KELLY ELIZABETH GRAVER PATE (NPI# 1184633935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184633935 |
| Entity Type | Individual |
| Full Name | KELLY ELIZABETH GRAVER PATE |
| Other Name | KELLY ELIZABETH GRAVES |
| Credential | PA-C |
| Practice Address |
9279 Locust St. Jackson CA 95669 |
| Mailing Address |
10470 Old Placerville Rd Ste 100 Sacramento CA 95827-2539 |
| Practice Telephone | 2092456968 |
| Practice Fax Number | 2092455135 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2019-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA18164 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | GR0078351 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140360 | Kelly C Pate | Physical Therapy Assistant | 12000 Turnmeyer Dr Se, Huntsville, AL 35803-3358 | 2019-05-20 |
| 1639662976 | Kelly C. Pate | Nurse Practitioner | 950 Main St, Munfordville, KY 42765 | 2018-06-12 |
| 1982087870 | Kelly Michelle Pate | Pharmacist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2015-07-09 |
| Street Address |
9279 LOCUST ST. |
| City | JACKSON |
| State | CA |
| Zip Code | 95669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831467653 | Sutter Valley Medical Foundation | Clinic/Center | 9279 Locust Street, Plymouth, CA 95669 | 2011-12-07 |
| 1730408584 | Connie Mckenna | Acupuncturist | 9339 Main St., Plymouth, CA 95669 | 2010-05-19 |
| 1053595272 | Kenneth L. Curry | Dentist | 9449 Landrum St, Plymouth, CA 95669 | 2007-12-24 |
| 1801907308 | Daniel J Fields | Family Medicine | 9279 Locust, Plymouth, CA 95669 | 2006-08-31 |
| 1013928605 | Pokerville Drug | Pharmacy | 18170 Hwy 49, Suite A, Plymouth, CA 95669 | 2006-08-10 |
| 1912472002 | Robert Michael Negrete | Physical Therapist | 4001 Ca-104, Specialty Clinic - Physical Therapy, Plymouth, CA 95669 | 2018-10-04 |
| 1619111416 | Sutter Health Sacramento Sierra Region | General Acute Care Hospital | 9279 Locust, Plymouth, CA 95669 | 2009-04-23 |
| 1902929912 | Patricia Sullivan | Nurse Practitioner | 9279 Locust, Plymouth, CA 95669 | 2007-04-06 |
| 1518281369 | Sonja Eloise Wall | Registered Nurse | 18250 Latrobe Rd, Plymouth, CA 95669-9717 | 2010-03-23 |
| 1033760871 | Sheri Lynn Lawrence | Technician | 5575 Carbondale Rd, Plymouth, CA 95669-9729 | 2019-09-23 |
| Find all providers in zip 95669 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629206784 | Sarah Beth Poplawski | Physician Assistant | 205 N. East Avenue, Emergency Department, Jackson, MI 49201 | 2009-06-29 |
| 1225167356 | Marianne Elizabeth Lapointe | Physician Assistant | 815 Court St Ste 7, Jackson, CA 95642-2154 | 2007-03-05 |
| 1386780237 | Charles F Harris | Physician Assistant | 982 W. Broadway, Jackson, WY 83002 | 2007-01-29 |
| 1427109149 | Coreen Dian Garcia-sweets | Physician Assistant | 3235 E Michigan Ave Ste 100, Jackson, MI 49202-3971 | 2007-01-16 |
| 1861552556 | Marc A Fierro | Physician Assistant | 11333 Prospect Dr Ste 401, Jackson, CA 95642-9311 | 2006-12-11 |
| 1427146539 | James E Abernathy II | Physician Assistant | 294 Sumar Dr, Jackson, TN 38301 | 2006-10-11 |
| 1548241359 | Byron Michael Breeding | Physician Assistant | 144 Edenwood Dr, Jackson, TN 38301-3827 | 2005-11-09 |
| 1033735709 | Anna Marie Plumley | Physician Assistant | 1325 N West Ave, Jackson, MI 49202-2050 | 2020-06-18 |
| 1093347072 | Jessica Emil Ansara | Physician Assistant | 205 N East Ave, Jackson, MI 49201-1753 | 2020-02-07 |
| 1588134456 | Clay Ellenwood | Physician Assistant | 205 N East Ave, Jackson, MI 49201-1753 | 2018-12-04 |
| Find all providers in JACKSON | ||||
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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.