MEGAN CATHLEEN KELLY (NPI# 1093334112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093334112 |
| Entity Type | Individual |
| Full Name | MEGAN CATHLEEN KELLY |
| Credential | MD |
| Practice Address |
1300 N 12th St Ste 605 Phoenix AZ 85006-2850 |
| Practice Telephone | 6028395271 |
| Mailing Telephone | 6028395271 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | AZ | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043735970 | Megan Elizabeth Kelly | Psychologist | 401 Quarry Rd # Mc5722, Palo Alto, CA 94304-1419 | 2017-08-11 |
| 1033596994 | Megan Ann Kelly | Specialist | 3116 Ann St, Baldwin, NY 11510-4506 | 2015-04-29 |
| 1407274467 | Megan Kelly | Occupational Therapy Assistant | 411 Huntington Rd, Summerville, SC 29483-9726 | 2014-04-06 |
| 1366709149 | Megan Marie Kelly | Occupational Therapist | 97 S Stonington Dr, Palatine, IL 60074-6807 | 2012-04-18 |
| 1891091526 | Megan Moyer Kelly | Occupational Therapist | 74 Bridge St, Newton, MA 02458-1147 | 2011-01-27 |
| 1356505234 | Megan M Kelly | Counselor | 4808 Bristol Way, Yakima, WA 98908-3636 | 2008-07-10 |
| 1811989692 | Megan Kelly | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2005-08-18 |
| 1104457530 | Megan L Kelly | Marriage & Family Therapist | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-02-04 |
| 1144868688 | Megan Kelly | Dietitian, Registered | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2019-12-16 |
| 1598303372 | Megan Kelly | Behavior Technician | 193 Oak St, Newton, MA 02464-1457 | 2019-12-12 |
| Street Address |
1300 N 12TH ST STE 605 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831310275 | Soumya Lakshmi Pandalai | Internal Medicine | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2007-05-02 |
| 1124646450 | Kelsey Leite | Pharmacist | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-07-13 |
| 1144849035 | Serenity G Sweet | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-11 |
| 1083243422 | Antontrey Begaye | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-07 |
| 1760011514 | Ali Etman | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-03 |
| 1336778448 | Kaylee De Tranaltes | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-02 |
| 1588293609 | Kimberly Torrez | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-02 |
| 1629607718 | Cayman Martin | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-02 |
| 1811543366 | Matthew Gotfryd | Pharmacist | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2019-08-12 |
| 1326500687 | Heather Merchut | Family Medicine | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2019-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615814 | Ethan Robert Curtis | Student in an Organized Health Care Education/Training Program | 9467 Dinglehole Rd, Phoenix, NY 13135-9504 | 2020-09-25 |
| 1508470642 | Aisha J Ramirez-maya | Student in an Organized Health Care Education/Training Program | 5230 S 40th Pl, Phoenix, AZ 85040-3909 | 2020-09-05 |
| 1003429846 | Krista Lyn Beerling | Student in an Organized Health Care Education/Training Program | 5827 E Indian School Rd, Phoenix, AZ 85018-6104 | 2020-08-30 |
| 1568075877 | Melissa Coronado | Student in an Organized Health Care Education/Training Program | 1906 W Latona Ln, Phoenix, AZ 85041-7703 | 2020-08-26 |
| 1801409248 | Javier Bruno Limon | Student in an Organized Health Care Education/Training Program | 4233 N 77th Dr, Phoenix, AZ 85033-2401 | 2020-08-25 |
| 1841803277 | Tiffany Figueroa | Student in an Organized Health Care Education/Training Program | 3416 N 44th St Unit 24, Phoenix, AZ 85018-6044 | 2020-08-25 |
| 1669085353 | Lea Yusupov | Student in an Organized Health Care Education/Training Program | 325 W Anderson Ave, Phoenix, AZ 85023-6545 | 2020-08-24 |
| 1528671179 | Olivia Rose Warner | Student in an Organized Health Care Education/Training Program | 2308 E Heatherbrae Dr, Phoenix, AZ 85016-6216 | 2020-08-24 |
| 1689285470 | Mati Aamed | Student in an Organized Health Care Education/Training Program | 5350 N 20th St, Phoenix, AZ 85016-3321 | 2020-08-13 |
| 1124638689 | Emily Anne Nelson | Student in an Organized Health Care Education/Training Program | 22829 N 39th Run, Phoenix, AZ 85050-5417 | 2020-08-08 |
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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.