KATELYN NORDYKE (NPI# 1972014355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972014355 |
| Entity Type | Individual |
| Full Name | KATELYN NORDYKE |
| Credential | NP |
| Practice Address |
120 Waterstradt Commerce Dr Dundee MI 48131-9681 |
| Mailing Address |
10709 Armstrong Rd South Rockwood MI 48179-9760 |
| Practice Telephone | 7348235437 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704283844 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
120 WATERSTRADT COMMERCE DR |
| City | DUNDEE |
| State | MI |
| Zip Code | 48131-9681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447689302 | Dundee Pediatrics, Pllc | Exclusive Provider Organization | 120 Waterstradt Commerce Dr, Suite 1, Dundee, MI 48131-9681 | 2013-11-01 |
| 1285296970 | Joel Paul Enrico Greco | Nurse Practitioner | 120 Waterstradt Commerce Dr, Dundee, MI 48131-9681 | 2019-07-02 |
| 1376972869 | Amanda Lawson | Nurse Practitioner | 120 Waterstradt Commerce Dr, Dundee, MI 48131-9681 | 2013-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023059920 | Monroe Health Ventures, Inc | Pharmacy | 100 Powell Dr Suite 1, Dundee, MI 48131 | 2006-06-10 |
| 1194785733 | Michelle L Daill | Pediatrics | 120 Waterstradt-commerce Drive, Suite 1, Dundee, MI 48131 | 2006-03-27 |
| 1275509432 | Barnett Ronald Kantz | Emergency Medicine | 100 Powell Dr., Suite #2, Dundee, MI 48131 | 2006-02-27 |
| 1669467338 | Heartland Home Care, LLC | Home Health | 100 Powell Dr Ste 1, Dundee, MI 48131 | 2005-09-19 |
| 1124677596 | Brianna Babiera | Massage Therapist | 119 Waterstradt Commerce Dr, Dundee, MI 48131 | 2019-09-09 |
| 1508065905 | Dundee Pediatrics, Pllc | Clinic/Center | 120 Waterstradt-commerce Drive, Suite 1, Dundee, MI 48131 | 2007-07-16 |
| 1023104841 | Matthew James Leach | Pharmacist | 100 Powell Dr., Suite 1, Dundee, MI 48131 | 2006-10-05 |
| 1033232160 | Harless Family Chiropractic, Pllc | Chiropractor | 498 E. Monroe St, Dundee, MI 48131-0120 | 2007-04-06 |
| 1215927793 | Timothy Martin Stiff | Pharmacist | 115 Riley St, Dundee, MI 48131-1025 | 2005-10-25 |
| 1346295136 | Dundee Pharmacy Shoppe | Pharmacy | 115 Riley St, Dundee, MI 48131-1025 | 2006-05-23 |
| Find all providers in zip 48131 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296970 | Joel Paul Enrico Greco | Nurse Practitioner | 120 Waterstradt Commerce Dr, Dundee, MI 48131-9681 | 2019-07-02 |
| 1376972869 | Amanda Lawson | Nurse Practitioner | 120 Waterstradt Commerce Dr, Dundee, MI 48131-9681 | 2013-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991061 | Sarah Elizabeth Barber | Nurse Practitioner | 12918 Lake Point Pass, Van Buren Twp, MI 48111-2243 | 2020-10-27 |
| 1730700881 | Kelsey Olinik | Nurse Practitioner | 22200 Barclay Dr, Novi, MI 48374-3874 | 2020-04-29 |
| 1467080705 | Jessica Nicole Heichel | Nurse Practitioner | 7729 Brass Creek Ct, Dexter, MI 48130-9384 | 2020-03-31 |
| 1114550506 | Katlyn Roberts | Nurse Practitioner | 60160 E 8 Mile Rd, South Lyon, MI 48178-9768 | 2020-02-13 |
| 1093351595 | Emily Janina Jamett | Nurse Practitioner | 31815 Southfield Rd Ste 10, Beverly Hills, MI 48025-5471 | 2019-11-20 |
| 1508410747 | Clorissa Diedrich | Nurse Practitioner | 829 N Center Ave Ste 130, Gaylord, MI 49735-1684 | 2019-07-25 |
| 1255895355 | Jessica Lynn Kata | Nurse Practitioner | 19229 Mack Ave Ste 28, Grosse Pointe Woods, MI 48236-2857 | 2019-01-23 |
| 1467934679 | Anita Lynn Riddle | Nurse Practitioner | 100 W. Vanburen Street, Battle Creek, MI 49017 | 2018-09-04 |
| 1285120634 | Alexandra Danko | Nurse Practitioner | 5500 Auto Club Dr Ste 160, Dearborn, MI 48126-2779 | 2018-07-09 |
| 1417442617 | Shelby Fredricks | Nurse Practitioner | 1205 S Mission St Ste 4, Mount Pleasant, MI 48858-3939 | 2018-06-29 |
| 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.