DR. KELLY ANN NIX


Address: 15047 Los Gatos Blvd, Suite 100, Los Gatos, CA 95032-2054
Phone: 4083562774

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
E4341 CA Podiatric Medicine & Surgery Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3323 Oxford Ln, San Jose, CA 951173040 4082431710

Other Providers KELLY NIX

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

Office Location

Street Address 15047 LOS GATOS BLVD
SUITE 100
City LOS GATOS
State CA
Zip Code 95032-2054

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City LOS GATOS
Zip Code 95032

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Dataset Information

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.

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