HAIDANG TRUONG KELLY (NPI# 1033546700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033546700 |
| Entity Type | Individual |
| Full Name | HAIDANG TRUONG KELLY |
| Other Name | HAIDANG THI TRUONG |
| Credential | NP |
| Practice Address |
147 Milk St Fl 3 Boston MA 02109 |
| Mailing Address |
147 Milk St Fl 9 Boston MA 02109-4806 |
| Practice Telephone | 6176547280 |
| Practice Fax Number | 6176547363 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2018-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN2263216 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110022129 | 05 |
| Street Address |
147 MILK ST FL 3 |
| City | BOSTON |
| State | MA |
| Zip Code | 02109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477167385 | Hidden Gems Counseling LLC | Clinic/Center | 6 Liberty Sq, Pmb 452, Boston, MA 02109 | 2020-09-08 |
| 1710596697 | Boston Center for Health Psychology and Biofeedback, LLC | Psychologist | 10 Post Office Sq., Ste 800 South, Boston, MA 02109 | 2020-07-27 |
| 1568925311 | Robyn Kievit LLC | Dietitian, Registered | 112 Water Street Suite 203, Boston, MA 02109 | 2019-04-09 |
| 1023503786 | Merissa Wright | Behavior Technician | 8 Faneuil Hall Marketplace, 3rd Floor, Boston, MA 02109 | 2018-06-26 |
| 1366961310 | Christine Anna Corallino | Nurse Practitioner | 14 Foster Street, #3, Boston, MA 02109 | 2017-09-11 |
| 1609322858 | Katelyn Patricia Cloutier | Physical Therapist | 4 Water Street, Boston, MA 02109 | 2016-08-28 |
| 1467701821 | One Medical Group, PC | Internal Medicine | 28 State Street, Suite 2850, Boston, MA 02109 | 2012-08-31 |
| 1326218397 | Monica E. Zuniga | Counselor | 112 Water St Ste 203, Boston, MA 02109 | 2008-03-06 |
| 1124215298 | Martin B Silverstein | Internal Medicine | 53 State Street, Boston Consulting Group Exchange Place, Boston, MA 02109 | 2007-10-02 |
| 1285825562 | Jamie L Davis | Nurse Practitioner | 28 State St. Suite 2860, One Medical Group, Boston, MA 02109 | 2007-08-05 |
| Find all providers in zip 02109 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
| 1881230027 | Linda Marie Sabo | Nurse Practitioner | 300 Pier 4 Blvd Unit 4j, Boston, MA 02210-2644 | 2019-11-22 |
| 1417479940 | Sarah Jane Georgia | Nurse Practitioner | 165 Cambridge St Ste 301, Boston, MA 02114-2751 | 2017-07-17 |
| 1932597499 | Sheila Brown | Nurse Practitioner | 218 Humboldt Avenue, Boston, MA 02121 | 2015-01-06 |
| 1871902635 | Lindsy Mary Gusiora | Nurse Practitioner | 1 Brookline Ave Ste 105, Boston, MA 02215-3421 | 2014-08-06 |
| 1710308218 | Kristin Fleischmann-rose | Nurse Practitioner | 330 Brookline Ave Fl 5, Breastcare Center, Boston, MA 02215-5400 | 2013-12-31 |
| 1659620821 | Darlene Electa Sawicki | Nurse Practitioner | 55 Fruit Street, Bigelow 1256, Massachusetts General Hospital, Boston, MA 02114 | 2012-09-04 |
| 1710258371 | Megan Leahy Grady | Nurse Practitioner | 165 Cambridge St., Charles River Plaza 5th Floor Mgh Senior Health, Boston, MA 02114 | 2012-01-13 |
| 1568739480 | Ariel Leora Watriss | Nurse Practitioner | 1340 Boylston St Fl 8, Boston, MA 02215-4302 | 2011-11-21 |
| 1982906053 | Amy Helene Snyder | Nurse Practitioner | 830 Harrison Ave Fl 5, Moakley, 3rd Floor, Boston, MA 02118-2905 | 2010-11-23 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on HAIDANG TRUONG KELLY.
| 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.