MRS. KRISTIN MARIE ELLIOTT (NPI# 1801029418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801029418 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN MARIE ELLIOTT |
| Credential | ACNP |
| Practice Address |
1210 10th Ave Port Huron MI 48060-3406 |
| Practice Telephone | 8109848470 |
| Practice Fax Number | 8109843919 |
| Mailing Telephone | 8109848470 |
| Mailing Fax Number | 8109843919 |
| Enumeration Date | 2009-08-30 |
| Last Update Date | 2009-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704207133 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477837672 | Kristin Elliott | Pharmacist | 260 New Circle Road Ne, Lexington, KY 40505 | 2011-10-06 |
| 1497161814 | Kristin Ann Elliott | Nurse Practitioner | 600 W Ogden Ave, Heartland Care Partners, Hinsdale, IL 60521-3158 | 2014-07-07 |
| 1609867753 | Kristin Kay Elliott | Family Medicine | 320 E Main St, Crosby, MN 56441-1645 | 2005-10-28 |
| Street Address |
1210 10TH AVE |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265415285 | Emad Daher | Internal Medicine | 1210 10th Ave, Port Huron, MI 48060-3406 | 2005-11-23 |
| 1255967667 | Blue Water Internal Medicine, PC | Internal Medicine | 1210 10th Ave, Port Huron, MI 48060-3406 | 2020-03-17 |
| 1538670518 | Lung Docs of America, Pllc | Internal Medicine | 1210 10th Ave, Port Huron, MI 48060-3406 | 2017-10-18 |
| 1609187020 | Kelly Anne Ternes | Internal Medicine | 1210 10th Ave, Port Huron, MI 48060-3406 | 2010-06-30 |
| 1609964857 | Mary Lynn Zaremba | Nurse Practitioner | 1210 10th Ave, Port Huron, MI 48060-3406 | 2006-10-11 |
| 1932213626 | David H Schulman | Surgery | 1210 10th Ave, Port Huron, MI 48060-3406 | 2006-08-18 |
| 1710909478 | St Clair Pulmonary & Critical Care P C | Internal Medicine | 1210 10th Ave, Port Huron, MI 48060-3406 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225569601 | Karen Ann Merritt | Nurse Practitioner | 4094 Gratiot Ave, Port Huron, MI 48060-1531 | 2017-03-27 |
| 1013459320 | Amy Storey | Nurse Practitioner | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2016-11-17 |
| 1619361870 | Janette C. Guertin | Nurse Practitioner | 1201 Stone St, Port Huron, MI 48060-3563 | 2015-03-26 |
| 1346506391 | Diane Marie Schunk | Nurse Practitioner | 1201 Stone St, Ste 8, Port Huron, MI 48060-3563 | 2012-04-04 |
| 1568761393 | Wendy Ann Schill | Nurse Practitioner | 1231 Pine Grove Ave, Suite 2a, Port Huron, MI 48060-3500 | 2011-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759396 | Zainab Ali Hachem | Nurse Practitioner | 5158 Neckel St, Dearborn, MI 48126-3217 | 2020-10-29 |
| 1861092900 | Lindsay Overall | Nurse Practitioner | 1962 Sherlynn Dr, Brighton, MI 48114-7618 | 2020-10-28 |
| 1588289144 | Anne Elizabeth Stephan | Nurse Practitioner | 1320 Addington Ln, Ann Arbor, MI 48108-8951 | 2020-06-10 |
| 1447872965 | Gagan Preet Kaur Dhaliwal | Nurse Practitioner | 45418 Glengarry Blvd, Canton, MI 48188-3001 | 2020-05-07 |
| 1023637766 | Jbnp Services, LLC | Nurse Practitioner | 19520 Parker St, Livonia, MI 48152-1579 | 2020-04-13 |
| 1912536137 | Mary Bailey | Nurse Practitioner | 8254 Twin Creek Cir, Temperance, MI 48182-8202 | 2020-04-08 |
| 1679108500 | Jennifer Ann Rutzen | Nurse Practitioner | 5802 Montebello Ave, Haslett, MI 48840-8208 | 2020-03-11 |
| 1871126813 | Gregory M Ali | Nurse Practitioner | 26750 Providence Pkwy Ste 120, Novi, MI 48374-1211 | 2020-02-18 |
| 1730712969 | Anthony Joseph Jurecic | Nurse Practitioner | 2382 Us 41 W, Marquette, MI 49855-2456 | 2020-02-17 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| Find all providers with the same taxonomy | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on MRS. KRISTIN MARIE ELLIOTT.
| 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.