KAITLYN HALEY KIMMEL (NPI# 1770018269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770018269 |
| Entity Type | Individual |
| Full Name | KAITLYN HALEY KIMMEL |
| Credential | PA |
| Practice Address |
505 N Clippert St Lansing MI 48912-4701 |
| Mailing Address |
1170 Fox Ct Oxford MI 48371-5968 |
| Practice Telephone | 5179992273 |
| Mailing Telephone | 2488813483 |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2017-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601008071 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
505 N CLIPPERT ST |
| City | LANSING |
| State | MI |
| Zip Code | 48912-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659359164 | Terry Merrill Matthews | Family Medicine | 505 N Clippert St, Lansing, MI 48912-4701 | 2006-01-04 |
| 1043850431 | Grace Barrett | Physician Assistant | 505 N Clippert St, Lansing, MI 48912-4701 | 2020-01-13 |
| 1063053809 | Breanna Victoria Schnur | Physician Assistant | 505 N Clippert St, Lansing, MI 48912-4701 | 2019-10-02 |
| 1023672714 | Brook A Richard | Physician Assistant | 505 N Clippert St, Lansing, MI 48912-4701 | 2019-04-28 |
| 1194288720 | Adriana Maria Ledesma | Physician Assistant | 505 N Clippert St, Lansing, MI 48912-4701 | 2019-04-10 |
| 1861910812 | Smitha Mary Varkey | Physician Assistant | 505 N Clippert St, Lansing, MI 48912-4701 | 2017-08-30 |
| 1396280343 | Stephanie Long | Physician Assistant | 505 N Clippert St, Lansing, MI 48912-4701 | 2016-12-29 |
| 1851686372 | Matthew Barry Bolin | Family Medicine | 505 N Clippert St, Lansing, MI 48912-4701 | 2011-06-13 |
| 1780987990 | Lansing Urgent Care, Plc | Clinic/Center | 505 N Clippert St, Lansing, MI 48912-4701 | 2010-12-09 |
| 1740436690 | Kirstie Lynn Almy | Physician Assistant | 505 N Clippert St, Lansing, MI 48912-4701 | 2008-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
| 1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
| 1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
| 1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
| 1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
| Find all providers in zip 48912 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144479148 | Michelle Gormas | Physician Assistant | 2722 E Michigan Ave, Lansing, MI 48912-4037 | 2008-09-15 |
| 1093979270 | Denise Michelle Burroughs | Physician Assistant | 5135 S Penn Ave, Lansing, MI 48911-4002 | 2008-07-16 |
| 1366580417 | George Roland Over | Physician Assistant | 1115 S Pennsylvania Ave, Lansing, MI 48912-1669 | 2007-02-01 |
| 1831278092 | Anne Margaret Teremi | Physician Assistant | 4202 Collins Rd, Suite 115, Lansing, MI 48910-5894 | 2006-11-06 |
| 1700832987 | Kellie Marie Wells | Physician Assistant | 1200 E Michigan Ave Ste 415, Lansing, MI 48912-1897 | 2006-05-26 |
| 1780648667 | Walter Herbert Grumbt | Physician Assistant | 129 Brookwood Ct, Lansing, KS 66043-1557 | 2006-04-17 |
| 1841299617 | J Charles Elliott | Physician Assistant | 416 S Creyts Rd, Lansing, MI 48917-8290 | 2005-07-14 |
| 1013568500 | Elizabeth K Holsclaw | Physician Assistant | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2019-09-25 |
| 1194288720 | Adriana Maria Ledesma | Physician Assistant | 505 N Clippert St, Lansing, MI 48912-4701 | 2019-04-10 |
| 1043745730 | Degara App Hm, Pllc | Physician Assistant | 401 W Greenlawn Ave, Lansing, MI 48910-2819 | 2017-05-01 |
| Find all providers in LANSING | ||||
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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.