KELLY LYNNE JARRETT (NPI# 1003314014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003314014 |
| Entity Type | Individual |
| Full Name | KELLY LYNNE JARRETT |
| Credential | ATP |
| Practice Address |
3501 Taylor Ave Baltimore MD 21236-4406 |
| Practice Telephone | 4104445000 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703065 | Kelly Jarrett | Physical Therapist | 4869 S Bradley Rd Ste 114, Santa Maria, CA 93455-5088 | 2020-09-04 |
| 1124339080 | Kelly Andre Jarrett | Family Medicine | 2006 Madison Ave, New York, NY 10035-1217 | 2010-06-25 |
| Street Address |
3501 TAYLOR AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21236-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154970275 | Sarah Tweedle | Social Worker | 3501 Taylor Ave, Baltimore, MD 21236-4406 | 2019-09-11 |
| 1184278053 | Christopher James Tabb | Rehabilitation Counselor | 3501 Taylor Ave, Baltimore, MD 21236-4406 | 2019-07-30 |
| 1366915043 | Alexander Tyler Schultz | Rehabilitation Counselor | 3501 Taylor Ave, Baltimore, MD 21236-4406 | 2019-01-06 |
| 1235626706 | Jennifer Ruth Keenan | Specialist/Technologist | 3501 Taylor Ave, Baltimore, MD 21236-4406 | 2018-04-19 |
| 1033616404 | Jenny Elizabeth Westman-minnig | Rehabilitation Counselor | 3501 Taylor Ave, Baltimore, MD 21236-4406 | 2018-04-11 |
| 1629573704 | William Hopkins Mcgeachy | Rehabilitation Counselor | 3501 Taylor Ave, Baltimore, MD 21236-4406 | 2018-03-29 |
| 1215432398 | Vicki Webster | Rehabilitation Counselor | 3501 Taylor Ave, Baltimore, MD 21236-4406 | 2018-03-29 |
| 1225533672 | Catherine Palanker | Social Worker | 3501 Taylor Ave, Baltimore, MD 21236-4406 | 2018-03-28 |
| 1548765159 | Tracey Klein | Occupational Therapist | 3501 Taylor Ave, Baltimore, MD 21236-4406 | 2018-03-26 |
| 1710480991 | Maureen Morgan | Rehabilitation Counselor | 3501 Taylor Ave, Baltimore, MD 21236-4406 | 2018-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720618978 | Nazaahah Amin | Specialist/Technologist | 636 North Gilmor Street, Baltimore, MD 21217-2121 | 2020-01-16 |
| 1629474838 | Rakita Marie Ames | Specialist/Technologist | 442 Walton Ct, Baltimore, MD 21201-2122 | 2014-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902436173 | Pamela Stokes Eggleston | Specialist/Technologist | 12504 Canfield Ln, Bowie, MD 20715-1518 | 2020-01-16 |
| 1366961518 | Chanice Tiara Yelder I | Specialist/Technologist | 1326 Tralee Cir, Aberdeen, MD 21001-2642 | 2017-09-19 |
| 1033230081 | Chin-hua Wang | Specialist/Technologist | 6410 Rockledge Dr, Nrh Regional Rehab - Suite 600, Bethesda, MD 20817-1809 | 2007-04-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.