KELLY WHALEN (NPI# 1144459744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144459744 |
| Entity Type | Individual |
| Full Name | KELLY WHALEN |
| Credential | B.S. |
| Practice Address |
460 Quincy Ave Quincy MA 02169-8130 |
| Practice Telephone | 6178471950 |
| Practice Fax Number | 6177741490 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |
| 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 | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093696 | Kelly Whalen | Occupational Therapist | 22 Robert R Kasin Way, Beacon, NY 12508-1559 | 2020-04-30 |
| 1710373881 | Kelly Whalen | Physician Assistant | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2015-04-15 |
| Street Address |
460 QUINCY AVE |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-8130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407884059 | The Commonwealth of Massachusetts | Psychiatric Hospital | 460 Quincy Ave, Quincy, MA 02169-8130 | 2006-06-30 |
| 1285235200 | Veneza Monteiro | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-11-05 |
| 1821605429 | Christopher Peter Wallack I | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-09-28 |
| 1689285561 | Angela Wang | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-08-13 |
| 1336767813 | Priscilla Gouldbourne | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-07-10 |
| 1083231351 | Christine Leigh Dipaolo | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-07-02 |
| 1245853860 | Sally Ann Potkay | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-05-19 |
| 1669093456 | Ashley Sullivan | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-05-03 |
| 1003448457 | Tom F Chappuis Jr. | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-02-04 |
| 1528699154 | Theresa Lepore | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| 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 |
|---|---|---|---|---|
| 1861008336 | Morgan Joan Pace | Student in an Organized Health Care Education/Training Program | 6 Crown Dr Unit 205, Quincy, MA 02169-5553 | 2020-09-21 |
| 1609495332 | Sophie Lee | Student in an Organized Health Care Education/Training Program | 140 Billings St, Quincy, MA 02171-1904 | 2020-04-13 |
| 1750920377 | Francesca Mary Donaghey | Student in an Organized Health Care Education/Training Program | 49 Wedgewood St, Quincy, MA 02171-1069 | 2019-12-30 |
| 1790338093 | Elizabeth Ann Robinson | Student in an Organized Health Care Education/Training Program | 500 Quarry St, Quincy, MA 02169-1523 | 2019-07-17 |
| 1972161420 | Scott Trevor Micallef | Student in an Organized Health Care Education/Training Program | 333 Ricciuti Dr Apt 1307, Quincy, MA 02169-6295 | 2019-05-30 |
| 1386117034 | Anna Qiu | Student in an Organized Health Care Education/Training Program | 84 Hamilton Ave, Quincy, MA 02171-2810 | 2019-01-05 |
| 1770072266 | Rebecca Siegel | Student in an Organized Health Care Education/Training Program | 569 Washington St Apt 102, Quincy, MA 02169-7217 | 2018-05-09 |
| 1245734615 | Christopher Daniel Marotta | Student in an Organized Health Care Education/Training Program | 33 Waterston Ave, Quincy, MA 02170-3435 | 2018-03-21 |
| 1023530326 | Nicole M Maggio | Student in an Organized Health Care Education/Training Program | 37 Cushing St Apt 3, Quincy, MA 02170-2758 | 2017-07-10 |
| 1376804823 | Denise Devereaux | Student in an Organized Health Care Education/Training Program | 5 Whiton Ave, Quincy, MA 02169-7309 | 2012-05-31 |
| Find all providers in QUINCY | ||||
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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.