KELLY ROSE (NPI# 1740824564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740824564 |
| Entity Type | Individual |
| Full Name | KELLY ROSE |
| Credential | RN, NP |
| Practice Address |
850 W Baraga Ave Marquette MI 49855-4550 |
| Mailing Address |
71 Feather Ridge Rd Marquette MI 49855-9427 |
| Practice Telephone | 9064494178 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
4704297716 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728096 | Kelly Rose | Behavioral Analyst | 325 Teal Cres, Virginia Beach, VA 23456-4518 | 2017-02-07 |
| 1003170143 | Kelly Lee Rose | Marriage & Family Therapist | 3701 Shoreline Dr Ste 102a, 102a, Wayzata, MN 55391-4000 | 2012-07-03 |
| 1700955184 | Kelly L. Rose | Pathology | 1648 Pierce Dr, Suite 327, Atlanta, GA 30322-0001 | 2006-11-07 |
| 1932167145 | Kelly S Rose | Dentist | 1100 Main St, Buffalo, NY 14209-2308 | 2006-05-04 |
| 1811502891 | Kelly Rose | Speech-Language Pathologist | 65 Chapel St, Garnerville, NY 10923-1238 | 2020-09-15 |
| 1386119642 | Kelly Nicole Rose | Occupational Therapist | 100 Medical Center Pkwy Ste 100, Huntsville, TX 77340-4959 | 2018-10-12 |
| 1932627015 | Kelly Rose | Behavioral Analyst | 1363 Douglas Dr, Traverse City, MI 49696-8980 | 2017-09-08 |
| 1750789343 | Kelly Rose | Specialist/Technologist | 300 E College Ave, Salisbury, MD 21804-6599 | 2014-12-12 |
| 1104044890 | Kelly Patrick Rose | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2007-04-20 |
| 1558405449 | Kelly Rose | Psychologist | 318 E Basin Rd, New Castle, DE 19720-4214 | 2007-02-16 |
| Street Address |
850 W BARAGA AVE |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-4550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417905258 | George Alan Krzymowski | Pathology | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2006-05-04 |
| 1255939500 | Ashley Barbara Veale | Physician Assistant | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2020-10-09 |
| 1992328942 | Miles Wenger | Registered Nurse | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2020-05-26 |
| 1700409141 | Megan Lynn Prange | Nurse Anesthetist, Certified Registered | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2020-05-20 |
| 1073148409 | Rachel Bonsall | Nurse Practitioner | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2020-03-05 |
| 1699306225 | Sarah Jean Bannan | Family Medicine | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2020-02-02 |
| 1386283067 | Joshua Rajala | Nurse Anesthetist, Certified Registered | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2019-12-30 |
| 1679115554 | Sara Marie Sauve | Registered Nurse | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2019-10-12 |
| 1336793280 | Breanna Zehnder | Student in an Organized Health Care Education/Training Program | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2019-07-30 |
| 1073965083 | Caleb Yeargan | Nurse Practitioner | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2016-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962847178 | Heather Shimel | Nurse Practitioner | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2013-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279117 | Lindsey Morton | Nurse Practitioner | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2019-11-14 |
| 1497396162 | Mary Placido | Nurse Practitioner | 33155 Annapolis St, Wayne, MI 48184-2405 | 2019-10-03 |
| 1710533799 | Catherine I Giles | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2019-08-14 |
| 1649834359 | Matthew Donald Preston | Nurse Practitioner | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2019-04-29 |
| 1356822266 | Jared Aldon Rogge | Nurse Practitioner | 601 John St, Kalamazoo, MI 49007-5341 | 2018-08-28 |
| 1366921520 | Nicholas Badgley | Nurse Practitioner | 1521 Gull Rd, Kalamazoo, MI 49048-1666 | 2018-08-08 |
| 1427534312 | Angela Rose Rizzi | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2018-07-14 |
| 1861988115 | Jessica Orsini | Nurse Practitioner | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-10 |
| 1972099778 | Renata Dacosta | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2018-07-03 |
| 1710495718 | Chelsea A. Collins | Nurse Practitioner | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2018-01-12 |
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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.