KELLY ANN TONIELLI DAVIS (NPI# 1225553803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225553803 |
| Entity Type | Individual |
| Full Name | KELLY ANN TONIELLI DAVIS |
| Credential | APN FNP-BC RN |
| Practice Address |
1212 Currency Ct Rochelle IL 61068 |
| Mailing Address |
1212 Currency Ct Rochelle IL 61068-2321 |
| Practice Telephone | 8155618500 |
| Practice Fax Number | 8155618501 |
| Mailing Telephone | 8155618500 |
| Mailing Fax Number | 8155618501 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2018-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2016031102 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 841 N Galena Ave, Dixon, IL 610211568 | 8152852273 | |
| 1201 Meriden St, Mendota, IL 613422501 | 8155393739 | 8155393753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669081089 | Kelly Davis | Dental Hygienist | 741 Crystal Ln, Strasburg, VA 22657-2373 | 2020-07-31 |
| 1699270637 | Kelly Elise Davis | Student in an Organized Health Care Education/Training Program | 13001 E. 17th Pl., Campus Box F546, Bldg. 500, Room E2322, Aurora, CO 80045 | 2018-03-29 |
| 1659820074 | Kelly Kathleen Davis | Nurse Practitioner | 410 Lockerman St, Denton, MD 21629-1048 | 2016-09-27 |
| 1891243135 | Kelly Ann Davis | Nurse Anesthetist, Certified Registered | 19446 Parker St, Livonia, MI 48152-1579 | 2016-09-15 |
| 1881049120 | Kelly Ann Davis | Obstetrics & Gynecology | 7447 W Talcott Ave Ste 531, Chicago, IL 60631-3716 | 2016-04-24 |
| 1144611336 | Kelly Davis | Psychologist | 9525 S 93rd East Ave, Tulsa, OK 74133-6160 | 2015-02-10 |
| 1346501202 | Kelly Lynn Davis | Contractor | 18247 W Running Springs Rd, Park Hill, OK 74451-2017 | 2012-06-06 |
| 1518251826 | Kelly Megan Davis | Developmental Therapist | 10025 Hillview Dr Apt 28, Pensacola, FL 32514-5744 | 2011-06-03 |
| 1710271168 | Kelly Denise Davis | Developmental Therapist | 311 Heritage Dr, Mayfield, KY 42066-3432 | 2011-06-02 |
| 1386952307 | Kelly Davis | Speech-Language Pathologist | 2611 S Lees Summit Rd, Independence, MO 64055 | 2010-09-24 |
| Street Address |
1212 CURRENCY CT |
| City | ROCHELLE |
| State | IL |
| Zip Code | 61068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386715423 | Cassandra Lynn Larue-headon | Chiropractor | 1212 Currency Ct, Rochelle, IL 61068-2321 | 2006-11-12 |
| 1083015903 | Dana Meyers | Massage Therapist | 1212 Currency Ct, Rochelle, IL 61068-2321 | 2014-09-10 |
| 1497156764 | Daniel Mcdermott | Massage Therapist | 1212 Currency Ct, Rochelle, IL 61068-2321 | 2014-09-05 |
| 1285034892 | Amie Mcdermott | Massage Therapist | 1212 Currency Ct, Rochelle, IL 61068-2321 | 2014-09-02 |
| 1245376698 | Medcare Health Center Ltd | Internal Medicine | 1212 Currency Ct, Rochelle, IL 61068-2321 | 2007-01-30 |
| 1609949890 | Family Medical & Surgical Practice, LLC | Family Medicine | 1212 Currency Ct, Rochelle, IL 61068-2321 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273330 | Residential Alternatives of Illinois, Inc | Skilled Nursing Facility | 2203 Flagg Rd, Rochelle, IL 61068 | 2020-04-10 |
| 1972029395 | Allison R Reed | Physical Therapist | 372 E Il Route 38, Rochelle, IL 61068 | 2017-08-17 |
| 1629501663 | Bradley Teo | Pharmacist | 311 E Route 38, Rochelle, IL 61068 | 2017-04-06 |
| 1871942730 | Hub Family Dental | Dentist | 409 Lincoln Highway, Rochelle, IL 61068 | 2016-06-10 |
| 1114277431 | Marlon De Luna Navarro | Physical Therapist | 1022 Lincoln Avenue, Apt. 4, Rochelle, IL 61068 | 2012-09-13 |
| 1902180169 | Chester Abraham Feather | Counselor | 1321 N. 7th St., Rochelle, IL 61068 | 2011-10-06 |
| 1073787164 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1080 N 7th St, Rochelle, IL 61068 | 2008-04-18 |
| 1821267600 | Northern Rehabilitation and Sports Medicine Associates | Physical Therapist | 1211 Currency Court, Suite C, Rochelle, IL 61068 | 2008-02-26 |
| 1043488554 | Creston Comm School | Local Education Agency (LEA) | 202 W South Street, Rochelle, IL 61068 | 2008-02-19 |
| 1962695619 | Van Orthopaedic & Spine Surgery | Orthopaedic Surgery | 422 Cherry Ave, Rochelle, IL 61068 | 2007-08-24 |
| Find all providers in zip 61068 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841752284 | Mahubah Abdallah | Nurse Practitioner | 326 Lake Lida Ln, Rochelle, IL 61068-8801 | 2019-04-04 |
| 1487139739 | Charles Andrew Mcelveen | Nurse Practitioner | 636 2nd Ave, Rochelle, GA 31079-2046 | 2018-10-02 |
| 1568973790 | Valencia Burleson | Nurse Practitioner | 636 2nd Ave, Rochelle, GA 31079-2046 | 2017-10-16 |
| 1164843199 | Sara Noel Lyons | Nurse Practitioner | 900 N 2nd St, Rochelle, IL 61068-1764 | 2013-12-17 |
| 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.