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CAROLYNN A KELLOGG N.P.
NPI 1083638886
Nurse Practitioner in Traverse City, MI

Active since July 26, 2006
4045 W ROYAL DR, TRAVERSE CITY, MI 49684(231) 935-0900(231) 935-0308 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolynn A Kellogg N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYNN A KELLOGG N.P. (NPI 1083638886) is an individual nurse practitioner in Traverse City, Michigan, licensed in Michigan (4704130185) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1083638886
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROLYNN A KELLOGGCredential: N.P.
Location Address4045 W ROYAL DRTraverse City, MI 49684-8965
Mailing Address4045 W Royal DrTraverse City, MI 49684-8965 · (231) 935-0900 · Fax (231) 935-0308
Phone(231) 935-0900
Fax(231) 935-0308
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083638886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704130185
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4045 W ROYAL DR, Traverse City, MI 49684
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Other Identifiers 2

Medicare UPINN40590
Medicare ID-Type Unspecified0N89670

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON NOELLE PEDLAR
Physical Therapist
4045 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0900
CAROL L BLOUCH PTA, ATC
Physical Therapy Assistant
4045 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0900
THOMAS FREEMAN JR. MD
Orthopaedic Surgery
4045 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0900
ANGELA PAILTHORPE PA-C
Physician Assistant
4045 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-5734
SHELLY R KING PTA
Physical Therapy Assistant
4045 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0900
DR. THOMAS V O'HAGAN M.D.
Orthopaedic Surgery (Sports Medicine)
4045 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0900
JANICE MARY COBB MPT
Physical Therapist (Orthopedic)
4045 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0901
MYA EISENGA PTA
Physical Therapy Assistant
4045 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolynn Kellogg's NPI number?

The NPI number for Carolynn Kellogg is 1083638886. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Carolynn Kellogg located?

Carolynn Kellogg practices at 4045 W Royal Dr, Traverse City, MI 49684. The listed phone number is (231) 935-0900.

What is Carolynn Kellogg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Carolynn Kellogg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.