KELLY MITCHELL (NPI# 1891064085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891064085 |
| Entity Type | Individual |
| Full Name | KELLY MITCHELL |
| Practice Address |
15194 21 Mile Rd Tustin MI 49688-8545 |
| Practice Telephone | 2318293098 |
| Mailing Telephone | 2318293098 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | AF670015175 | MI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676061 | Kelly Marie Mitchell | Registered Nurse | 1012 W Villas Dr, Vicksburg, MI 49097-9626 | 2020-07-21 |
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1063976660 | Kelly Erin Mitchell | Nurse Practitioner | 7401 Beaufort Springs Dr, Suite 205, Richmond, VA 23225 | 2019-01-28 |
| 1073089769 | Kelly Jean Mitchell | Home Health Aide | 1293 Niagara Ave, Akron, OH 44305-2774 | 2018-10-19 |
| 1306266820 | Kelly Mitchell | Counselor | 3540 S Highway 27 Ste 4, Somerset, KY 42501-3124 | 2014-04-23 |
| 1467877068 | Kelly Mitchell | Developmental Therapist | 191 Blue Top Rd, Jacksonville, NC 28540-2948 | 2014-02-19 |
| 1104266188 | Kelly Leshawn Mitchell | Licensed Practical Nurse | 238 Lawrence Ave, Apartment#9, Lawrence, NY 11559-1297 | 2013-07-05 |
| 1811146749 | Kelly Marie Mitchell | Social Worker | Bia Road # 7 Building #152, Belcourt, ND 58316-1970 | 2008-09-16 |
| 1053967059 | Kelly Mitchell | Pharmacist | 609 Luzerne St, Scranton, PA 18504-2626 | 2019-08-15 |
| 1902467848 | Kelly Kathleen Mitchell | Registered Nurse | 10802 College Place, Cerritos, CA 90703 | 2019-06-21 |
| Street Address |
15194 21 MILE RD |
| City | TUSTIN |
| State | MI |
| Zip Code | 49688-8545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578523502 | Jonathan Andrew Dennis | Family Medicine | 111 Church Street, Tustin, MI 49688-5113 | 2006-03-24 |
| 1861459059 | Ann L Truax | Nurse Practitioner | 111 E Church St, Tustin, MI 49688-5114 | 2006-05-01 |
| 1407319460 | Mecosta County Medical Center | Clinic/Center | 111 E Church St, Tustin, MI 49688-5114 | 2019-04-08 |
| 1144699125 | Heather Marie Williams | Physician Assistant | 111 E Church St, Tustin, MI 49688-5114 | 2015-09-19 |
| 1609162957 | Kali Corinne Vanstee | Physician Assistant | 111 E Church St, Tustin, MI 49688-5114 | 2011-06-24 |
| 1225236334 | Reed City Hospital Corporation | Clinic/Center | 111 E Church St, Tustin, MI 49688-5114 | 2007-07-10 |
| 1912250861 | Amanda Nixon | Physician Assistant | 202 S Howard St, Tustin, MI 49688-5123 | 2012-10-16 |
| 1578072591 | Amanda K Nixon Pa-c PC | Clinic/Center | 202 Howard St, Tustin, MI 49688-5123 | 2017-09-21 |
| 1083134886 | Amanda K Nixon Pa-c PC | Physician Assistant | 202 S Howard St, Tustin, MI 49688-5123 | 2017-06-22 |
| 1396015731 | Barbara Ann Johnson | Contractor | 20936 20 Mile Rd, Tustin, MI 49688-8021 | 2012-01-02 |
| Find all providers in zip 49688 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619392735 | Andrew Leon | Contractor | 13217 Jamboree Rd, 207, Tustin, CA 92782-9158 | 2014-02-26 |
| 1578833919 | Bridget Renee Johnson | Contractor | 20090 210th Ave, Tustin, MI 49688-8210 | 2012-01-02 |
| 1396015731 | Barbara Ann Johnson | Contractor | 20936 20 Mile Rd, Tustin, MI 49688-8021 | 2012-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861693 | Asset Health, Inc. | Contractor | 2250 Butterfield Dr Ste 100, Troy, MI 48084-3411 | 2020-11-05 |
| 1740888122 | Mosobalaje I Adewole | Contractor | 22448 Hallcroft Trl, Southfield, MI 48034-5498 | 2020-10-16 |
| 1689272833 | Michael Onwuegbuna | Contractor | 4057 Radcliff Dr, Canton, MI 48188-7236 | 2020-10-10 |
| 1366075053 | David Begley | Contractor | 4286 Welch Rd, Attica, MI 48412-9394 | 2020-02-20 |
| 1174155709 | Barbara S Kosten | Contractor | 7622 Collins Rd, Fenwick, MI 48834-9535 | 2020-02-11 |
| 1780229880 | Terri Dallas | Contractor | 59 Seward St Apt 603, Detroit, MI 48202-2431 | 2019-11-12 |
| 1033763347 | Latrese Tucker | Contractor | 9600 Wyoming, Detroit, MI 48204 | 2019-07-25 |
| 1700443033 | Payroll & Accounting Services LLC | Contractor | 20600 Eureka Rd Ste 220, Taylor, MI 48180-6337 | 2019-05-22 |
| 1659934669 | Jeffrey Paul Cates | Contractor | 826 W 11 Mile Rd, Madison Heights, MI 48071-3102 | 2019-04-16 |
| 1073073516 | Simba Mujuru | Contractor | 7115 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3655 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
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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.