AMANDA ANSLEY KELLY (NPI# 1134789787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134789787 |
Entity Type | Individual |
Full Name | AMANDA ANSLEY KELLY |
Other Name | AMANDA ANSLEY VO |
Practice Address |
41 Mall Rd Burlington MA 01805-0001 |
Practice Telephone | 7817445700 |
Practice Fax Number | 7817445358 |
Mailing Telephone | 7817445700 |
Mailing Fax Number | 7817445358 |
Enumeration Date | 2019-06-17 |
Last Update Date | 2019-06-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | 280671 | MA | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699395921 | Amanda Kelly | Student in an Organized Health Care Education/Training Program | 71 Walnut Ave, Norwood, MA 02062-3215 | 2020-04-16 |
1073977989 | Amanda Kelly | Specialist/Technologist | 8 Clemson Rd, Parlin, NJ 08859-1206 | 2016-04-06 |
1326489741 | Amanda N Kelly | Behavioral Analyst | 66-434 Kamehameha Hwy, Haleiwa, HI 96712-2414 | 2013-07-14 |
1124254263 | Amanda Rose Kelly | Dentist | 4183 Franklin Rd Ste 5b, Murfreesboro, TN 37128-4255 | 2009-06-03 |
1306464904 | Amanda M Kelly | Pharmacist | 1655 E 95th St, Chicago, IL 60617-4707 | 2020-07-09 |
1881248227 | Amanda Kelly | Registered Nurse | 2014 Washington St, Newton, MA 02462-1607 | 2019-07-24 |
1811549041 | Amanda Vaughan Kelly | Nurse Practitioner | 1505 Sw Cary Pkwy Ste 309, Cary, NC 27511-6219 | 2019-07-09 |
1649750027 | Amanda Nicole Kelly | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905 | 2018-08-15 |
1891232914 | Amanda Kelly | Nurse Anesthetist, Certified Registered | 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 | 2017-01-26 |
1669925194 | Amanda Kelly | Nurse Practitioner | 103 Bata Blvd Ste A, Belcamp, MD 21017-1420 | 2016-08-02 |
Street Address |
41 MALL RD |
City | BURLINGTON |
State | MA |
Zip Code | 01805-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770588923 | Gene Wong | Radiology | 41 Mall Rd, Burlington, MA 01805 | 2005-06-15 |
1689289977 | Justin Li | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-09-13 |
1235743741 | Rebecca C Mccarthy | Registered Nurse | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-09-02 |
1730791419 | Jason Lefkowitz | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-08-23 |
1235749185 | Jing Lun James Xu | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-08-05 |
1841808482 | Evgeny Romanov | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-07-20 |
1780201319 | Nicole Emily Arsenault | Nurse Practitioner | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-06-30 |
1841817590 | Joseph Clinton Mccabe | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-06-29 |
1730706508 | Hina Bhat | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-06-28 |
1902423734 | Jonathan Tong Xu | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-06-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750867909 | Natalie Teresa Dal'bo | Student in an Organized Health Care Education/Training Program | 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 | 2018-07-11 |
1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
1902240872 | Lloyd Jones Jr. | Student in an Organized Health Care Education/Training Program | 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 | 2013-04-23 |
1508020470 | Russell Andrew Baur | Internal Medicine | Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 | 2008-07-10 |
1356491237 | Jacob Magee Sands | Internal Medicine | 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 | 2007-01-11 |
1588757108 | Richard Alan Wold | Nurse Anesthetist, Certified Registered | Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
1225022155 | Laura Saluja | Internal Medicine | Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 | 2005-09-07 |
Find all providers in zip 01805 |
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 |
---|---|---|---|---|
1700496759 | Ivanna Jeniferr Joseph | Student in an Organized Health Care Education/Training Program | 733 Arboretum Way, Burlington, MA 01803-3833 | 2020-08-05 |
1437769858 | Moh'd Rasheed Abu-qaoud | Student in an Organized Health Care Education/Training Program | 78 Center St, Burlington, MA 01803-3035 | 2020-08-01 |
1437776424 | Adam Bradley Wiggins | Student in an Organized Health Care Education/Training Program | Lahey Clinic 41 Mall Road, Burlington, MA 01805-0001 | 2020-06-25 |
1326660465 | Hemali Ashish Patel | Student in an Organized Health Care Education/Training Program | 3 Goodwin Dr, Burlington, MA 01803-1048 | 2020-05-12 |
1861012544 | Ohan Manoukian | Student in an Organized Health Care Education/Training Program | 4 Marrett Rd, Burlington, MA 01803-4007 | 2020-04-22 |
1437787611 | Karamatullah Danyal | Student in an Organized Health Care Education/Training Program | Karamatullah Danyal (uvmmc), 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-04-01 |
1790313120 | Kyna Donohue | Student in an Organized Health Care Education/Training Program | 46 Lafountain St Apt 2, Burlington, VT 05401-4237 | 2020-03-31 |
1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
1598398752 | Scott Kevin Olehnik | Student in an Organized Health Care Education/Training Program | 89 Beaumont Ave # 368, Burlington, VT 05405-1742 | 2020-02-17 |
1407499247 | Amy Packer | Student in an Organized Health Care Education/Training Program | 83 N Willard St, Burlington, VT 05401-3312 | 2019-10-24 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 01805 |
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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.