LINDA D KELLY (NPI# 1063790285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063790285 |
| Entity Type | Individual |
| Full Name | LINDA D KELLY |
| Credential | FNP |
| Practice Address |
331 Maine St Suite 4 Brunswick ME 04011-3358 |
| Practice Telephone | 2077210911 |
| Practice Fax Number | 2077219729 |
| Mailing Telephone | 2077210911 |
| Mailing Fax Number | 2077219729 |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2016-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP111047 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659780385 | Linda Kelly | Massage Therapist | 334 Hillandale St, Round Lake, IL 60073-3318 | 2014-08-06 |
| 1487975744 | Linda Bridget Kelly | Counselor | 56 Cowles Avenue, Yonkers, NY 10704 | 2010-06-21 |
| 1700119682 | Linda K Kelly | Nurse Practitioner | 55 Friut Street, Boston, MA 02114-2621 | 2009-09-10 |
| 1932334307 | Linda L Kelly | Registered Nurse | 2741 Mason Rd, Waterville, NY 13480-2131 | 2009-05-28 |
| 1255450136 | Linda Faye Kelly | Nurse Practitioner | 100 W Grand Heights Rd, Memphis, TN 38109-7467 | 2007-03-29 |
| 1184781965 | Linda A. Kelly | Social Worker | 190 Goldens Bridge Court, Bedford Professional Bldg., Katonah, NY 10536 | 2007-01-02 |
| 1730640657 | Linda Kelly | Social Worker | 9 Blodget St, Manchester, NH 03104-3598 | 2019-03-26 |
| 1972947596 | Linda J Kelly | Social Worker | 1885 Ne Purcell Blvd, Bend, OR 97701-6022 | 2013-04-25 |
| 1114202645 | Linda Patricia Kelly | Student in an Organized Health Care Education/Training Program | 1365b Clifton Rd Ne, Atlanta, GA 30322-1013 | 2011-10-16 |
| 1962714808 | Linda J Kelly | Social Worker | 401 W Texas Ave, Baytown, TX 77520-4751 | 2010-07-08 |
| Street Address |
331 MAINE ST SUITE 4 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-3358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265440911 | Cristin Rose Richards | Audiologist | 331 Maine St, Suite 4, Brunswick, ME 04011-3358 | 2006-08-04 |
| 1972924561 | Precious Shenandoah Dean | Physician Assistant | 331 Maine St, Suite 23, Brunswick, ME 04011-3358 | 2013-12-27 |
| 1912347550 | Megan Elizabeth Lapointe | Optometrist | 331 Maine St, Suite 1, Brunswick, ME 04011-3358 | 2013-06-27 |
| 1548550635 | Great Scott Audiology, Pa | Audiologist | 331 Maine St, Suite 4, Brunswick, ME 04011-3358 | 2011-04-11 |
| 1841448982 | Eldercare At Parkview | Internal Medicine | 331 Maine St, Suite 15, Brunswick, ME 04011-3358 | 2008-09-03 |
| 1457544256 | Andrew Paul Susen | Physician Assistant | 331 Maine St, Suite 23, Brunswick, ME 04011-3358 | 2007-08-24 |
| 1386845857 | Parkview Medical Associates, Pa | Surgery | 331 Maine St, Brunswick, ME 04011-3358 | 2007-05-30 |
| 1023165487 | Stemple D Johnson | Surgery | 331 Maine St, Suite 23, Brunswick, ME 04011-3358 | 2007-01-05 |
| 1518026053 | Gregory Penner, Md | Otolaryngology | 331 Maine St, Suite 4, Brunswick, ME 04011-3358 | 2006-12-08 |
| 1225118953 | Mark Alexander | Optometrist | 331 Maine St, Ste 1, Brunswick, ME 04011-3358 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515790 | Jana H Christman | Nurse Practitioner | 81 Medical Center Dr Ste 2150, Brunswick, ME 04011-2764 | 2020-10-14 |
| 1265030563 | Christie Tolbert | Nurse Practitioner | 156 Banks Dr, Brunswick, GA 31523-6205 | 2020-10-09 |
| 1417577800 | Chahnaz El Jaouhari | Nurse Practitioner | 500 Westchester Dr, Brunswick, OH 44212-1868 | 2020-04-25 |
| 1982235370 | Kristy Chesser | Nurse Practitioner | 2500 Starling St Ste 602, Brunswick, GA 31520-4271 | 2020-02-04 |
| 1861031023 | Mark Ryan Wylie | Nurse Practitioner | 112 Palmera Ln, Brunswick, GA 31525-3032 | 2020-01-05 |
| 1548738107 | Ruth Sroka | Nurse Practitioner | 4000 Sherwood Dr, Brunswick, OH 44212-2652 | 2018-11-12 |
| 1669949251 | Jennifer Erika Stuver | Nurse Practitioner | 46 Skyview Dr, Brunswick, OH 44212-1204 | 2018-11-01 |
| 1124514120 | Holly Rae Logan | Nurse Practitioner | 121 Medical Center Dr Ste 2600, Brunswick, ME 04011-2668 | 2018-07-03 |
| 1780187120 | Pamela Mesowski Hinson | Nurse Practitioner | 105 Clipper Bay Rd, Brunswick, GA 31523-8936 | 2018-03-12 |
| 1174039481 | Rachel Raney Weaver-hall | Nurse Practitioner | 209 Prior Ave, Brunswick, GA 31525-2326 | 2017-12-21 |
| Find all providers in BRUNSWICK | ||||
Please comment or provide details below to improve the information on LINDA D 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.