CHRISTINA KELLY (NPI# 1134574692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134574692 |
| Entity Type | Individual |
| Full Name | CHRISTINA KELLY |
| Credential | LMSW |
| Practice Address |
1441 W Central Park Ave Davenport IA 52804-1707 |
| Practice Telephone | 5633831900 |
| Practice Fax Number | 5638844638 |
| Mailing Telephone | 5633831900 |
| Mailing Fax Number | 5638844638 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 077687 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821554320 | Christina Kelly | Registered Nurse | 6146 Woodland Dr, Dallas, TX 75225-2835 | 2019-02-20 |
| 1912268707 | Christina Kelly | Case Manager/Care Coordinator | 10420 S Protection Rd, Chaffee, NY 14030-9760 | 2012-06-07 |
| 1275778706 | Christina J Kelly | Physician Assistant | 19601 W 101st St, Lenexa, KS 66219 | 2008-12-12 |
| 1295389385 | Christina Kelly | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2019-07-28 |
| 1285113035 | Christina Kelly | Occupational Therapist | 1 Trafalgar Sq Ste 204, Nashua, NH 03063-1998 | 2018-08-13 |
| 1790134005 | Christina Lashawn Kelly | Adult Companion | 847 Ne 19th Ave, Portland, OR 97232 | 2016-06-07 |
| 1184010639 | Christina Debaun Kelly | Internal Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008 | 2015-04-11 |
| 1760884431 | Christina Kelly | Counselor | 4500 Cherry Creek Drive South, Ste. 940, Denver, CO 80246 | 2014-09-24 |
| 1568809689 | Christina Kelly | Physical Therapist | 936 Delaware Ave, Buffalo, NY 14209-1880 | 2013-05-30 |
| 1376884817 | Christina Lyn Kelly | Physician Assistant | 2601 Ocean Pkwy, Brooklyn, NY 11235-7745 | 2013-03-08 |
| Street Address |
1441 W CENTRAL PARK AVE |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52804-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912991340 | Ghada Hamdan-allen | Psychiatry & Neurology | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2005-08-31 |
| 1528665494 | Samantha Marie Adams | Social Worker | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2020-10-05 |
| 1174176093 | Carol Ann Chukwuka | Nurse Practitioner | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2019-07-19 |
| 1457914657 | Seema Antony | Nurse Practitioner | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2019-04-15 |
| 1255891743 | Stephanie Nuss | Social Worker | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2019-03-21 |
| 1518437789 | Melissa Ann Hummel | Counselor | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2018-11-30 |
| 1649746868 | Lindsey M Mack | Social Worker | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2018-10-15 |
| 1861970717 | Mandy Moody | Social Worker | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2018-08-02 |
| 1285112136 | Kaitlyn Dwyer | Counselor | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2018-08-02 |
| 1891272373 | Ashley Rosas | Nurse Practitioner | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2018-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265948467 | Tess Nelson | Physical Medicine & Rehabilitation | 2535 Maplecrest Rd Suite 23, Bettendorf, IA 52804 | 2017-12-26 |
| 1124494380 | Erica Lauren Hempel Bucy | Social Worker | 1333 W. Lombard St. Ste C, Davenport, IA 52804 | 2015-08-11 |
| 1477859890 | Kristin L West | Registered Nurse | 1441 W. Centrral Park Ave, Vera French Community Mental Health Center, Davenport, IA 52804 | 2011-02-02 |
| 1679877625 | Linda Marie Crownover-inch | Doula | 1420 W 16th Street, #412, Davenport, IA 52804 | 2011-01-05 |
| 1124169032 | Lawrence R Huber | Dentist | 2305 Jersey Ridge Rd, Davenport, IA 52804 | 2007-02-12 |
| 1669532388 | Providence Therapy Services LLC | Physical Therapist | 21037 Holden Drive, Davenport, IA 52804 | 2006-12-11 |
| 1639183171 | Megan Denise Long | Occupational Therapist | 31037 Holden Dr, Davenport, IA 52804 | 2006-07-28 |
| 1811919772 | Theresa L Schlabach | Occupational Therapist | 21037 Holden Dr, Davenport, IA 52804 | 2006-07-23 |
| 1225097843 | William M Nissen | Psychiatry & Neurology | 1441 W Central Park, Davenport, IA 52804 | 2006-03-22 |
| 1245721851 | Mackenzie J Banwart | Physical Therapist | 1700 N Division St Ste 200, Davenport, IA 52804 | 2018-05-21 |
| Find all providers in zip 52804 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862364 | Brandelyn Jo Avants | Counselor | 906 Northbrook Dr, Davenport, IA 52806-3730 | 2020-05-13 |
| 1124581848 | Lina Marcela Mendez-agudelo | Counselor | 300 Bridgewater Dr, Davenport, FL 33897-8805 | 2019-04-09 |
| 1669970844 | Aubrey Cartwright | Counselor | 1519 E Locust St, Davenport, IA 52803-3243 | 2018-01-23 |
| 1710416433 | Lisa Hannigan Carter | Counselor | 232 Village Ct, Davenport, FL 33896-5222 | 2017-06-06 |
| 1669918389 | Hector Armando Meneses IIi | Counselor | 1111 W 16th St, Davenport, IA 52804-3707 | 2017-01-19 |
| 1275088114 | Matthew John Martenson | Counselor | 2028 E 38th St Ste 4, Davenport, IA 52807-1168 | 2016-08-21 |
| 1023427804 | Tisha Albury | Counselor | 754 Rollins Dr, Davenport, FL 33837-7219 | 2014-08-06 |
| 1972814242 | Henry Milton Dugan Jr. | Counselor | 4800 Grand Ave Apt E205, Davenport, IA 52807-1038 | 2010-07-01 |
| 1972739951 | Stephanie Christine Littell | Counselor | 1211 Merriam St, Davenport, WA 99122-8654 | 2009-06-04 |
| 1215170352 | Jorge Texidor | Counselor | 1441 Lexington Ave, Davenport, FL 33837-1705 | 2009-04-18 |
| Find all providers in DAVENPORT | ||||
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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.