Kellie Joyce, ACCNS-P

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

2000461248 Issued in MI

Practice address

100 Michigan St NE
Grand Rapids, MI 49503-2560

Phone

(616) 267-0107

NPI assigned

Jul 31, 2023

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

Other names 1

• Kellie Kirbitz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1942981196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 MULFORD DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073842",
            "telephone_number": "810-618-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-267-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYCE",
        "first_name": "KELLIE",
        "name_prefix": "Dr.",
        "credential": "ACCNS-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "MI",
            "license": "2000461248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "KIRBITZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Journey 4 Life LLC
• Journey of Life Therapy, LLC
• Stefan Jovinge
• Carol Joy
• Joshua Joy, PHARMD
• Joyful Care LLC
• Heather Joynson
• Skylar Lorynn Jreissati
• Cristina Juarez-Juarez
• Alexander Miguel Juarez

• Pediatric Clinical Nurse Specialist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Pediatric Clinical Nurse Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.