JACQUELINE KELLY (NPI# 1124109624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124109624 |
| Entity Type | Individual |
| Full Name | JACQUELINE KELLY |
| Practice Address |
400 Gresham Dr Suite 303 Norfolk VA 23507-1901 |
| Practice Telephone | 7576276416 |
| Mailing Telephone | 7576276416 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024165999 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104169283 | Jacqueline Kelly | Internal Medicine | 500 West Fort St. #111, Boise Vamc, Boise, ID 83702 | 2013-03-27 |
| 1669432498 | Jacqueline F Kelly | Legal Medicine | 1428 S Osprey Ave, Sarasota, FL 34239-2914 | 2006-03-24 |
| 1699774505 | Jacqueline Kelly | General Practice | 300 E 8th St, G-159, Austin, TX 78701-3233 | 2005-07-21 |
| 1558855296 | Jacqueline Kelly | Nurse Practitioner | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2018-06-17 |
| 1730507971 | Jacqueline Kelly | Radiology | 20 York St, Ynhh Department of Therapeutic Radiology, New Haven, CT 06510-3220 | 2014-04-04 |
| 1710293436 | Jacqueline Kelly | Marriage & Family Therapist | 220 George W Liles Pkwy Nw, Concord, NC 28027-6531 | 2010-08-19 |
| 1235231630 | Jacqueline Kelly | Pediatrics | 269 Peninsula Farm Rd, Suite F, Arnold, MD 21012-1013 | 2006-09-05 |
| Street Address |
400 GRESHAM DR SUITE 303 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269483 | Alex Olabode Williams | Internal Medicine | 400 Gresham Dr, Suite 303, Norfolk, VA 23507-1901 | 2005-07-20 |
| 1609311760 | Vrx1 LLC | Pharmacy | 400 Gresham Dr, Suite 104, Norfolk, VA 23507-1901 | 2016-12-28 |
| 1891143855 | Lisa J Ulmer | Psychologist | 400 Gresham Dr, Suite 900, Norfolk, VA 23507-1901 | 2016-06-01 |
| 1245690403 | Healthstat Onsite Clinic Chkd | Preventive Medicine | 400 Gresham Dr, Suite 406 Medical Tower, Norfolk, VA 23507-1901 | 2016-03-02 |
| 1740618412 | Bon Secours Depaul Medical Center | Internal Medicine | 400 Gresham Dr, Suite 808, Norfolk, VA 23507-1901 | 2013-10-16 |
| 1306157847 | Trisha Marie Stueber | Physician Assistant | 400 Gresham Dr, Norfolk, VA 23507-1901 | 2010-06-30 |
| 1346551736 | Ghent Internal Medicine PC | Internal Medicine | 400 Gresham Dr, Ste. 205, Norfolk, VA 23507-1901 | 2010-06-30 |
| 1568787638 | Meaghan G Dehart | Registered Nurse | 400 Gresham Dr, Suite 303, Norfolk, VA 23507-1901 | 2010-04-01 |
| 1699936112 | Sharon Murphy Finefrock | Advanced Practice Midwife | 400 Gresham Dr, Suite 811, Norfolk, VA 23507-1901 | 2008-06-18 |
| 1144480757 | Rachel E Rotenberry | Nurse Practitioner | 400 Gresham Dr, Suite 811, Norfolk, VA 23507-1901 | 2008-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206589 | Advanced Clinicians Specialty Services LLC | Nurse Practitioner | 2414 Colonial Ave, Norfolk, VA 23517-1224 | 2020-08-24 |
| 1932734241 | Felicitas Lembi Kanla | Nurse Practitioner | 6400 Crescent Way Apt 106, Norfolk, VA 23513-1417 | 2020-03-06 |
| 1588296032 | Laura Kay Gibson | Nurse Practitioner | 5900 E Va Beach Blvd Ste 260, Norfolk, VA 23502-2492 | 2020-02-12 |
| 1508401548 | Chanda Richele Anderson | Nurse Practitioner | 3901 W Norfolk Ave, Norfolk, NE 68701-4467 | 2019-11-13 |
| 1215586730 | Tuesdaye Anne Curling | Nurse Practitioner | 5800 Lake Wright Dr Ste 101, Norfolk, VA 23502-1804 | 2019-09-06 |
| 1790332377 | Kate Terjanian Richard | Nurse Practitioner | 850 Kempsville Rd Ste 200, Norfolk, VA 23502-3920 | 2019-08-20 |
| 1326600271 | Jody Ann Herley | Nurse Practitioner | 111 Kings Way, Norfolk, NE 68701-3301 | 2019-07-01 |
| 1457822744 | Merideth Beck Pope | Nurse Practitioner | 9530 24th Bay St, Norfolk, VA 23518-1714 | 2018-12-11 |
| 1841770377 | Tammise Hastings Stine | Nurse Practitioner | 160 Kingsley Ln Ste 100a, Norfolk, VA 23505-4635 | 2018-08-15 |
| 1467966507 | Julie Sharlene Jones | Nurse Practitioner | 1349 E Tanners Creek Dr, Norfolk, VA 23513-1374 | 2017-11-28 |
| Find all providers in NORFOLK | ||||
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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.