KATHRYN MARIE COUTURE KELLY (NPI# 1053544783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053544783 |
| Entity Type | Individual |
| Full Name | KATHRYN MARIE COUTURE KELLY |
| Credential | MD |
| Practice Address |
3003 W Dr Martin Luther King Jr Blvd Chronic Complex Clinic Tampa FL 33607-6307 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-7770 |
| Practice Telephone | 8135548121 |
| Mailing Telephone | 8139742201 |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2017-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | ME121021 | FL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 01071090A | IN | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | ME121201 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 014414200 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 14T3P | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093134314 | Kathryn Kaplan Kelly | Speech-Language Pathologist | 1060 N Falling Waters Dr, Demorest, GA 30535-4733 | 2014-04-15 |
| 1811261134 | Kathryn Kelly | Physical Therapist | 17 Riverside Dr, Tiverton, RI 02878-4317 | 2012-03-05 |
| 1407159353 | Kathryn E Kelly | Psychologist | 311 Church St, Natchitoches, LA 71457-4612 | 2010-12-15 |
| 1174773097 | Kathryn Ann Kelly | Family Medicine | 4410 Ruttand Park Ln, Katy, TX 77450-8229 | 2008-09-27 |
| 1063638492 | Kathryn B Kelly | Registered Nurse | 32 Hummingbird Lane, Conway, AR 72032-1296 | 2007-04-17 |
| 1083711972 | Kathryn Burke Kelly | Clinical Nurse Specialist | 324 Purchase St, Suite 12b, South Easton, MA 02375-1641 | 2006-09-20 |
| 1336136100 | Kathryn Ann Kelly | Physical Therapist | 1924 Tappahannock Blvd, Tappahannock, VA 22560-9352 | 2005-10-05 |
| 1467086405 | Kathryn D Kelly | Counselor | 501 Colliers Way, Weirton, WV 26062-5003 | 2020-02-28 |
| 1710333570 | Kathryn Lyons Kelly | Emergency Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2016-05-11 |
| 1689077737 | Kathryn Marie Kelly | Nurse Anesthetist, Certified Registered | 2411 Fountain View Dr, Ste 200, Houston, TX 77057-4817 | 2014-10-03 |
| Street Address |
3003 W DR MARTIN LUTHER KING JR BLVD CHRONIC COMPLEX CLINIC |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609866219 | Warren Randall Sumner | Physician Assistant | 3003 W Dr Martin Luther King Jr Blvd, Mab 2nd Floor, Tampa, FL 33607-6307 | 2005-10-25 |
| 1790282036 | Candice Sharee Hardee | Nurse Practitioner | 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2018-04-12 |
| 1992217293 | Meby S Abraham | Pharmacist | 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2017-10-26 |
| 1770018988 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2017-04-25 |
| 1336523968 | Gary J Kuznicki | Physician Assistant | 3003 W Dr Martin Luther King Jr Blvd, Mab-3rd Floor, Tampa, FL 33607-6307 | 2015-07-14 |
| 1932591021 | Lauren Michelle Smith | Nurse Practitioner | 3003 W Dr Martin Luther King Jr Blvd, 2nd Floor Mab, Tampa, FL 33607-6307 | 2015-02-26 |
| 1639573512 | John-colby Carter | Physician Assistant | 3003 W Dr Martin Luther King Jr Blvd, Mab 2nd Floor, Tampa, FL 33607-6307 | 2014-10-21 |
| 1427459163 | Samit Patel | Pediatrics | 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2014-09-12 |
| 1487078903 | Dawn Elizabeth Stone | Nurse Practitioner | 3003 W Dr Martin Luther King Jr Blvd, Mab 3rd Floor, Tampa, FL 33607-6307 | 2014-02-05 |
| 1679901151 | Chelsea N. Cronin | Physician Assistant | 3003 W Dr Martin Luther King Jr Blvd, 2nd Floor Mab, Tampa, FL 33607 | 2013-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927632 | Leonor Balart | Hospitalist | 4302 W Carmen St Unit 5, Tampa, FL 33609-2270 | 2020-09-19 |
| 1114484813 | Best Medical LLC | Hospitalist | 11604 Orange Palm Way, Tampa, FL 33626-4746 | 2019-02-28 |
| 1427319722 | Inpatient Physician Associates LLC | Hospitalist | 442 W Kennedy Blvd, Suite 250, Tampa, FL 33606-1494 | 2012-06-04 |
| 1770743197 | Peter Travis Riad Chang | Hospitalist | 606 W Kennedy Blvd, Tampa, FL 33606-1415 | 2008-06-10 |
| 1881660587 | Anibal Cuevas | Hospitalist | 13902 N Dale Mabry Hwy, #260, Tampa, FL 33618 | 2006-02-23 |
| 1720059868 | Rafael S Rodriguez | Hospitalist | 4102 N Macdill Ave Ste A, Tampa, FL 33607-6717 | 2006-01-27 |
| 1487126264 | Florida Wound & Healing Pa | Hospitalist | 12250 N 22nd St, Tampa, FL 33612-4955 | 2018-12-18 |
| 1538535679 | Keystone Hospitalist Services of Tx Pa | Hospitalist | 1201 W Swann Ave, Tampa, FL 33606-2639 | 2015-08-12 |
| 1306223557 | Charles David Valenti | Hospitalist | 5 Tampa General Cir # 750, Tampa, FL 33606 | 2015-04-27 |
| 1972998102 | Colleen Rebekah Maier Mcintosh | Hospitalist | 5 Tampa General Cir # 750, Tampa, FL 33606-3601 | 2015-04-03 |
| Find all providers in TAMPA | ||||
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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.