SAMANTHA KELLEY (NPI# 1134787740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134787740 |
| Entity Type | Individual |
| Full Name | SAMANTHA KELLEY |
| Practice Address |
100 N D St Washtucna WA 99371-9524 |
| Practice Telephone | 3603670033 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235670167 | Samantha Kelley | Specialist/Technologist | 140 Hill St Ste B, Bucyrus, OH 44820-1566 | 2017-03-11 |
| 1699173393 | Samantha A.h. Kelley | Counselor | 100 Andrew St # 2, Albertville, AL 35950-1971 | 2014-12-11 |
| 1265926208 | Samantha Caitlin Kelley | Registered Nurse | 3443 Dickerson Pike Ste 680, Nashville, TN 37207 | 2018-06-21 |
| 1730608399 | Samantha Kelley | Behavioral Analyst | 6600 W Charleston Blvd, Las Vegas, NV 89146-9001 | 2017-09-14 |
| 1962850644 | Samantha Kelley | Community Health Worker | 16414 Lake Church Dr, Odessa, FL 33556-2637 | 2016-06-02 |
| 1679767024 | Samantha C. Kelley | Specialist/Technologist | 212 Carter Dr, Suite C, Middletown, DE 19709-5837 | 2007-08-29 |
| Street Address |
100 N D ST |
| City | WASHTUCNA |
| State | WA |
| Zip Code | 99371-9524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104849058 | Adams County Hospital 2 | Family Medicine | 545 Se Church Street, Washtucna, WA 99371 | 2006-07-25 |
| 1275621880 | Washtucna School District | Local Education Agency (LEA) | 730 West Booth Street, Washtucna, WA 99371-0688 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275621880 | Washtucna School District | Local Education Agency (LEA) | 730 West Booth Street, Washtucna, WA 99371-0688 | 2006-10-10 |
| 1104849058 | Adams County Hospital 2 | Family Medicine | 545 Se Church Street, Washtucna, WA 99371 | 2006-07-25 |
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890449 | Chad Savaikie | Student in an Organized Health Care Education/Training Program | 801 15th St Ne, Auburn, WA 98002-3337 | 2020-11-01 |
| 1942800362 | Pratishtha Chhabra | Student in an Organized Health Care Education/Training Program | 1727 14th Ln Ne, Issaquah, WA 98029-7637 | 2020-10-26 |
| 1790384642 | Scott Davis | Student in an Organized Health Care Education/Training Program | 14027 20th Pl W, Lynnwood, WA 98087-2010 | 2020-10-21 |
| 1417556606 | Sarah Blau | Student in an Organized Health Care Education/Training Program | 1605 Ledwich Ave, Yakima, WA 98902-6022 | 2020-10-20 |
| 1437757556 | Christina Brown | Student in an Organized Health Care Education/Training Program | 4526 Federal Ave Ms# 11, Everett, WA 98203-2132 | 2020-10-12 |
| 1396342358 | Emma Peconga | Student in an Organized Health Care Education/Training Program | 3619 Ashworth Ave N, Seattle, WA 98103-8116 | 2020-10-02 |
| 1174139596 | Kelsey Yared | Student in an Organized Health Care Education/Training Program | 11914 59th Ave W, Mukilteo, WA 98275-5569 | 2020-09-21 |
| 1780290361 | Compassionate Peer Counseling LLC | Student in an Organized Health Care Education/Training Program | 3250 Airport Way S Ste 608, Seattle, WA 98134-2172 | 2020-09-19 |
| 1033724968 | Julia Yunkyung Yi | Student in an Organized Health Care Education/Training Program | 527 Bellevue Way Se Apt 203, Bellevue, WA 98004-6684 | 2020-09-08 |
| 1366055113 | Diana Spann | Student in an Organized Health Care Education/Training Program | 702 141st Ln Se, Bellevue, WA 98007-6764 | 2020-08-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SAMANTHA KELLEY.
| 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.