DR. JENNIFER LYNN KELLY (NPI# 1164607149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164607149 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYNN KELLY |
| Other Name | JENNIFER KELLY DAODU |
| Credential | MD |
| Practice Address |
2018 Mission Street Santa Cruz CA 95060 |
| Practice Telephone | 8314758834 |
| Mailing Telephone | 8317062220 |
| Mailing Fax Number | 8314252034 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2018-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A101523 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881216463 | Jennifer Kelly | Nurse Practitioner | 7595 Affirmed Ct, Lewis Center, OH 43035-9143 | 2020-05-17 |
| 1790322758 | Jennifer Lee Kelly | Home Health Aide | 4519 Stanbrook Dr, North Chesterfield, VA 23234-4021 | 2019-12-09 |
| 1396386744 | Jennifer Eileen Kelly | Specialist | 2354 Ocean Ave, Ronkonkoma, NY 11779-6578 | 2019-10-07 |
| 1659936813 | Jennifer Noel Kelly | Behavior Technician | 3287 N Mayfield Ave, San Bernardino, CA 92405-2627 | 2019-05-03 |
| 1851784284 | Jennifer Kelly | Occupational Therapy Assistant | 1215 Gainsboro Rd, Bala Cynwyd, PA 19004-2014 | 2015-03-10 |
| 1952706699 | Jennifer Kelly | Pharmacist | 1701 Welsh Rd Ste 5, Philadelphia, PA 19115-3172 | 2014-10-23 |
| 1750791257 | Jennifer Kelly | Psychologist | 11 Brooklands Apt Gi, Bronxville, NY 10708-3512 | 2014-05-06 |
| 1851722995 | Jennifer L. Kelly | Speech-Language Pathologist | 555 Anthony Wayne Trail, Waterville, OH 43566 | 2013-11-27 |
| 1144598343 | Jennifer Elaine Kelly | Physician Assistant | 381 Park Avenue South, Suite 1020, New York, NY 10016 | 2011-12-02 |
| 1063789030 | Jennifer Zucal Kelly | Registered Nurse | 215 E 5th St, Emporium, PA 15834-1417 | 2011-11-18 |
| Street Address |
2018 MISSION STREET |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164947610 | Jessica Kliger | General Practice | 1457 High St, Santa Cruz, CA 95060-2319 | 2017-08-06 |
| 1841653037 | Robert Thomas Scott | General Practice | 416 Lighthouse Ave, Santa Cruz, CA 95060-6130 | 2016-04-04 |
| 1487901591 | Rima Fay Lieben | General Practice | 310 San Juan Ave, Santa Cruz, CA 95062-1244 | 2012-08-08 |
| 1134422991 | Stephen Glenn Waltcher | General Practice | 140 Dubois St, Suite A, Santa Cruz, CA 95060-2175 | 2010-12-15 |
| 1114156577 | William Martin Sperling | General Practice | 585 Mountain View Rd, Santa Cruz, CA 95065-9711 | 2009-07-07 |
| 1447243365 | Ida G Leong | General Practice | 820 Capitola Rd, Suite A, Santa Cruz, CA 95062-2891 | 2005-08-25 |
| 1437549060 | Karin N. Yien | General Practice | 615 Ocean St, Santa Cruz, CA 95060-4005 | 2015-02-03 |
| 1417293267 | River Street Integrative Medicine, Inc. | General Practice | 700 River St, Santa Cruz, CA 95060-2748 | 2012-12-26 |
| 1194072181 | Lester Russ Reichek | General Practice | 310 San Juan Ave, Santa Cruz, CA 95062-1244 | 2012-08-08 |
| 1073736146 | Helen Nunberg | General Practice | 877 Cedar St, Suite 150, Santa Cruz, CA 95060-3938 | 2007-04-10 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
Please comment or provide details below to improve the information on DR. JENNIFER LYNN KELLY.
| 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.