MEREDITH JILL KELLY (NPI# 1114457488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114457488 |
| Entity Type | Individual |
| Full Name | MEREDITH JILL KELLY |
| Credential | APRN |
| Practice Address |
605 Sierra Rose Dr Ste 4 Reno NV 89511-2093 |
| Practice Telephone | 7756895410 |
| Practice Fax Number | 7756895432 |
| Mailing Telephone | 7756895410 |
| Mailing Fax Number | 7756895432 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2018-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 002564 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200574 | Meredith Susanne Kelly | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2018-10-12 |
| 1558836254 | Meredith Kelly | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-10-09 |
| 1770063083 | Meredith Kelly | Physical Therapist | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2018-08-16 |
| 1386962249 | Meredith Elliott Kelly | Internal Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2010-05-17 |
| 1346400991 | Meredith Ann Kelly | Psychiatry & Neurology | 1051 Riverside Drive, New York, NY 10034-1007 | 2008-06-16 |
| Street Address |
605 SIERRA ROSE DR STE 4 |
| City | RENO |
| State | NV |
| Zip Code | 89511-2093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073631602 | Susanne H. Gillespie | Physical Therapist | 605 Sierra Rose Dr Ste 4, Reno, NV 89511-2093 | 2007-03-26 |
| 1477114056 | Jessie Ruth Lesar | Physical Therapist | 605 Sierra Rose Dr Ste 4, Reno, NV 89511-2093 | 2019-06-25 |
| 1851804736 | Ronald Lee Burnett | Nurse Practitioner | 605 Sierra Rose Dr Ste 4, Reno, NV 89511-2093 | 2017-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1265092662 | Elysia Jones | Student in an Organized Health Care Education/Training Program | 18600 Wedge Parkway, Nell J. Redfield Building A, Suite 104, Reno, NV 89511 | 2019-06-18 |
| 1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
| 1841786027 | Christina Willett | Speech-Language Pathologist | 14680 S. Quiet Meadow Drive, Reno, NV 89511 | 2018-07-10 |
| 1235630864 | High Sierra Psychiatry, LLC | Clinic/Center | Reno Behavioral Healthcare Hospital, 6940 Sierra Center Parkway, Reno, NV 89511 | 2018-02-28 |
| 1154839637 | Jacob Blake, Md Ltd. | Anesthesiology | 5590 Kietzke Lane, Reno, NV 89511 | 2018-01-18 |
| 1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
| 1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
| Find all providers in zip 89511 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487776 | Gina Krauss | Nurse Practitioner | 1880 Empire Rd, Reno, NV 89521-7427 | 2020-08-12 |
| 1831717925 | Danielle Treadway | Nurse Practitioner | 6630 S Mccarran Blvd Ste A2, Reno, NV 89509-6136 | 2020-07-06 |
| 1487168753 | Rose Angelica Parizo | Nurse Practitioner | 255 W Moana Ln Ste 110, Reno, NV 89509-4942 | 2017-11-25 |
| 1427506500 | Krystal Peters | Nurse Practitioner | 6280 Elk Ivory Dr, Reno, NV 89511-4393 | 2016-09-16 |
| 1689904849 | Darian Blakely Thorp | Nurse Practitioner | 6548 South Mccarran Blvd, Suite A, Reno, NV 89509 | 2010-01-11 |
| 1003988007 | Carol J Daake | Nurse Practitioner | 645 N Arlington Ave Ste 460, Reno, NV 89503-4451 | 2006-11-14 |
| 1609958511 | Teril H Norman | Nurse Practitioner | 6880 S Mccarran Blvd Ste 5, Reno, NV 89509-6129 | 2006-10-19 |
| 1275629255 | Sally Edney-weare | Nurse Practitioner | 1055 S Wells Ave., Suite 120, Reno, NV 89502 | 2006-10-05 |
| 1932217072 | Kathleen Solomon | Nurse Practitioner | 4420 Great Falls Loop, Reno, NV 89511-6084 | 2006-08-28 |
| 1336152040 | Peggy Ann Williamson | Nurse Practitioner | 975 Ryland, Suite 105, Reno, NV 89502 | 2006-08-14 |
| Find all providers in RENO | ||||
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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.