DEMETRIUS KIRK (NPI# 1750806469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750806469 |
| Entity Type | Individual |
| Full Name | DEMETRIUS KIRK |
| Credential | RN |
| Practice Address |
30075 Spain Romulus MI 48174 |
| Mailing Address |
30075 Spain St Romulus MI 48174-3146 |
| Practice Telephone | (313) 595-9010 |
| Practice Fax Number | 8008864196 |
| Mailing Telephone | 3135959010 |
| Mailing Fax Number | 8008864196 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704326423 | MI | Nursing Service Providers |
| Street Address |
30075 SPAIN |
| City | ROMULUS |
| State | MI |
| Zip Code | 48174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417447947 | Pamela Ann Kaczor | Nurse Practitioner | 28721 Northline Rd, Romulus, MI 48174 | 2018-05-10 |
| 1982133302 | Tamika Lloyd | Non-emergency Medical Transport (VAN) | 6002 Bay Hill Ct, Romulus, MI 48174 | 2017-06-08 |
| 1811346422 | Maxine Vernette Hawk | Nurse Practitioner | 39061 Commons Dr., Romulus, MI 48174 | 2016-06-06 |
| 1164880282 | Lacara Gilmore | Counselor | 15056 Colbert St, 03, Romulus, MI 48174 | 2016-02-03 |
| 1982082632 | Kristin Michelle Rhan | Licensed Practical Nurse | 10195 Diane St. Apt302, Romulus, MI 48174 | 2015-05-14 |
| 1790176790 | Dylan Marie Feil | Social Worker | 37300 Wick Rd, Romulus, MI 48174 | 2015-02-11 |
| 1285053710 | Janeise Daniels | Licensed Practical Nurse | 9426 Lisa, Romulus, MI 48174 | 2014-04-14 |
| 1699119461 | James A. Lee | Counselor | C/o Reliance Counseling, LLC, 11126 Wayne Rd., Romulus, MI 48174 | 2013-04-24 |
| 1922302132 | Covenant To Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37292 Mcbride, Romulus, MI 48174 | 2011-01-03 |
| 1689901803 | Ambrose Green Jr. | Occupational Therapist | 35431 Avalon, Romulus, MI 48174 | 2009-11-09 |
| Find all providers in zip 48174 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245746296 | Anthonia Green | Registered Nurse | 23770 Brownstown Square Dr, Romulus, MI 48174-9390 | 2017-12-28 |
| 1285188573 | Amanda Izobo | Registered Nurse | 9404 Essex St, Romulus, MI 48174-1534 | 2016-08-04 |
| 1528423613 | Wayna Turner-winbush | Registered Nurse | 38884 Cody Dr, Romulus, MI 48174-5055 | 2015-12-16 |
| 1407248420 | Babette Bennett | Registered Nurse | 5705 Route 96, Romulus, NY 14541-9551 | 2015-02-27 |
| 1831519206 | Jane Dorothy Latessa | Registered Nurse | 6700 Middlebelt Rd, Romulus, MI 48174-2039 | 2014-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417783 | Tawana Danielle Williams | Registered Nurse | 866 Blaine St, Detroit, MI 48202-1938 | 2020-11-08 |
| 1306446547 | Ken Hong Lam | Registered Nurse | 51760 Rivard Rd, New Baltimore, MI 48047-4295 | 2020-10-27 |
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1609475912 | The Wellness Touch | Registered Nurse | 427 Campbell Ave, Kalamazoo, MI 49006-3006 | 2020-10-19 |
| 1790383214 | Megan Trenary | Registered Nurse | 306 Grant St, Chelsea, MI 48118-1212 | 2020-10-16 |
| 1497353908 | Timothy Joseph Petipren | Registered Nurse | 205 S Columbia Ave, Scottville, MI 49454-1205 | 2020-10-16 |
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1326645714 | Nancy Ann Crabbs | Registered Nurse | 5720 16 Mile Rd Ne, Cedar Springs, MI 49319-8540 | 2020-10-08 |
| 1194322685 | Tamara S Hollman | Registered Nurse | 217 John St, Lyons, MI 48851-5101 | 2020-10-07 |
| 1578170320 | Keyana Nicole Collins | Registered Nurse | 31115 Huntley Sq E Apt 623, Beverly Hills, MI 48025-5336 | 2020-09-25 |
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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.