LORI L KELLY (NPI# 1235167503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235167503 |
| Entity Type | Individual |
| Full Name | LORI L KELLY |
| Credential | RN, CNP |
| Practice Address |
2845 Hamline Ave North Roseville MN 55113 |
| Practice Telephone | 6516316100 |
| Practice Fax Number | 6516316343 |
| Mailing Telephone | 6516316100 |
| Mailing Fax Number | 6516316343 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2012-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R1533479 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 474957000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801301056 | Lori Salins Kelly | Counselor | 2120 Washington Blvd Fl 4, Arlington, VA 22204-5718 | 2017-12-11 |
| 1013383223 | Lori Kelly | Nurse Practitioner | 439 Hinsdale Rd, Camillus, NY 13031-1648 | 2015-08-12 |
| 1235313966 | Lori Ann Kelly | Registered Nurse | 31 Falcon Dr, Hauppauge, NY 11788-1204 | 2007-12-17 |
| 1871956144 | Lori Kelly | Nurse Practitioner | 1341 Clark St, Cambridge, OH 43725-9614 | 2016-04-03 |
| 1710077953 | Lori S Kelly | Occupational Therapist | 4095 Cleveland Massillon Rd, Norton, OH 44203-5670 | 2006-10-16 |
| 1578651816 | Lori J Kelly | Physical Therapist | 1103 Trancas Street, Napa Valley Physical Therapy Center, Napa, CA 94558 | 2006-10-11 |
| 1265544472 | Lori H Kelly | Radiology | 1275 York Ave, New York, NY 10065-6007 | 2006-09-01 |
| 1689670226 | Lori H Kelly | Physician Assistant | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2005-06-27 |
| Street Address |
2845 HAMLINE AVE NORTH |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205932902 | Mary G Bullock | Nurse Practitioner | 2845 Hamline Ave North, Roseville, MN 55113 | 2006-09-16 |
| 1679508006 | John W Mielke | Internal Medicine | 2845 Hamline Ave North, Roseville, MN 55113 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1568929115 | Brandi Reilly | Nurse Practitioner | 2845 Hamline Ave N, Roseville, MN 55113-7127 | 2019-03-01 |
| 1790289064 | Annika Peterson | Nurse Practitioner | 2845 Hamline Ave N, Roseville, MN 55113-7127 | 2018-03-21 |
| 1407357122 | Jamie Inhoff | Nurse Practitioner | 2845 Hamline Ave N, Roseville, MN 55113-7127 | 2018-02-27 |
| 1114316163 | Judith Ann Ogren | Nurse Practitioner | 25810 Kelly Rd, Ste 3, Roseville, MI 48066-4467 | 2015-01-14 |
| 1962832089 | Agnes Gitau | Nurse Practitioner | 3001 Douglas Blvd, Suite 150, Roseville, CA 95661-3851 | 2013-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619587193 | Sadiya Abdirahman Esse | Nurse Practitioner | 1690 Silver Lake Rd Nw, New Brighton, MN 55112-1788 | 2020-08-09 |
| 1881226512 | Abby Marie Zenner | Nurse Practitioner | 1771 Countryside Dr, Shakopee, MN 55379-4451 | 2020-02-11 |
| 1174019038 | Adedayo Temitope Dosumu | Nurse Practitioner | 816 50th Ave Nw, Rochester, MN 55901-6554 | 2018-07-03 |
| 1407223159 | Carla Sue Christenson | Nurse Practitioner | 3400 W. 66th St, Edina, MN 55435 | 2015-08-28 |
| 1538573449 | Rebecca Anne Lenz | Nurse Practitioner | 1172 Randolph Ave Apt 8, Saint Paul, MN 55105-2987 | 2014-06-18 |
| 1083027536 | Mueni C Mualuko | Nurse Practitioner | 2220 Riverside Ave # Ms 26602g, Geriatrics Department Ms 26602g/ 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2014-06-03 |
| 1659623999 | Joy Laansma | Nurse Practitioner | 3366 Oakdale Avenue North, Suite 551, Robbinsdale, MN 55422-2948 | 2012-10-10 |
| 1720337694 | Zhonghua Xie | Nurse Practitioner | 1202 5th Grant Blvd W, Wabasha, MN 55981-1115 | 2012-09-06 |
| 1487937892 | Jonathan Deforest Olson | Nurse Practitioner | 30 W 22nd St, #204, Minneapolis, MN 55404-2428 | 2011-09-21 |
| 1548577224 | Lorene Ann Gray | Nurse Practitioner | 6465 W Shadow Lake Dr, Lino Lakes, MN 55014-1982 | 2010-09-02 |
| 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.