DR. KELLY ANN NIX (NPI# 1134229735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134229735 |
Entity Type | Individual |
Full Name | DR. KELLY ANN NIX |
Credential | D.P.M. |
Practice Address |
15047 Los Gatos Blvd Suite 100 Los Gatos CA 95032-2054 |
Mailing Address |
3323 Oxford Ln San Jose CA 95117-3040 |
Practice Telephone | 4083562774 |
Practice Fax Number | 4083562140 |
Mailing Telephone | 4082431710 |
Enumeration Date | 2006-09-24 |
Last Update Date | 2020-04-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4341 | CA | Podiatric Medicine & Surgery Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3323 Oxford Ln, San Jose, CA 951173040 | 4082431710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083215883 | Kelly Nix | Case Manager/Care Coordinator | 2178 Victor St, Aurora, CO 80045-7440 | 2020-11-06 |
1699132126 | Kelly Nix | Registered Nurse | 400 N Broadway St, Moore, OK 73160-4812 | 2016-01-28 |
1295027993 | Kelly S Nix | Dental Hygienist | 1000 Fm 300, Levelland, TX 79336-6235 | 2011-05-12 |
1386659928 | Kelly Brumbelow Nix | Nurse Practitioner | 3825 Medical Park Dr, Ste 201, Austell, GA 30106-6831 | 2006-07-30 |
Street Address |
15047 LOS GATOS BLVD SUITE 100 |
City | LOS GATOS |
State | CA |
Zip Code | 95032-2054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740744234 | Ravneet Singh | Physician Assistant | 15047 Los Gatos Blvd, Los Gatos, CA 95032-2054 | 2019-01-29 |
1649710476 | Jessica Goza | Nurse Practitioner | 15047 Los Gatos Blvd, Ste. 200, Los Gatos, CA 95032-2054 | 2017-02-27 |
1063950640 | Alyssa Gomez | Nurse Practitioner | 15047 Los Gatos Blvd, #200, Los Gatos, CA 95032-2054 | 2017-02-03 |
1710433594 | Abaci and Massey Pain Management, A Medical Coporation | Marriage & Family Therapist | 15047 Los Gatos Blvd, #200, Los Gatos, CA 95032-2054 | 2016-08-31 |
1689006819 | Heather H Elledge | Physician Assistant | 15047 Los Gatos Blvd, Los Gatos, CA 95032-2054 | 2013-07-30 |
1528333457 | Antoinette T. Morley | Counselor | 15047 Los Gatos Blvd, Ste 200, Los Gatos, CA 95032-2054 | 2012-03-10 |
1609156702 | Michael F. Sullivan | Physical Therapist | 15047 Los Gatos Blvd, Suite 200, Los Gatos, CA 95032-2054 | 2011-08-19 |
1427343714 | Anne Perry | Psychologist | 15047 Los Gatos Blvd, Suite 200, Los Gatos, CA 95032-2054 | 2011-06-14 |
1689805947 | Jacqueline Crowell | Physical Therapist | 15047 Los Gatos Blvd, Suite 200, Los Gatos, CA 95032-2054 | 2009-08-05 |
1467680124 | Robin Kabigting Matias | Physical Medicine & Rehabilitation | 15047 Los Gatos Blvd, Suite 200, Los Gatos, CA 95032-2054 | 2009-07-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346730157 | Stephanie Chui | Optometrist | 15055 Los Gatos Blvd Ste 300, Los Gatos, CA 95032 | 2018-05-16 |
1710474960 | Lisa Richardson | Dietitian, Registered | 15405 Los Gatos Blvd #101, Los Gatos, CA 95032 | 2018-04-13 |
1235652934 | Nillofar Tabibi | Pharmacist | 1496 Pollard Road, Los Gatos, CA 95032 | 2017-07-25 |
1609397694 | Taylor Dolores Peterson | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste 5, Los Gatos, CA 95032 | 2017-06-29 |
1942755418 | Michelle Sunalp | Physician Assistant | 14830 Los Gatos Blvd, Suite 300, Los Gatos, CA 95032 | 2016-08-24 |
1295196640 | Mandice Williams | Chiropractor | 236 Oak Meadow Dr, Los Gatos, CA 95032 | 2016-03-14 |
1922465020 | Los Gatos Dental Specialists | Dentist | 15075 Los Gatos Blvd, Ste 120, Los Gatos, CA 95032 | 2016-01-20 |
1962881813 | Los Gatos Snf, LLC | Skilled Nursing Facility | 16605 Lark Ave., Los Gatos, CA 95032 | 2015-05-26 |
1720404312 | Jonathan Davies | Physician Assistant | 15466 Los Gatos Blvd Ste 109-353, Los Gatos, CA 95032 | 2014-03-06 |
1588002612 | Jessica Velasco Gutierrez | Licensed Vocational Nurse | 634 W Parr Ave #116, Los Gatos, CA 95032 | 2013-06-11 |
Find all providers in zip 95032 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407201395 | Lydia Yun | Podiatrist | 14651 S Bascom Ave Ste 215, Los Gatos, CA 95032-2045 | 2016-04-28 |
1114213311 | Nha Thanh Pham | Podiatrist | 555 Knowles Dr Ste 220, Los Gatos, CA 95032-1551 | 2011-06-26 |
1508862814 | Richard M Meltzer | Podiatrist | 15100 Los Gatos Blvd, Ste 4, Los Gatos, CA 95032-2028 | 2005-06-22 |
1780689455 | Robert Verrette | Podiatrist | 14981 National Ave Ste 2, Ste 1g, Los Gatos, CA 95032-2600 | 2005-06-17 |
1124380688 | Los Gatos Podiatry Group, Inc. | Podiatrist | 14651 S Bascom Ave, Suite 215, Los Gatos, CA 95032-2014 | 2012-06-11 |
1811295462 | Gary S Scheinin Dpm A Professional Corporation | Podiatrist | 555 Knowles Dr, Suite 220, Los Gatos, CA 95032-1549 | 2011-03-07 |
1922302397 | Azar Dastgah | Podiatrist | 14651 S Bascom Ave, Suite #215, Los Gatos, CA 95032-2014 | 2010-12-29 |
1154546984 | Taughinbaugh Podiatry Corporation | Podiatrist | 15899 Los Gatos Almaden Rd, Suite 11, Los Gatos, CA 95032-3739 | 2007-04-16 |
1407904501 | John D Sangueza | Podiatrist | 555 Knowles Dr, Ste. 220, Los Gatos, CA 95032-1549 | 2007-01-08 |
1780750711 | Joan Oloff | Podiatrist | 15047 Los Gatos Blvd, Suite 100, Los Gatos, CA 95032-2054 | 2006-11-28 |
Find all providers in LOS GATOS |
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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.