KELLY MARIE STEVENSON (NPI# 1154634244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154634244 |
| Entity Type | Individual |
| Full Name | KELLY MARIE STEVENSON |
| Credential | PA-C |
| Practice Address |
804 22nd Ave Kearney NE 68845-2206 |
| Practice Telephone | 3084553600 |
| Practice Fax Number | 3084553950 |
| Mailing Telephone | 3084553600 |
| Mailing Fax Number | 3084553950 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2014-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 15-01496 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 1535 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215297601 | Kelly R Stevenson | Social Worker | 1102 Smith Ave, Suite K, Thomasville, GA 31792-5739 | 2012-05-21 |
| 1780913194 | Kelly Zale Stevenson | Physician Assistant | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2009-12-14 |
| 1346427374 | Kelly Stevenson | Social Worker | 12300 Mccracken Rd, Suite 137, Garfield Heights, OH 44125-2914 | 2008-01-22 |
| 1184761686 | Kelly Stevenson | Occupational Therapist | 1417 Wightman St, Pittsburgh, PA 15217-1240 | 2007-01-31 |
| Street Address |
804 22ND AVE |
| City | KEARNEY |
| State | NE |
| Zip Code | 68845-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023122272 | Merlin J Wehling | Anesthesiology | 804 22nd Ave, Kearney, NE 68845-2234 | 2006-08-17 |
| 1407457211 | Jennifer Lynn Pool | Nurse Practitioner | 804 22nd Ave, Kearney, NE 68845-2206 | 2020-11-06 |
| 1225684913 | Rochelle Herrada | Nurse Practitioner | 804 22nd Ave, Kearney, NE 68845-2206 | 2019-08-17 |
| 1881256113 | Shannon Linton | Nurse Practitioner | 804 22nd Ave, Kearney, NE 68845-2206 | 2019-07-08 |
| 1497314470 | Matthew Albert Wecker | Nurse Anesthetist, Certified Registered | 804 22nd Ave, Kearney, NE 68845-2206 | 2019-06-12 |
| 1447710942 | Dynae Chere' Pofahl | Nurse Practitioner | 804 22nd Ave, Kearney, NE 68845-2206 | 2019-03-21 |
| 1285107714 | Kwang Hee Alexander Johng | Nurse Anesthetist, Certified Registered | 804 22nd Ave, Kearney, NE 68845-2206 | 2019-01-08 |
| 1760954986 | Jamie Elizabeth Schmeits | Registered Nurse | 804 22nd Ave, Kearney, NE 68845-2206 | 2018-12-28 |
| 1033685193 | Micki Carraher | Physician Assistant | 804 22nd Ave, Kearney, NE 68845-2206 | 2018-10-16 |
| 1003397605 | Jessica Scoville | Physician Assistant | 804 22nd Ave, Kearney, NE 68845-2206 | 2018-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
| 1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
| 1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
| 1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
| 1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
| 1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
| 1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
| 1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
| 1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
| 1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
| Find all providers in zip 68845 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917181 | Connor Evan Bliss | Physician Assistant | 2908 W 39th St Ste D, Kearney, NE 68845-1245 | 2020-06-23 |
| 1649685314 | Tiffany L Byrkit | Physician Assistant | 2103 W 35th St, Kearney, NE 68845-2711 | 2014-06-21 |
| 1528364684 | Nicole Buettner | Physician Assistant | 412 W. 42nd Street, Kearney, NE 68845 | 2011-02-07 |
| 1497073811 | Jannelle Gwyneth Reynolds | Physician Assistant | 2510 11th Ave, Kearney, NE 68849-2247 | 2010-05-10 |
| 1710126206 | Sheila M Williams | Physician Assistant | 3219 Central Ave Ste 102, Kearney, NE 68847-2949 | 2009-02-06 |
| 1467408138 | Laura Hatch | Physician Assistant | 3907 6th Ave, Kearney, NE 68845-3392 | 2006-05-25 |
| 1477530343 | Amy A Thompson | Physician Assistant | 816 22nd Ave. Suite 100, Kearney, NE 68845-2206 | 2005-12-30 |
| 1912538893 | Arin Reimers | Physician Assistant | 3219 Central Ave Ste 200, Kearney, NE 68847-2958 | 2020-01-30 |
| 1194356048 | Nicholas Kolar | Physician Assistant | 3219 Central Ave Ste 102a, Kearney, NE 68847-2949 | 2020-01-30 |
| 1417413881 | Nicholas Reed | Physician Assistant | 10 E 31st St, Kearney, NE 68847-2908 | 2019-02-11 |
| Find all providers in KEARNEY | ||||
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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.