TERESA M KELLY (NPI# 1104835578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104835578 |
| Entity Type | Individual |
| Full Name | TERESA M KELLY |
| Credential | A.R.N.P. |
| Practice Address |
105 W 8th Ave Ste 6020 Spokane WA 99204-2319 |
| Practice Telephone | 5094555050 |
| Practice Fax Number | 5097896204 |
| Mailing Telephone | 5094555050 |
| Mailing Fax Number | 5097896204 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
AP30000509 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9616301 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053522102 | Teresa Kelly | Social Worker | 48 13th St, Locust Valley, NY 11560-1526 | 2007-05-24 |
| 1477763076 | Teresa Ann Kelly | Physical Therapist | 745 Foresteria Ave, Wellington, FL 33414-8202 | 2007-05-23 |
| 1669680765 | Teresa Colleen Kelly | Chiropractor | 657 Van Houten Ave, Clifton, NJ 07013-2134 | 2007-05-20 |
| 1912120510 | Teresa Kelly | Social Worker | 11 Davis Rd., Valley Forge, PA 19481 | 2007-04-11 |
| 1497084081 | Teresa Mary Kelly | Social Worker | 24 Lyman St, Westborough, MA 01581-1482 | 2009-12-10 |
| 1427226497 | Teresa Gayle Kelly | Counselor | 2022 Exeter Rd, Suite 1, Germantown, TN 38138-3945 | 2008-02-13 |
| 1275580672 | Teresa Gross Kelly | Radiology | 9000 W Wisconsin Ave, Pediatric Radiology, Milwaukee, WI 53226-4874 | 2006-05-30 |
| Street Address |
105 W 8TH AVE STE 6020 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225026354 | Sara E Holt | Nurse Practitioner | 105 W 8th Ave Ste 6020, Spokane, WA 99204-2319 | 2005-10-12 |
| 1639618705 | Lindsay Allison Laskowski | Nurse Practitioner | 105 W 8th Ave Ste 6020, Spokane, WA 99204-2319 | 2017-02-22 |
| 1659638021 | Elizabeth Newell | Obstetrics & Gynecology | 105 W 8th Ave Ste 6020, Spokane, WA 99204 | 2012-04-23 |
| 1174714976 | Jessica-ann Mattson | Midwife | 105 W 8th Ave Ste 6020, Spokane, WA 99204 | 2007-08-06 |
| 1124227566 | Stephen Jebaraj Pakkianathan | Obstetrics & Gynecology | 105 W 8th Ave Ste 6020, Spokane, WA 99204-2319 | 2007-07-16 |
| 1851300917 | Jeffrey L Hilton | Obstetrics & Gynecology | 105 W 8th Ave Ste 6020, Spokane, WA 99204-2319 | 2006-08-07 |
| 1134138787 | Kathryn Margaret Miles | Obstetrics & Gynecology | 105 W 8th Ave Ste 6020, Spokane, WA 99204-2319 | 2006-08-05 |
| 1841210291 | Sharron E Bradley | Nurse Practitioner | 105 W 8th Ave Ste 6020, Spokane, WA 99204-2319 | 2006-07-20 |
| 1134147739 | Peter E Fern | Obstetrics & Gynecology | 105 W 8th Ave Ste 6020, Spokane, WA 99204-2319 | 2006-07-18 |
| 1114943669 | Northwest Ob-gyn, P.s. | Obstetrics & Gynecology | 105 W 8th Ave Ste 6020, Spokane, WA 99204-2319 | 2006-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225026354 | Sara E Holt | Nurse Practitioner | 105 W 8th Ave Ste 6020, Spokane, WA 99204-2319 | 2005-10-12 |
| 1518332931 | Jennifer Julian | Nurse Practitioner | 105 W 8th Ave, Suite 6020, Spokane, WA 99204-2302 | 2015-12-10 |
| 1609210236 | Rebecca Aleene Kent | Nurse Practitioner | 105 W 8th Ave, Suite 6020, Spokane, WA 99204-2302 | 2013-04-25 |
| 1699050575 | Brieanne Catherine Gray | Nurse Practitioner | 601 W 5th Ave, Suite #301, Spokane, WA 99204-2714 | 2011-10-11 |
| 1073849410 | Kimberly L Johnson | Nurse Practitioner | 101 W 8th Ave, Suite 1100, Spokane, WA 99204-2307 | 2009-10-20 |
| 1609062678 | Debra Jean Little | Nurse Practitioner | 105 W 8th Ave, Suite 6020, Spokane, WA 99204-2302 | 2007-09-24 |
| 1003967720 | Sara Beth Edge | Nurse Practitioner | 910 W 5th Ave, Ste 510, Spokane, WA 99204 | 2007-01-16 |
| 1558419879 | Susan L Reinhardt | Nurse Practitioner | 601 W 5th Ave, Suite #301, Spokane, WA 99204-2714 | 2007-01-05 |
| 1841210291 | Sharron E Bradley | Nurse Practitioner | 105 W 8th Ave Ste 6020, Spokane, WA 99204-2319 | 2006-07-20 |
| 1194754044 | Fleur Lee Coulter | Nurse Practitioner | 3919 N Maple St, Spokane, WA 99205-1349 | 2006-07-02 |
| Find all providers in SPOKANE | ||||
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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.