KELLY LY (NPI# 1073885745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073885745 |
| Entity Type | Individual |
| Full Name | KELLY LY |
| Practice Address |
328 Northbank Ct Apt 37 Stockton CA 95207-7611 |
| Practice Telephone | 2093238655 |
| Mailing Telephone | 2093238655 |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SPA 727 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134166333 | Kelly L Ly | Anesthesiology | 1150 Veterans Blvd., Kaiser Redwood City Medical, Redwood City, CA 94063 | 2006-05-31 |
| 1447603394 | Kelly Ly | Optometrist | 182 W 32nd St, Yuma, AZ 85364-8127 | 2016-07-15 |
| 1801914742 | Kelly Kim Ly | Pediatrics | 227 Madison St, Pediatrics Dept, New York, NY 10002-7537 | 2007-03-27 |
| Street Address |
328 NORTHBANK CT APT 37 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-7611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215426085 | Stacy Carina Garcia | Specialist/Technologist | 1506 Laguna Cir, Stockton, CA 95206-4816 | 2018-05-07 |
| 1730551250 | Rita Garcia | Specialist/Technologist | 4419 Virgil St, Stockton, CA 95215-1832 | 2015-10-23 |
| 1669080867 | Stephanie Medrano | Specialist/Technologist | 3031 W March Ln Ste 117s, Stockton, CA 95219-6500 | 2020-07-14 |
| 1972159796 | Megan Germann | Specialist/Technologist | 3031 W March Ln Ste 117s, Stockton, CA 95219-6500 | 2019-08-16 |
| 1003462748 | Taylor Chord | Specialist/Technologist | 3031 W March Ln Ste 117s, Stockton, CA 95219-6500 | 2019-08-16 |
| 1093204893 | Cierra Lin Bertsch | Specialist/Technologist | 3031 W March Ln Ste 117, Stockton, CA 95219-6568 | 2018-05-07 |
| 1841730199 | Lauren Leigh Hawbaker | Specialist/Technologist | 3031 W March Ln Ste 117s, Stockton, CA 95219-6500 | 2017-03-06 |
| 1245785039 | Kirstie Nicole Subry | Specialist/Technologist | 3031 W March Ln Ste 117s, Stockton, CA 95219-6500 | 2016-08-22 |
| 1104274083 | Kayla Marie Laney | Specialist/Technologist | 3031 W March Ln, Suite 117, Stockton, CA 95219-6500 | 2016-06-01 |
| 1225497142 | Renee Silva | Specialist/Technologist | 3031 W March Ln, Suite 117 South, Stockton, CA 95219-6500 | 2016-02-19 |
| Find all providers in STOCKTON | ||||
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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.