REBECCA KELLY (NPI# 1255700993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255700993 |
| Entity Type | Individual |
| Full Name | REBECCA KELLY |
| Credential | FNP-C |
| Practice Address |
20 Bradston St Boston MA 02118-2705 |
| Practice Telephone | 6176351000 |
| Mailing Telephone | 6176351000 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN2304167 | MA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2304167 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619527603 | Rebecca Plemons Kelly | Case Manager/Care Coordinator | 7785 N State St Ste 2, Lowville, NY 13367-1229 | 2019-09-12 |
| 1710443049 | Rebecca L Kelly | Nurse Practitioner | 750 Route 73 S Ste 401, Marlton, NJ 08053-4145 | 2019-02-12 |
| 1558835959 | Rebecca Collins Kelly | Physical Therapist | 1014 Wade Hampton Blvd Ste 6, Greenville, SC 29609-5061 | 2019-01-18 |
| 1437410644 | Rebecca L Kelly | Occupational Therapy Assistant | 160 Deer Run Dr, Fall River, WI 53932-8934 | 2012-06-05 |
| 1073767976 | Rebecca N Kelly | Speech-Language Pathologist | 8 Hollenbeck Dr, Newburgh, NY 12550-1619 | 2008-11-05 |
| 1730791179 | Rebecca Kelly | Behavior Technician | 690 Cleveland Ave S Ste 100, Saint Paul, MN 55116-1319 | 2020-08-18 |
| 1316303365 | Rebecca Lee Kelly | Registered Nurse | 2409 Homer Clayton Drive, Guntersville, AL 35976-2207 | 2016-01-06 |
| 1518384072 | Rebecca Kelly | Pharmacist | 1656 Champlin Ave, New Hartford, NY 13413-1068 | 2014-03-23 |
| 1023451432 | Rebecca A Kelly | Occupational Therapist | 626 Trail Ave, Frederick, MD 21701-4934 | 2013-04-16 |
| 1932440039 | Rebecca Kelly | Technician | 1800 Mercy Dr, Suite 302, Orlando, FL 32808-5646 | 2013-03-14 |
| Street Address |
20 BRADSTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003159609 | Laura Monroe Will | Registered Nurse | 20 Bradston St, Attn: Medical Services Dept H.s.a Suffolk Corrections, Boston, MA 02118-2705 | 2013-04-02 |
| 1568000305 | Robyn Howard | Registered Nurse | 20 Bradston St, Boston, MA 02118-2705 | 2019-12-11 |
| 1588226690 | Elena Rose Mccarthy | Nurse Practitioner | 20 Bradston St, Boston, MA 02118-2705 | 2019-06-28 |
| 1578044772 | Wanty Phu | Social Worker | 20 Bradston St, Boston, MA 02118-2705 | 2018-08-24 |
| 1174015358 | Judith Bazinet | Social Worker | 20 Bradston St, Boston, MA 02118-2705 | 2018-06-04 |
| 1629517735 | Whitney Bellew | Physician Assistant | 20 Bradston St, Boston, MA 02118-2705 | 2017-02-22 |
| 1700337953 | Jennyfer Delva | Physician Assistant | 20 Bradston St, Boston, MA 02118-2705 | 2016-10-21 |
| 1497206817 | Jonathan Patrick Deweese | Nurse Practitioner | 20 Bradston St, Boston, MA 02118-2705 | 2016-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968461 | Naira Aleksanyan | Nurse Practitioner | 5 Ellis St, Boston, MA 02119-3728 | 2020-10-04 |
| 1154930048 | Patricia M Ciarleglio | Nurse Practitioner | 51 Franklin St Ste 400, Boston, MA 02110-1335 | 2020-07-27 |
| 1689292161 | Barbara Regina Massa | Nurse Practitioner | 738 E 5th St, Boston, MA 02127-3260 | 2020-07-10 |
| 1114541976 | Ellie Gonyeau | Nurse Practitioner | 17 S Russell St, Boston, MA 02114-3990 | 2020-06-07 |
| 1295357390 | Margaret Sherwood | Nurse Practitioner | 155 W Concord St # 1, Boston, MA 02118-1507 | 2020-05-12 |
| 1760017008 | Venifa White | Nurse Practitioner | 40 Kingsdale St Apt 4, Boston, MA 02124-1700 | 2020-03-06 |
| 1063059467 | Shevonne Renee Linnane | Nurse Practitioner | 619 Adams St Apt 1, Boston, MA 02122-2569 | 2019-12-04 |
| 1730737602 | Melanie Matthews | Nurse Practitioner | 14 Worthington St, Boston, MA 02120-1605 | 2019-09-03 |
| 1114585940 | Jessica Paige Oliver | Nurse Practitioner | 2557 State Line Rd, Boston, GA 31626-2441 | 2019-06-05 |
| 1760944748 | Melissa Stanvick | Nurse Practitioner | 117 Park Dr Apt 5, Boston, MA 02215-5114 | 2019-04-01 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on REBECCA 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.