KELLY KELLEY (NPI# 1194290825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194290825 |
| Entity Type | Individual |
| Full Name | KELLY KELLEY |
| Practice Address |
9846 Hwy 31 E Tyler TX 75705-2329 |
| Practice Telephone | 9035928001 |
| Mailing Telephone | 9035928001 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 708544 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811407430 | Kelly Lynn Kelley | Physical Therapist | 41088 Bayou Segnette Ave, Gonzales, LA 70737-8590 | 2017-10-10 |
| 1245696566 | Kelly Joy Kelley | Behavioral Analyst | 307 Queen Anne Rd, Harwich, MA 02645-2501 | 2016-01-04 |
| 1972882504 | Kelly Leann Kelley | Nurse Practitioner | 912 W College St, Pulaski, TN 38478-3630 | 2011-08-13 |
| 1518165307 | Kelly Rose Kelley | Physical Therapy Assistant | 707 E Prospect Ave, Norfolk, NE 68701-4388 | 2007-07-03 |
| 1043723059 | Kelly Kelley I | Counselor | 48 Private Drive 339, South Point, OH 45680-8919 | 2017-11-13 |
| 1730544933 | Kelly Kelley | Occupational Therapist | 800 Saguaro Trl, San Juan College Ota Program, Farmington, NM 87401-9632 | 2015-12-15 |
| 1619362134 | Kelly Kelley | Social Worker | 104 S Front Ave, Prestonsburg, KY 41653 | 2015-04-01 |
| 1396091203 | Kelly Winters Kelley | Registered Nurse | 1300 S Grand Ave, Santa Ana, CA 92705-4434 | 2012-07-28 |
| 1487876264 | Kelly D Kelley | Hearing Instrument Specialist | 3320 Pecan Valley Dr, Suite E., Temple, TX 76502-1569 | 2007-05-03 |
| 1811060924 | Kelly Young Kelley | Social Worker | 1300 N 12th St, Phoenix, AZ 85006-2848 | 2006-11-16 |
| Street Address |
9846 HWY 31 E |
| City | TYLER |
| State | TX |
| Zip Code | 75705-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174866461 | Leslie L Isaacs | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2013-04-04 |
| 1285235838 | Brenda Duong | Occupational Therapist | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-11-02 |
| 1205437886 | Danielle Tammen | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-11-02 |
| 1053911107 | Allie Mallory | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-10-28 |
| 1497355564 | Tabitha Carter | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-10-28 |
| 1790385813 | Mary Rodgers | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-10-28 |
| 1154921203 | Jamie Lomax | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-10-28 |
| 1538768825 | Chukwuma Ozonnaike | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-10-19 |
| 1841898244 | Nelida Valle | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-10-16 |
| 1700484128 | Angela Miles | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326561010 | Susan Kemp | Occupational Therapist | 9846 State Hywy 31e, Tyler, TX 75705 | 2017-07-25 |
| 1629383849 | Melissa Hampton | Home Health Aide | 400 F M Road 757, Tyler, TX 75705 | 2010-08-12 |
| 1902026446 | Red Bird Manor LLC | Assisted Living Facility | 956 Fm Rd 757, Tyler, TX 75705 | 2007-04-26 |
| 1821079187 | Kinsman Enterprises, Inc. | Home Health | 3218 N 4th St, Longview, TX 75705 | 2005-11-12 |
| 1952937138 | Ashley Keeter | Registered Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-03-19 |
| 1235278813 | Bienville Holdings, Ltd | Home Health | 9846 State Highway 31 E, Tyler, TX 75705-2329 | 2007-02-06 |
| 1487278511 | Hannah Mcbride | Licensed Vocational Nurse | 9846 State Highway 31 E, Tyler, TX 75705-2329 | 2020-06-04 |
| 1679196885 | Casandra Bradley | Licensed Vocational Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-05-21 |
| 1285256123 | Elvira Nunez | Speech-Language Pathologist | 9846 State Highway 31 E, Tyler, TX 75705-2329 | 2020-05-14 |
| 1700408523 | Austilar Ayoka | Licensed Vocational Nurse | 9846 State Highway 31 E, Tyler, TX 75705-2329 | 2020-05-14 |
| Find all providers in zip 75705 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456510 | Savannah Riffe | Registered Nurse | 322 Chimney Rock Dr Apt 202, Tyler, TX 75703-4186 | 2020-10-28 |
| 1275131500 | Cheyanne E Alexander | Registered Nurse | 325 Raintree Dr Apt 46, Tyler, TX 75703-4155 | 2020-10-09 |
| 1275130692 | Conner Mitchell | Registered Nurse | 1901 S Chilton Ave, Tyler, TX 75701-4116 | 2020-10-08 |
| 1548867633 | Kristopher Brian Roberts | Registered Nurse | 20048 Fm 756, Tyler, TX 75703-8528 | 2020-10-02 |
| 1114534641 | Tiana L Davison | Registered Nurse | 12447 Pollan St, Tyler, TX 75704-8675 | 2020-09-29 |
| 1740897479 | Melissa Crosman | Registered Nurse | 2316 S Boldt Ave, Tyler, TX 75701-5922 | 2020-09-27 |
| 1629684618 | Ja'keyah Stewart | Registered Nurse | 119 S Fleishel Ave, Tyler, TX 75702-7558 | 2020-09-16 |
| 1346850195 | Brooklynn Michelle Bruce | Registered Nurse | 817 N College Ave, Tyler, TX 75702-4567 | 2020-08-06 |
| 1033729926 | Tarwa Lynn Hawley | Registered Nurse | 12521 State Highway 64 W, Tyler, TX 75704-8021 | 2020-08-05 |
| 1255941308 | Joann Kay Blosser | Registered Nurse | 13591 County Road 420, Tyler, TX 75704-2215 | 2020-08-04 |
| Find all providers in TYLER | ||||
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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.