DR. LISA D KELLY (NPI# 1245202670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245202670 |
| Entity Type | Individual |
| Full Name | DR. LISA D KELLY |
| Other Name | DR. LISA K FLEMING |
| Credential | DDS |
| Practice Address |
4072 Victory Blvd Portsmouth VA 23701-2820 |
| Practice Telephone | 7574653834 |
| Mailing Telephone | 7574653834 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401008564 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164075453 | Lisa Marie Kelly | Nurse Practitioner | 10 E Front St Apt B, Monroe, MI 48161-2269 | 2019-07-16 |
| 1831752401 | Lisa A. Kelly | Social Worker | 23245 Brandywynne St, Southfield, MI 48033-4875 | 2019-04-18 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1457728628 | Lisa Kelly | Psychologist | 11765 Hamilton Ave, Cincinnati, OH 45231-1128 | 2015-08-24 |
| 1558707828 | Lisa Kelly | Occupational Therapist | 8410 North Maple Avenue, Crystal River, FL 34428 | 2013-05-14 |
| 1417289935 | Lisa Catherine Kelly | Acupuncturist | 846 Ritchie Hwy, Suite 1a, Severna Park, MD 21146-4150 | 2010-02-09 |
| 1033342795 | Lisa Ann Kelly | Speech-Language Pathologist | 33 Winding Path, Apt 20, Manorville, NY 11949-2276 | 2009-08-28 |
| 1508019076 | Lisa Jean Kelly | Physical Therapy Assistant | 325 S Brookside Dr, Oxford, PA 19363-1192 | 2008-10-28 |
| 1952588154 | Lisa Maria Kelly | Family Medicine | 6006 Le Moyne Pass Ln, Missouri City, TX 77459-1762 | 2008-01-30 |
| 1720105711 | Lisa Ann Kelly | Speech-Language Pathologist | 459 Erickson Ct, Elburn, IL 60119-8990 | 2007-03-23 |
| Street Address |
4072 VICTORY BLVD |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23701-2820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679041024 | Khaled Taha | Dentist | 4072 Victory Blvd, Portsmouth, VA 23701-2820 | 2018-11-04 |
| 1790190130 | Nana Yaa Opokuaddo | Dentist | 4072 Victory Blvd, Portsmouth, VA 23701-2820 | 2014-06-24 |
| 1891134896 | Bruce Haggerty Jr. | Dentist | 4072 Victory Blvd, Portsmouth, VA 23701-2820 | 2013-06-23 |
| 1023312089 | David W O'donnell | Dentist | 4072 Victory Blvd, Portsmouth, VA 23701-2820 | 2011-01-06 |
| 1679887509 | Monleudy Keo Bracken | Dentist | 4072 Victory Blvd, Portsmouth, VA 23701-2820 | 2010-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437792959 | Roz & James,llc | Home Health | 4397 Portsmouth Blvd, Portsmouth, VA 23701 | 2019-10-28 |
| 1487110847 | Corey Jamal Lott | Durable Medical Equipment & Medical Supplies | 1604 Cavalier Blvd, Pontamouth, VA 23701 | 2019-02-11 |
| 1063931558 | Diadem Doyenne, LLC | Prosthetist | 6515 Portsmouth Blvd, Portsmouth, VA 23701 | 2017-09-15 |
| 1629474044 | Cold Hands Warm Heart Home Health Care LLC | Custodial Care Facility | 504 Cherokee Rd Apt E, Portsmouth, VA 23701 | 2014-11-12 |
| 1770846800 | Turning Points Residential Care, LLC | Exclusive Provider Organization | 23 Carver Circle, Portsmouth, VA 23701 | 2012-06-22 |
| 1326242215 | Thomas Michael Kaptur | Military Health Care Provider | Naval Costal Warfare Squadron Four, Norfolk Naval Shipyard Bldg 11, Portsmouth, VA 23701 | 2007-06-13 |
| 1841494051 | Vlad Vasile Stanila | Specialist | 680 John Paul Jones Circ, Fpo, AP 23701 | 2007-06-12 |
| 1134295512 | Stephen Mark Goldstein | Dentist | 6263 Portsmouth Bld, Portsmouth, VA 23701 | 2006-11-28 |
| 1275620866 | Kool Smiles Van, PC | Dentist | 4072 Victory Blvd., Portsmouth, VA 23701 | 2006-10-06 |
| 1437160546 | Regina Denise Davis | Family Medicine | 3960 Turnpike Road, Jencare Neighborhood Medical Center Victory, LLC, Portsmouth, VA 23701 | 2006-08-11 |
| Find all providers in zip 23701 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356818314 | Kevin W Campbell | Dentist | Norfolk Naval Shipyard Bld 277, Portsmouth, VA 23709 | 2018-10-29 |
| 1265860928 | Dynamic Dental Health Associates of Virginia,pc | Dentist | 4107 Portsmouth Blvd # 107, Portsmouth, VA 23701-2915 | 2013-10-16 |
| 1093002628 | Jillian M Harrison | Dentist | 875 Greenland Rd Unit B7, Portsmouth, NH 03801 | 2011-07-04 |
| 1750616298 | Stanley P. Tompkins | Dentist | 5830 Trucker Street, Portsmouth, VA 23703 | 2009-10-15 |
| 1881824274 | Daniel Jacob Fuhrmann | Dentist | 609 John Paul Jones Circle, Portsmouth, VA 23708 | 2009-07-20 |
| 1316119373 | Jenkins Dental Group | Dentist | 3349 Portsmouth Blvd, Portsmouth, VA 23701-3023 | 2008-03-31 |
| 1538337324 | Augustus Nogueira Jr. | Dentist | 21 King Charles Dr, Portsmouth, RI 02871-1343 | 2008-02-14 |
| 1851589899 | Ocean Shades Dental | Dentist | 230 Lafayette Rd Ste C, Portsmouth, NH 03801-5465 | 2007-10-03 |
| 1518160795 | James Nelson Rhodes | Dentist | 1305 Rodman Ave, Portsmouth, VA 23707-3916 | 2007-06-06 |
| 1720200389 | William Walter Cox | Dentist | 5717 Churchland Blvd., Portsmouth, VA 23703 | 2007-05-03 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23701 |
Please comment or provide details below to improve the information on DR. LISA D KELLY.
| 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.