Kelly Marie Conklin, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704326272 Issued in MI

Practice address

3536 Meridian Crossings Ste 220
Okemos, MI 48864-4583

Phone

(517) 347-3012

NPI assigned

Oct 25, 2017

Last updated

Oct 25, 2017By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• Prac Holdings, Inc.

  dba Arcadia Home Care & Staffing

  • In Home Supportive Care Agency
  • Birmingham, MI
  • NPI 1295751667
  NPD (past)
• Prac Holdings, Inc.

  dba Arcadia Home Care & Staffing

  • In Home Supportive Care Agency
  • Okemos, MI
  • NPI 1699791061
  NPD (past)

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1740792118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LONG BLVD APT 480",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489116746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 MERIDIAN CROSSINGS STE 220",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644583",
            "telephone_number": "517-347-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704326272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compassionate Home Care Solutions LLC
• Comprehensive Pain Management PLC
• Mackenzie Compton
• Andrew Cone, PA-C
• Conform Chiropractic Clinic
• Stephanie Conklin, OTRL
• Connected Health PLLC
• Carmen Maria Connelly
• Consulting Urology Associates PLLC
• Convenient Family Dental Center, P.C. (Convenient Family Dental)

• Registered Nurse in Okemos, MI
• Providers in Okemos, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.