KELLY CONN (NPI# 1205478781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205478781 |
| Entity Type | Individual |
| Full Name | KELLY CONN |
| Practice Address |
4 Hickory Ridge Rd Ste 600 Hillsboro MO 63050-5117 |
| Mailing Address |
227 Main St Festus MO 63028-1952 |
| Practice Telephone | 6364816040 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 2010020393 | MO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790236420 | Kelly A Conn | Social Worker | 1490 E Main St, Columbus, OH 43205-2140 | 2016-10-18 |
| 1952630048 | Kelly A Conn | Social Worker | 2458 Stetzer Rd, Bucyrus, OH 44820-2066 | 2009-12-18 |
| Street Address |
4 HICKORY RIDGE RD STE 600 |
| City | HILLSBORO |
| State | MO |
| Zip Code | 63050-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477684009 | Ivy Alwell | Registered Nurse | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2007-03-07 |
| 1083223200 | Samantha Mueller | Physician Assistant | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2020-07-23 |
| 1518509082 | Jean Osterwisxh | Case Manager/Care Coordinator | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2019-10-16 |
| 1366084832 | Amy Reese | Case Manager/Care Coordinator | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2019-10-16 |
| 1366084022 | Jami Griffin | Case Manager/Care Coordinator | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2019-10-15 |
| 1245889005 | Kelly Ann Nichols | Registered Nurse | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2019-09-04 |
| 1811492598 | Alicia Lynn Ott | Counselor | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2018-03-26 |
| 1477933067 | Elizabeth Abe | Dentist | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2015-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942747118 | Jefferson Franklin Community Action Corp | Health Educator | 2 Merchants Dr, Hillsboro, MO 63050 | 2017-01-26 |
| 1073998266 | Lindsey Johnston | Counselor | 351 Main Street, Hillsboro, MO 63050 | 2015-07-29 |
| 1952544017 | Kelli M. Fuller | Registered Nurse | 802 Mel Carnahan Dr Ste 215, Hillsboro, MO 63050 | 2009-04-18 |
| 1548444797 | Leonard Hughes Co Inc | Eyewear Supplier (Equipment, not the service) | 11339 Hwy 21, Hillsboro, MO 63050 | 2007-12-24 |
| 1275728305 | Shah Enterprises LLC | Health Maintenance Organization | 10640 Highway 21, Hillsboro, MO 63050 | 2007-09-12 |
| 1649487190 | James Reehten | Counselor | 473 Maple, Hillsboro, MO 63050 | 2007-05-16 |
| 1790856268 | Barbara Joyce Becherer | Counselor | 10814 Highway 21, C, Hillsboro, MO 63050 | 2006-11-13 |
| 1740255413 | Jason Fish | Dentist | #4 Hickory Ridge Rd, Suite 100, Hillsboro, MO 63050 | 2006-02-17 |
| 1619963253 | David John Stansfield | Family Medicine | 10279 Business 21, Hillsboro, MO 63050 | 2005-09-20 |
| 1417426933 | Lauren Pritchard | Counselor | 351 Main Street, Hillsboro, MO 63050 | 2018-11-14 |
| Find all providers in zip 63050 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1528521549 | Karen Lee Ferrette | Licensed Practical Nurse | 10690 Ne Cornell Rd Ste 215, Hillsboro, OR 97124-9224 | 2019-04-08 |
| 1134608706 | Faith Bauder | Licensed Practical Nurse | 417 Hcr 2431, Hillsboro, TX 76645-5195 | 2018-08-14 |
| 1972059624 | Connie Sue Fraley | Licensed Practical Nurse | 8958 Pigeon Roost Rd., Hillsboro, OH 45133 | 2016-08-31 |
| 1689028268 | Amanda Stroop | Licensed Practical Nurse | 116 W Collins Ave, Hillsboro, OH 45133-1014 | 2016-04-20 |
| 1578934410 | Twolla Kay Minton | Licensed Practical Nurse | 462 S Elm St, Hillsboro, OH 45133-1360 | 2015-10-19 |
| 1174926810 | Candra Allen | Licensed Practical Nurse | 7260 Kier Rd, Hillsboro, OH 45133-9155 | 2014-10-08 |
| 1124433693 | Edna Anghesom Tesfay | Licensed Practical Nurse | 140 Ne Greenridge Ter, Hillsboro, OR 97124-5160 | 2014-06-24 |
| 1750714473 | Elizabeth Theobold | Licensed Practical Nurse | 4141 Sweeney Ln, Hillsboro, OH 45133-7429 | 2013-08-16 |
| 1093158982 | Amber Frazier | Licensed Practical Nurse | 6954 Perch St, Hillsboro, OH 45133-9758 | 2013-04-10 |
| 1477829752 | Cynthia Boyd | Licensed Practical Nurse | 125 Vaughn Ave, Hillsboro, OH 45133-1484 | 2012-03-30 |
| Find all providers in HILLSBORO | ||||
Please comment or provide details below to improve the information on KELLY CONN.
| 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.