MRS. KELLIE JO NIESE (NPI# 1861977084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861977084 |
| Entity Type | Individual |
| Full Name | MRS. KELLIE JO NIESE |
| Other Name | KELLIE JO REED |
| Credential | RN |
| Practice Address |
1040 S Winter St Ste 1022 Adrian MI 49221-3867 |
| Practice Telephone | 5172638905 |
| Practice Fax Number | 5172637616 |
| Mailing Telephone | 5172638905 |
| Mailing Fax Number | 5172637616 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
4704250179 | MI | Nursing Service Providers |
| Street Address |
1040 S WINTER ST STE 1022 |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-3867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588683197 | Frances Ann Foley | Social Worker | 1040 S Winter St Ste 1022, Adrian, MI 49221-3876 | 2006-07-18 |
| 1821616129 | Halee Jordan Grams | Psychologist | 1040 S Winter St Ste 1022, Adrian, MI 49221-3876 | 2020-07-13 |
| 1003440595 | Sheila Sears | Peer Specialist | 1040 S Winter St Ste 1022, Adrian, MI 49221-3876 | 2020-02-24 |
| 1467086017 | Arianna Gwinner | Peer Specialist | 1040 S Winter St Ste 1022, Adrian, MI 49221-3876 | 2020-02-22 |
| 1649817446 | Sandy Valdez | Case Manager/Care Coordinator | 1040 S Winter St Ste 1022, Adrian, MI 49221-3876 | 2019-11-30 |
| 1144863291 | Justin Scott Steggerda | Social Worker | 1040 S Winter St Ste 1022, Adrian, MI 49221-3876 | 2019-10-22 |
| 1154972602 | Jessica Marie Opel | Social Worker | 1040 S Winter St Ste 1022, Adrian, MI 49221-3876 | 2019-09-26 |
| 1497304463 | Fallon Flarity | Student in an Organized Health Care Education/Training Program | 1040 S Winter St Ste 1022, Adrian, MI 49221-3876 | 2019-09-11 |
| 1073079166 | Ashley Elizabeth Gigax | Peer Specialist | 1040 S Winter St Ste 1022, Adrian, MI 49221-3876 | 2019-02-14 |
| 1770049934 | Alyssa Honeywell | Social Worker | 1040 S Winter St Ste 1022, Adrian, MI 49221-3876 | 2019-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
| Find all providers in zip 49221 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174079966 | Mary Emma Austin | Registered Nurse | 1040 S Winter St, Suite 1022, Adrian, MI 49221-3876 | 2016-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677869 | Linda Denise Harter | Registered Nurse | 7000 Eagle Rd, Davisburg, MI 48350-3200 | 2020-10-20 |
| 1396351458 | Nina Mattucci | Registered Nurse | 144 Rockway Dr, Linden, MI 48451-9140 | 2020-09-23 |
| 1679192124 | Edward Lawrence Demaagd | Registered Nurse | 4635 Lucas Dr Sw, Grandville, MI 49418-2293 | 2020-04-15 |
| 1255963161 | Ruth Hoogmoed | Registered Nurse | 6475 Bridlewood Ct Ne, Ada, MI 49301-9664 | 2020-02-08 |
| 1649815366 | Margaret Emily-pawlowski Bovee | Registered Nurse | 2444 Welsheimer Rd, Harbor Springs, MI 49740 | 2019-11-18 |
| 1356994099 | Wendy S Krause | Registered Nurse | 13266 Spence Rd, Three Rivers, MI 49093-9707 | 2019-07-22 |
| 1669037081 | Laura Esese | Registered Nurse | 3640 Brambleberry Dr Nw, Comstock Park, MI 49321-9796 | 2019-05-02 |
| 1306305925 | Paul J Klutts | Registered Nurse | 330 W Division St, Ishpeming, MI 49849-2340 | 2019-03-13 |
| 1598254344 | Jerri Dee Medved | Registered Nurse | 1327 Sherwood Forest Ct, Waterford, MI 48327-1677 | 2018-05-08 |
| 1053835736 | Great Lakes Adult Day Services, LLC | Registered Nurse | 19194 Augusta Ct, Livonia, MI 48152-4016 | 2017-08-03 |
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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.