KELLY MICHELE CZARNECKI (NPI# 1043234610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043234610 |
| Entity Type | Individual |
| Full Name | KELLY MICHELE CZARNECKI |
| Other Name | KELLY MICHELE FELKINE |
| Credential | PAC |
| Practice Address |
1490 N Turquoise Dr Flagstaff AZ 86001 |
| Practice Telephone | 9287745074 |
| Practice Fax Number | 9287740884 |
| Mailing Telephone | 9287745074 |
| Mailing Fax Number | 9287740884 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 56246 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285120337 | Kelly Ann Czarnecki | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-2306 | 2018-07-02 |
| Street Address |
1490 N TURQUOISE DR |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881629376 | Therese Ann Holguin | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001-1383 | 2006-07-12 |
| 1477748069 | Northern Arizona Dermatology Center PC | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2007-09-07 |
| 1932244266 | No Ariz Dermatology Center | Clinical Medical Laboratory | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2007-02-21 |
| 1962558569 | Northern Arizona Dermatology Center PC | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2007-01-26 |
| 1245303718 | Jordan J Miller | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001-1383 | 2006-11-15 |
| 1790799450 | Edward Charles Kauffman | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2006-07-28 |
| 1972517530 | Carin Cain | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2006-07-28 |
| 1225054240 | Carl Frederick Bigler | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001-1383 | 2006-07-14 |
| 1760408785 | Scott Morrison Dale | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790051274 | Lisa Grimaldi | Physician Assistant | 1110 E Routt 66, Suite 100, Flagstaff, AZ 86001 | 2012-03-28 |
| 1740426790 | Jessica K Newton | Physician Assistant | 1100 N San Francisco St Ste E, Flagstaff, AZ 86001-3260 | 2008-12-22 |
| 1538323779 | Gregory Alexander Cox | Physician Assistant | 709 W Birch Ave, Flagstaff, AZ 86001-4417 | 2008-07-16 |
| 1427232792 | Matthew Henry Pielecha | Physician Assistant | 1515 E Cedar Ave Ste A-3, Flagstaff, AZ 86004-1630 | 2007-12-21 |
| 1205053279 | Jennifer M Morris, Pa-c, Plc | Physician Assistant | 121 W Gneiss Trl, Flagstaff, AZ 86001-8382 | 2007-04-19 |
| 1366472961 | Jennifer A Walker | Physician Assistant | 1485 N Turquoise Dr Ste 200, Flagstaff, AZ 86001-2000 | 2006-07-03 |
| 1316985823 | Jennifer Renee Dephillips | Physician Assistant | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2006-06-04 |
| 1174121081 | Clayton Eugene Gould | Physician Assistant | 1515 E Cedar Ave Ste A-3, Flagstaff, AZ 86004-1630 | 2020-10-13 |
| 1013568088 | Jerry Charles Vega | Physician Assistant | 1515 E Cedar Ave Ste A-3, Flagstaff, AZ 86004-1630 | 2019-09-21 |
| 1326500471 | Kathryn Michelle Earhart | Physician Assistant | 1485 N Turquoise Dr, Flagstaff, AZ 86001-1398 | 2019-04-05 |
| Find all providers in FLAGSTAFF | ||||
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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.