Kelly James Houlihan, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

4704270432NSA2304J Issued in MI

Practice address

2426 Houghton Hollow Dr
Lansing, MI 48911-8420

Phone

(517) 575-7338

NPI assigned

Jun 16, 2023

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Great Lakes Home Health Services IncGroup PAC ID 5395734677, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Great Lakes Home Health Services, Inc.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Jackson, MI
  • NPI 1952988370
  Medicare reassignment Care Compare group NPD
• Op Hospice, LLC

  • Community Based Hospice Care Agency
  • Bingham Farms, MI
  • NPI 1750526620
  NPD (past)
• Op Hospice-Ohio LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Toledo, OH
  • NPI 1508685967
  NPD (past)

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1386329381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 HOUGHTON HOLLOW DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489118420",
            "telephone_number": "517-575-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 HOUGHTON HOLLOW DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489118420",
            "telephone_number": "517-575-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOULIHAN",
        "first_name": "KELLY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704270432NSA2304J",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospice Advantage, LLC
• Hospice Advantage, LLC
• Hospice of Lansing, Inc.
• Robert W Hostetler, DDS, MS
• Kristin Houck
• Whitney Allison Hounshell, D.O.
• Makhoul R Hourani, MD
• Sandra House, CSW
• Robyn Renee Householder, CCC-SLP
• Houser Draper Investments PLLC

• Acute Care Nurse Practitioner in Lansing, MI
• Providers in Lansing, MI by specialty
• Acute Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.