05 |
| 1073772984 | Mary R. Holt | Nurse Practitioner | 935 Baxter St Se, Grand Rapids, MI 49506-2500 | 2008-06-05 |
| 1518020395 | Sarah K Little | Nurse Practitioner | 35 Michigan St Ne Ste 4150, Grand Rapids, MI 49503-2529 | 2006-12-19 |
| 1427568021 | Elizabeth Demaagd | Nurse Practitioner | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2017-10-09 |
| 1093237356 | Emily Alison Jandasek | Nurse Practitioner | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2017-07-08 |
| 1245683002 | Shawn Kay Hillman | Nurse Practitioner | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2016-07-18 |
| 1477901759 | Maria Mccormick | Nurse Practitioner | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2016-05-27 |
| 1285006700 | Anna K Weller | Nurse Practitioner | 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 | 2015-10-23 |
| 1992149934 | Rebecca S Mccurdy | Nurse Practitioner | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 | 2013-04-22 |
| 1265770010 | Jami Alyssa Rubin Pavlak | Nurse Practitioner | 35 Michigan St Ne, Suite 4150, Grand Rapids, MI 49503-2514 | 2013-01-29 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on KARLY ROSE MCLEOD HISER.
| 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.