Kathryn Christlieb

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601008534 Issued in MI

Practice address

16151 19 Mile Rd
Ste 300
Clinton Township, MI 48038-1159

Phone

(586) 203-1780

Fax

(586) 228-2672

NPI assigned

Apr 19, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: kathryn.christlieb.1@14883.direct.athenahealth.com
• Direct secure messaging: kchristlieb522282@direct.hfhs.org
• Direct secure messaging: kchristlieb@landmarkhealth-direct.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellstreet Urgent Care of Michigan

  • Non-Pharmacy Dispensing Site
  • Troy, MI
  • NPI 1649952052
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1225525868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 HAMILTON ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701648",
            "telephone_number": "248-924-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 19 MILE RD",
            "address_2": "STE 300",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381159",
            "telephone_number": "586-203-1780",
            "fax_number": "586-228-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTLIEB",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryian Ahmed Choudhury, DO
• Cynthia Tseng Chow, MD
• Mohammad Alamir Chowdhury, RPT
• Christian Home Health Care
• Mary Beth Christie, NP
• Christopher Brioc DC PLLC
• Christopher P Press DDS PC
• Christopher P Press DDS PC
• Church of Christ Home for the Aged
• Laurie J Church, MA LPC NCC

• Physician Assistant in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.