Kailey Allison Temple, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704289808 Issued in MI

Practice address

3901 Highland Rd Ste D
Waterford, MI 48328-2162

Phone

(248) 682-3070

Fax

(248) 682-3626

NPI assigned

Mar 22, 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

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.

• Art of Dermatology PLLC

  • Dermatology Physician
  • Berkley, MI
  • NPI 1275022519
  Medicare reassignment NPD
• Alan Bolton, MD, PC

  • Obstetrics & Gynecology Physician
  • Berkley, MI
  • NPI 1467632901
  NPD

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1427552587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 HIGHLAND RD STE D",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282162",
            "telephone_number": "248-682-3070",
            "fax_number": "248-682-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 HIGHLAND RD STE D",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282162",
            "telephone_number": "248-682-3070",
            "fax_number": "248-682-3626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8128 Denton Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MI",
            "postal_code": "484309486",
            "country_code": "US",
            "telephone_number": "248-343-3650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "KAILEY",
        "middle_name": "ALLISON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704289808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Ka Ua Taylor-Fulton
• Marvin S Taylor, DDS
• Maxine Taylor
• Kelly A. Teague, LISW
• Teamwork Home Care, LLC
• Carole Ann Tennis
• Thabet Abbarah MD ENT PC
• Steven Tharrett, PT
• Jennifer Lynn Thayer, LLMSW
• The Couch Counseling Services, PLLC

• Family Nurse Practitioner in Waterford, MI
• Providers in Waterford, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.