MARTHA HARLOW KELLY (NPI# 1205175270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205175270 |
| Entity Type | Individual |
| Full Name | MARTHA HARLOW KELLY |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
1801 Nicollet Ave Suite 105 Minneapolis MN 55403-3791 |
| Mailing Address |
3770 Brunswick Ave S St Louis Park MN 55416-2442 |
| Practice Telephone | 6128232947 |
| Mailing Telephone | 9522179417 |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 8982 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730355918 | Martha Phelps Kelly | Physician Assistant | 2545 Capital Ave Sw, Battle Creek, MI 49015-7120 | 2008-05-07 |
| 1306017066 | Martha Kelly | Nurse Practitioner | 110 Rehill Avenue, Somerville, NJ 08876-2598 | 2008-03-20 |
| Street Address |
1801 NICOLLET AVE SUITE 105 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55403-3791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992778229 | Corby J Benson | Psychiatry & Neurology | 1801 Nicollet Ave, Nicollet Exchange II Building, Minneapolis, MN 55403-3791 | 2006-02-08 |
| 1528673779 | Hulda M Mosiori | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2020-09-14 |
| 1235743584 | Nicole Ji-hae Johnson | Clinical Nurse Specialist | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2020-09-03 |
| 1194344234 | Elise Mary Pesch | Registered Nurse | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2020-04-09 |
| 1235787409 | Tolu Okuneye | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2019-08-29 |
| 1619525987 | Shafi Abdulle | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2019-08-29 |
| 1942857818 | Michael Albert Maranga Nyantaroka | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2019-08-24 |
| 1205480522 | Catherine Lavergne | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403 | 2019-07-25 |
| 1245899285 | Gladys Ndip | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2019-06-12 |
| 1326522285 | Migmar Wangchuk | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2018-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508312174 | Afya Translation Corp | Interpreter | 1 E 19th Street, Suite 2, Minneapolis, MN 55403 | 2016-09-01 |
| 1891146692 | Alicia Kornacker | Doula | 1937 Aldrich Avenue South, Apt 12, Minneapolis, MN 55403 | 2016-06-23 |
| 1437506417 | Zahra Roble | Nurse Practitioner | 1801 Nicolllet Ave S, Minneapolis, MN 55403 | 2016-05-19 |
| 1063871259 | Vicky Smiley-turner | Counselor | 1523 Nicollet Ave. South, Minneapolis, MN 55403 | 2016-02-16 |
| 1326449026 | Lowry Hill Psychotherapy and Assessment Center | Psychologist | 1910 Hennepin Ave S, Minneapolis, MN 55403 | 2014-09-12 |
| 1285062372 | Cheryl Patterson | Marriage & Family Therapist | 1725 2nd Ave So, Minneapolis, MN 55403 | 2013-10-29 |
| 1598101156 | Sherri M Dunham | Counselor | 1200 S Marquette Ave, Minneapolis, MN 55403 | 2013-05-21 |
| 1831533173 | Laura Farley Young | Social Worker | 1925 Nicollet Ave S, Minneapolis, MN 55403 | 2013-04-17 |
| 1275801797 | Elizabeth Ann Hamer | Counselor | 1717/1725 2nd Ave. So., Minneapolis, MN 55403 | 2011-12-12 |
| 1679859185 | Accord Medical Inc | Durable Medical Equipment & Medical Supplies | 1815 Nicollet Ave, Minneapolis, MN 55403 | 2011-10-27 |
| Find all providers in zip 55403 | ||||
| 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 |
|---|---|---|---|---|
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| 1932714037 | Kseniia Sosinovych | Physician Assistant | 615 E 16th St Apt 202, Minneapolis, MN 55404-1503 | 2020-09-15 |
| 1659986743 | Collin Jeffery Barry | Physician Assistant | 2220 E Franklin Ave Apt 315, Minneapolis, MN 55404-2284 | 2020-09-15 |
| 1568077626 | Alyssa Clements | Physician Assistant | 2211 Riverside Ave # 149, Minneapolis, MN 55454-1350 | 2020-09-14 |
| 1578178703 | Nicholas H Sorenson | Physician Assistant | 129 Melbourne Ave Se Apt 2, Minneapolis, MN 55414-3515 | 2020-09-14 |
| 1861016743 | Meredith Elise Lafond | Physician Assistant | 624 4th Ave Se Apt 2, Minneapolis, MN 55414-1625 | 2020-06-05 |
| 1477182053 | Hannah Grace Johnson | Physician Assistant | 3437 Chicago Ave, Minneapolis, MN 55407-2107 | 2020-04-05 |
| 1851921431 | Nasima Omar | Physician Assistant | 3321 Emerson Ave S, Minneapolis, MN 55408-3528 | 2020-01-22 |
| 1861022600 | Jeremiah Malecek | Physician Assistant | 3755 Bryant Ave N, Minneapolis, MN 55412-2156 | 2020-01-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55403 |
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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.