DR. KRISTEN KELLEY (NPI# 1154483956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154483956 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN KELLEY |
| Other Name | DR. KRISTEN SZYSLOWSKI |
| Credential | PSYD |
| Practice Address |
1100 Sawgrass Village Dr Ste 100 Ponte Vedra FL 32082 |
| Mailing Address |
4205 Belfort Rd Ste 4015 Jacksonville FL 32216-3623 |
| Practice Telephone | 9042859355 |
| Practice Fax Number | 9042858422 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2018-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY8745 | FL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY20211 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073097788 | Kristen Lee Kelley | Developmental Therapist | 567 Pearl St, Gardner, MA 01440-1715 | 2018-09-18 |
| 1225519143 | Kristen Kelley | Social Worker | 30 Walden Dr Apt 7, Natick, MA 01760-3888 | 2018-08-28 |
| 1538434857 | Kristen Noell Kelley | Behavioral Analyst | 901 O Street, Suite C, Arcata, CA 95521 | 2012-03-20 |
| 1134645492 | Kristen Marie Kelley | Licensed Practical Nurse | 4726 Main Ave, Ashtabula, OH 44004-6929 | 2017-08-18 |
| 1255872693 | Kristen Kelley | Internal Medicine | 4150 V St, #1100, Sacramento, CA 95817-1460 | 2017-03-18 |
| 1164885083 | Kristen Kelley | Internal Medicine | 30 N 1900 E Rm 5c402, Salt Lake City, UT 84132-0002 | 2016-03-29 |
| 1376923060 | Kristen Kelley | Counselor | 335 Se 8th Ave, Hillsboro, OR 97123-4246 | 2015-06-08 |
| 1013272939 | Kristen Kelley | Family Medicine | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2012-07-06 |
| Street Address |
1100 SAWGRASS VILLAGE DR STE 100 |
| City | PONTE VEDRA |
| State | FL |
| Zip Code | 32082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851487292 | Urian Kim | Pediatrics | 1100 Sawgrass Village Dr Ste 100, Ponte Vedra, FL 32082-3083 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
| 1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
| 1568988129 | Mustafa Bakir | General Practice | 1102 A1a, Ponte Vedra Beach, FL 32082 | 2017-08-16 |
| 1457890584 | Angelyn Sorgen | Nurse Practitioner | 1102 Hwy A1a, Suite 104, Ponte Vedra Beach, FL 32082 | 2017-02-22 |
| 1033575121 | Balanced Physician Care Pa | Family Medicine | 115 Professional Park Drive, Suite 104, Ponte Vedra Beach, FL 32082 | 2016-01-06 |
| 1528436060 | Robert Thompson II | Chiropractor | 135 Professional Drive, Suite 105, Ponte Vedra Beach, FL 32082 | 2015-09-14 |
| 1144628439 | Integrative Medical Group, Usa, LLC | Clinic/Center | 1102 A1a North, Suite 104, Ponte Vedra Beach, FL 32082 | 2014-12-18 |
| 1811308901 | Janice Wachtel, Phd, LLC | Psychologist | 100 Executive Way, Suite 110, Ponte Vedra Beach, FL 32082 | 2014-05-12 |
| 1578991154 | Nicole Theiler | Counselor | 171 Canal Blvd, Ponte Vedra Beach, FL 32082 | 2013-10-17 |
| 1982948006 | Daisamma Varghese | Nurse Practitioner | 860 A1an, Ponte Vedra, FL 32082 | 2012-11-15 |
| Find all providers in zip 32082 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750467833 | Nancy Jackson Thomas | Psychologist | 13000 Sawgrass Village Cir Ste 11, Ponte Vedra, FL 32082-3078 | 2006-10-31 |
| 1760576888 | Covenant Counseling Services Inc | Psychologist | 160 Bermuda Ct, Ponte Vedra, FL 32082-2503 | 2006-10-03 |
| 1366891277 | Annette Strickland Van Horn | Psychologist | 460 Town Plaza Ave, Suite 230, Ponte Vedra, FL 32081-0574 | 2016-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740224 | North Florida Collaborative Therapy | Psychologist | 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 | 2020-11-05 |
| 1922607381 | Michelle Mcnally | Psychologist | 6945 Halton Park Ln, Coconut Creek, FL 33073-2170 | 2020-10-18 |
| 1427665322 | Salubrious Psychological Services | Psychologist | 865 Nw 208th Cir, Pembroke Pines, FL 33029-1908 | 2020-09-25 |
| 1396351979 | Daniela Oliveira De Medeiros | Psychologist | 111 Majorca Ave # B, Coral Gables, FL 33134-4508 | 2020-09-19 |
| 1235744327 | Lisa Stewart | Psychologist | 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 | 2020-09-15 |
| 1265047047 | Anissa York | Psychologist | 6760 Congress Ave Apt 203, Boca Raton, FL 33487-1242 | 2020-09-09 |
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1497365399 | Julia L Sheffler | Psychologist | 1126b Lee Ave, Tallahassee, FL 32303-6508 | 2020-08-05 |
| 1801413315 | Steven David Macchione | Psychologist | 328 Nw 97th Ave, Plantation, FL 33324-7068 | 2020-06-30 |
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | PONTE VEDRA |
| Zip Code | 32082 |
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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.