ANASTASIA KANELLOPOULOS (NPI# 1750781373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750781373 |
| Entity Type | Individual |
| Full Name | ANASTASIA KANELLOPOULOS |
| Credential | N.P. |
| Practice Address |
744 W Michigan Ave Suite 300 Jackson MI 49201-1900 |
| Practice Telephone | 5177680600 |
| Practice Fax Number | 5177680606 |
| Mailing Telephone | 5177680600 |
| Mailing Fax Number | 5177680606 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704294210 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
744 W MICHIGAN AVE SUITE 300 |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548220247 | Gale Sandoval | Nurse Practitioner | 744 W Michigan Ave, Ste 300, Jackson, MI 49201-1900 | 2006-03-25 |
| 1699207852 | Jessica Mccrum | Nurse Practitioner | 744 W Michigan Ave, Ste 300, Jackson, MI 49201-1900 | 2017-03-28 |
| 1114335106 | Megan Kyna Spicer | Nurse Practitioner | 744 W Michigan Ave, Suite 300, Jackson, MI 49201-1900 | 2014-07-23 |
| 1275940231 | Mykala Enterprises, LLCdba Right At Home | Home Health | 744 W Michigan Ave, Ste 301b, Jackson, MI 49201-1900 | 2014-07-22 |
| 1366758336 | Mykala Enterprises LLC | Home Health | 744 W Michigan Ave, Jackson, MI 49201-1909 | 2010-08-27 |
| 1043542202 | Lorna G. Pinson, Md Pllc | Clinic/Center | 744 W Michigan Ave, Suite 101, Jackson, MI 49201-1900 | 2010-02-12 |
| 1417966037 | Pinson Urology Center PC | Urology | 744 W Michigan Ave, Suite 300, Jackson, MI 49201 | 2006-08-05 |
| 1487683090 | Beverly Medlen | Nurse Anesthetist, Certified Registered | 744 W Michigan Ave, Jackson, MI 49201-1909 | 2006-07-03 |
| 1033148655 | Rocco Mascioli | Nurse Anesthetist, Certified Registered | 744 W Michigan Ave, Jackson, MI 49201-1909 | 2006-07-03 |
| 1902835531 | Virginia M Mccaffrey | Specialist | 744 W Michigan Ave, Jackson, MI 49201-1909 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700240397 | Veronique Monique Lynch | Nurse Practitioner | 963 Toms River Rd, Jackson, NJ 08527-5239 | 2016-04-08 |
| 1821423484 | Katherine G Lott | Nurse Practitioner | 6295 Old Canton Rd, Apt 23b, Jackson, MS 39211-2908 | 2013-09-13 |
| 1760618292 | Matthew Edward Flynn | Nurse Practitioner | 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 | 2009-06-10 |
| 1326649336 | Sharron Rena Brown | Nurse Practitioner | 1225 N State St, Jackson, MS 39202-2097 | 2020-11-05 |
| 1396346607 | Ashleigh Renfroe Hannah | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-11-03 |
| 1770182438 | Tara P. Carter | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-10-22 |
| 1437785508 | Katey Andrews | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-03-20 |
| 1144854498 | Katlyn Amason | Nurse Practitioner | 501 Marshall St Ste 200, Jackson, MS 39202-1687 | 2020-02-25 |
| 1194364554 | Erica L Hawkins | Nurse Practitioner | 900 Cooper St, Jackson, MI 49202-3398 | 2020-01-03 |
| 1023664430 | Jennifer Elizabeth Overton | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2019-08-12 |
| Find all providers in JACKSON | ||||
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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.