JOAN KELLEY (NPI# 1205210143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205210143 |
| Entity Type | Individual |
| Full Name | JOAN KELLEY |
| Practice Address |
309 Rivers Edge Dr Minooka IL 60447-9397 |
| Practice Telephone | 8157351408 |
| Mailing Telephone | 8157351408 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209012858 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649529108 | Joan Irene Kelley | Registered Nurse | 175 Gwinnett Dr., Lawrenceville, GA 30046-8444 | 2012-08-30 |
| 1346465697 | Joan Kelley | Counselor | 1025 Dodd Rd, Saint Paul, MN 55118-1113 | 2007-04-13 |
| 1881604585 | Joan Frances Kelley | Nurse Practitioner | 1765 Commercial St, Warsaw, MO 65355-3096 | 2006-08-08 |
| Street Address |
309 RIVERS EDGE DR |
| City | MINOOKA |
| State | IL |
| Zip Code | 60447-9397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326538596 | Wanda Hardy Perkins | Social Worker | 203 W Mondamin St, Minooka, IL 60447 | 2018-05-14 |
| 1629597729 | Jennifer Praveen | Psychologist | 333 Mcevilly Rd, Minooka, IL 60447 | 2017-09-11 |
| 1013164193 | Carrie Ann Skubic | Counselor | 113 W. Wapella St., Suite 2, Minooka, IL 60447 | 2008-08-20 |
| 1164624680 | Minooka Comm Hs Dist 111 | Local Education Agency (LEA) | 203 W Mondamin, Minooka, IL 60447 | 2007-06-05 |
| 1710196191 | Ridge Dental Group, Ltd | Dentist | 2003 Ridge Road, Minooka, IL 60447 | 2007-05-22 |
| 1629109020 | James Dale Mcgehee | Dentist | 123 Mondamin Street, Minooka, IL 60447 | 2007-03-08 |
| 1073554341 | Minooka Fire Protection District | Ambulance | 413 W Mondamin, Minooka, IL 60447 | 2006-06-09 |
| 1639110612 | Angela Solis | Counselor | 113 West Wapella Street, Suite 2, Minooka, IL 60447 | 2006-06-09 |
| 1811944366 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2051 Ridge Rd, Minooka, IL 60447 | 2006-05-30 |
| 1427205111 | Crossroads Counseling Services, LLC | Counselor | 113 W. Wapella St., Suite 2, Minooka, IL 60447 | 2008-08-25 |
| Find all providers in zip 60447 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
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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.