MARY CAITLIN KELLEY (NPI# 1083003644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083003644 |
| Entity Type | Individual |
| Full Name | MARY CAITLIN KELLEY |
| Credential | ATC/L |
| Practice Address |
445 Porterfield Hwy Abingdon VA 24210-0024 |
| Mailing Address |
Po Box 24 Damascus VA 24236-0024 |
| Practice Telephone | 2766230153 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126002106 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235774696 | Mary Kathleen Kelley | Counselor | 11800 Sunset Hills Rd Unit 604, Reston, VA 20190-4783 | 2019-11-08 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1861806119 | Mary E Kelley | Registered Nurse | 298 Whipple Tree Dr, Yoncalla, OR 97499-9749 | 2014-06-15 |
| 1487903712 | Mary Ellen Kelley | Clinical Nurse Specialist | 5141 Michael Anthony Ln, Cincinnati, OH 45247-7945 | 2012-08-31 |
| 1508175282 | Mary A. Kelley | Occupational Therapist | 1 Gilbert Rd, New Hartford, NY 13413-2414 | 2010-09-29 |
| 1225274822 | Mary Campbell Kelley | Nurse Anesthetist, Certified Registered | 1215 21st Ave S Ste 3108, Mce 3108, Nashville, TN 37232-0014 | 2009-01-02 |
| 1891947743 | Mary Catherine Kelley | Acupuncturist | 28236 Wildlife Ln, Brooksville, FL 34602-7456 | 2008-10-22 |
| 1467602284 | Mary Virginia Kelley | Physical Therapist | 4584 Newport Ave, San Diego, CA 92107-2924 | 2008-09-29 |
| 1740489285 | Mary C Kelley | Registered Nurse | 6333 Troy Sidney Rd, Piqua, OH 45356-9213 | 2007-07-14 |
| 1164416277 | Mary Gay Kelley | Nurse Practitioner | 12425 W Bell Rd, Suite 200, Surprise, AZ 85378-9006 | 2005-09-02 |
| Street Address |
445 PORTERFIELD HWY |
| City | ABINGDON |
| State | VA |
| Zip Code | 24210-0024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336181593 | Bruce Carter Higinbothom | Family Medicine | 445 Porterfield Hwy, Suite A, Abingdon, VA 24210 | 2006-06-12 |
| 1164614079 | Kevin Scot Combs | Internal Medicine | 445 Porterfield Hwy, Suite A, Abingdon, VA 24210 | 2007-08-14 |
| 1730207689 | Abingdon Family Healthcare, Inc. | Clinic/Center | 445 Porterfield Hwy, Suite A, Abingdon, VA 24210 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184192890 | Clinton Samuel Steve Webb | Nurse Practitioner | 406 W Main St Ste 100, Abingdon, VA 24210 | 2018-11-12 |
| 1528565801 | Crossroads Treatment Center of Petersburg, PC | Clinic/Center | 301 Falls Dr Nw Ste 353, Abingdon, VA 24210 | 2018-04-12 |
| 1780189035 | Vickie Lynne Beam | Speech-Language Pathologist | Washington County Public Schools, 812 Thompson Drive, Abingdon, VA 24210 | 2018-03-28 |
| 1093235814 | Meagan R Compton | Speech-Language Pathologist | 18596 Lee Hwy Suite B, Abingdon, VA 24210 | 2017-06-22 |
| 1710433404 | Highlands Community Pharmacy Inc | Pharmacy | 16400 Jeb Stuart Highway, Abingdon, VA 24210 | 2016-09-01 |
| 1548632417 | Lauren Irene Esposito | Audiologist | 319 Falls Drive, Abingdon, VA 24210 | 2015-10-30 |
| 1073909784 | Michael Justice | Pharmacist | 1 Food City Circle, Abingdon, VA 24210 | 2015-04-09 |
| 1245574177 | Watauga Medical Group | Family Medicine | 300 Valley St, Ne, Abingdon, VA 24210 | 2012-11-15 |
| 1083908883 | Kimberly Regina Mullins | Occupational Therapy Assistant | 17575 Havens Rest Rd., Abingdon, VA 24210 | 2011-06-09 |
| 1902131170 | Sara Jeannette Creekmore | Family Medicine | 328-a Cummings St., Abingdon, VA 24210 | 2009-10-06 |
| Find all providers in zip 24210 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437613585 | Taylor Mae Stager | Specialist/Technologist | 2537 Merrick Ct, Abingdon, MD 21009-1142 | 2019-01-23 |
| 1063982395 | Joseph Michael Lynch | Specialist/Technologist | 215 Lauren Dr Apt 4, Abingdon, VA 24210-4182 | 2018-11-29 |
| 1780165514 | Samuel Cantler | Specialist/Technologist | 732 Lucky Ave, Abingdon, MD 21009-1405 | 2018-08-29 |
| 1497970594 | Christopher Bradley Bussey | Specialist/Technologist | 284 Baugh Ln Ne, Abingdon, VA 24210-3917 | 2007-04-16 |
| 1750831764 | Breanna Davenport | Specialist/Technologist | 812 Thompson Dr, C/o Bre Davenport, Abingdon, VA 24210-2346 | 2016-10-13 |
| 1053727917 | Chimere' Stevenson | Specialist/Technologist | 3465 Box Hill Corporate Center Dr, Suite G, Abingdon, MD 21009-1261 | 2014-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335487 | Sukyoon Chang | Specialist/Technologist | 6001 Grove Ave, Richmond, VA 23226-2603 | 2020-10-28 |
| 1912507302 | Madeline Joanna Bills | Specialist/Technologist | 308 Locust Grove Dr, Purcellville, VA 20132-3391 | 2020-10-27 |
| 1679171193 | Camden Oakes Bentley | Specialist/Technologist | 634 Treys Dr, Winchester, VA 22601-3230 | 2020-10-16 |
| 1932707437 | Madison Dobscha | Specialist/Technologist | 1706 Revere Ct Ne, Leesburg, VA 20176-6634 | 2020-10-15 |
| 1710584792 | Melvin Enderes | Specialist/Technologist | 42678 Frontier Dr, Brambleton, VA 20148-7207 | 2020-10-02 |
| 1285249755 | Amy Virostek | Specialist/Technologist | 1015 Heathercroft Cir Ste 200, Crozet, VA 22932-3370 | 2020-09-11 |
| 1255942264 | Xavier Thompson | Specialist/Technologist | 210 Emmet St S Rm 222, Charlottesville, VA 22903-2455 | 2020-08-13 |
| 1225647969 | Madison Polk | Specialist/Technologist | 9229 Arnie Ct, Manassas Park, VA 20111-3071 | 2020-07-29 |
| 1760090955 | Alymaris O'reilly | Specialist/Technologist | 5211 Duncan Trl, Reva, VA 22735-2016 | 2020-07-14 |
| 1740808377 | Aimee Gardanier | Specialist/Technologist | 2526 24th St N Lowr Unit, Arlington, VA 22207-4907 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
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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.