MRS. KELLY KELLER AHMAD (NPI# 1093148611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093148611 |
| Entity Type | Individual |
| Full Name | MRS. KELLY KELLER AHMAD |
| Practice Address |
4513 Executive Dr Naples FL 34119-9033 |
| Mailing Address |
8225 Laurel Lakes Blvd Naples FL 34119-9791 |
| Practice Telephone | 2395912803 |
| Mailing Telephone | 2392007131 |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2014-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9286678 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4513 EXECUTIVE DR |
| City | NAPLES |
| State | FL |
| Zip Code | 34119-9033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003885831 | Sheldon K Cho | Anesthesiology | 4513 Executive Dr, Naples, FL 34119 | 2006-03-15 |
| 1497365795 | Maximilian Dyal | Physical Therapist | 4513 Executive Dr, Naples, FL 34119-9033 | 2020-08-03 |
| 1336772474 | Emily Snyder | Family Medicine | 4513 Executive Dr, Naples, FL 34119-9033 | 2020-02-18 |
| 1639710163 | David Paul Spivey | Physical Therapy Assistant | 4513 Executive Dr, Naples, FL 34119-9033 | 2019-10-06 |
| 1376101337 | Jenny Latortue | Physical Therapy Assistant | 4513 Executive Dr, Naples, FL 34119-9033 | 2019-06-04 |
| 1427433531 | Stewart Smith Jr. | Physical Therapist | 4513 Executive Dr, Naples, FL 34119-9033 | 2015-07-30 |
| 1902201874 | Jean Evins Remy | Nurse Practitioner | 4513 Executive Dr, Naples, FL 34119-9033 | 2014-11-04 |
| 1366856361 | Michael Alexander Silva | Anesthesiology | 4513 Executive Dr, Naples, FL 34119 | 2014-06-17 |
| 1326463407 | Ronald Kope Jr. | Nurse Practitioner | 4513 Executive Dr, Naples, FL 34119-9033 | 2014-02-26 |
| 1508124991 | Nicolas Yamil Perez | Physical Medicine & Rehabilitation | 4513 Executive Dr, Naples, FL 34119 | 2012-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553005 | Michael Spicuzza | Emergency Medical Technician, Intermediate | 3315 Grand Cypress Drive, #201, Naples, FL 34119 | 2020-03-23 |
| 1033771993 | Stephanie N Chandler | Nurse Practitioner | 6340 Pine Ridge Rd, Suite 201, Naples, FL 34119 | 2019-07-01 |
| 1174041701 | Bradley W. Coleman | Pharmacist | 3917 Upolo Lane, Naples, FL 34119 | 2017-09-04 |
| 1437676350 | Brenda A Schlueter | Clinic/Center | 7070 Venice Way Apt 2904, Naples, FL 34119 | 2017-08-23 |
| 1457760548 | Loving Care Home Health Agency, Inc. | Home Health | 2590 Northbrooke Plaza Drive, Suite 208, Naples, FL 34119 | 2014-08-04 |
| 1578971826 | Maria Rienzi | Physician Assistant | Physicians Regional Medical Group, 6101 Pine Ridge Rd, Naples, FL 34119 | 2014-07-31 |
| 1861832941 | Queanh N Phan | Dentist | 8855 Immokalee Rd, Suite 10, Naples, FL 34119 | 2013-07-03 |
| 1144505199 | Isabelle Faucher | Dietitian, Registered | 4522 Executive Dr Unit 103, Naples, FL 34119 | 2011-10-20 |
| 1528340973 | Amy Hemsworth | Pharmacist | 13520 Tamiami Trail N, Naples, FL 34119 | 2011-09-12 |
| 1437469970 | Marika Walker | Physician Assistant | 4513 Executive Dr., Naples, FL 34119 | 2010-10-18 |
| Find all providers in zip 34119 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676598 | Ludmilla Gabriel | Nurse Practitioner | 4975 Tamiami Trl E, Naples, FL 34113-4131 | 2020-10-13 |
| 1891302956 | Anthony Carmine Aceto | Nurse Practitioner | 4913 Sedgewood Ln, Naples, FL 34112-7932 | 2020-09-23 |
| 1871109462 | Agnabel Jimenez | Nurse Practitioner | 1099 Port Orange Way, Naples, FL 34120-2917 | 2020-09-18 |
| 1295341170 | Carol Vincent | Nurse Practitioner | 3890 11th Ave Sw, Naples, FL 34117-4140 | 2020-09-16 |
| 1548887508 | Warly Gonzalez Moreno | Nurse Practitioner | 6188 Parkers Hammock Rd, Naples, FL 34112 | 2020-06-25 |
| 1679109243 | Laura Rodriguez Dopico | Nurse Practitioner | 630 14th St Se, Naples, FL 34117-3695 | 2020-03-16 |
| 1912532698 | Mariana Peralta Perez | Nurse Practitioner | 5609 Marigold Way Apt 308, Naples, FL 34109-2751 | 2020-03-03 |
| 1962051805 | Diana C Perez-charton | Nurse Practitioner | 2350 Vanderbilt Beach Rd Ste 201, Naples, FL 34109-2760 | 2019-09-04 |
| 1518515345 | Jeanwilly Francois | Nurse Practitioner | 8831 Immokalee Rd Fl 34120, Naples, FL 34120-3914 | 2019-08-26 |
| 1013569417 | Moises Exposito | Nurse Practitioner | 145 Sabal Lake Dr, Naples, FL 34104-6407 | 2019-07-15 |
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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.