Casey Lyne Kies, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

10767 E Traverse Hwy
Traverse City, MI 49684-6219

Phone

(231) 720-9147

NPI assigned

Jun 11, 2024

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

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1841032893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10767 E TRAVERSE HWY",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846219",
            "telephone_number": "231-947-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10767 E TRAVERSE HWY",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846219",
            "telephone_number": "231-720-9147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 S State St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "MI",
            "postal_code": "494551243",
            "country_code": "US",
            "telephone_number": "231-861-2130 x419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIES",
        "first_name": "CASEY",
        "middle_name": "LYNE",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Kidner, FNP-BC
• Kids Creek Childrens Clinic PC
• Kids Creek Family Counseling, LLC
• Patrick J Kiella, OD
• Yelena Kier, D.O.
• Camilla Maria Kiessel
• Christa Kiessel, MSN, RN, CS, AOCNP
• Brian M Kiessling, M.D.
• Earl David Kik II, HEARING AID DEALER
• Paula Ann Kilcherman, LMSW

• Community Health Worker in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.