PAMELA DEE KELLEY (NPI# 1255822110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255822110 |
| Entity Type | Individual |
| Full Name | PAMELA DEE KELLEY |
| Practice Address |
720 Nw 6th St Grants Pass OR 97526-1524 |
| Mailing Address |
Po Box 540 Merlin OR 97532-0540 |
| Practice Telephone | 5416600971 |
| Mailing Telephone | 5416600971 |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-05-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306341508 | Pamela Kelley | Registered Nurse | 2630 Delcrest Dr, Orlando, FL 32817-2661 | 2018-03-28 |
| 1144643545 | Pamela Kelley | Counselor | 1385 Flowering Dogwood Ln Ste D, Dyersburg, TN 38024-6409 | 2014-01-22 |
| 1770182842 | Pamela Kelley | Counselor | 107 Woodbine Pl, Longview, TX 75601-2912 | 2020-10-20 |
| 1518433499 | Pamela Kelley | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-10-18 |
| 1982104055 | Pamela Marie Kelley | Behavior Technician | 538 S Gilbert Rd Ste 101-103, Gilbert, AZ 85296-2268 | 2018-02-15 |
| 1598205270 | Pamela Kelley | Nurse Practitioner | 480 Glynn St N, Fayetteville, GA 30214-1192 | 2017-03-01 |
| 1982979431 | Pamela Kelley | Physical Therapy Assistant | 1000 Mckeen Pl, Monroe, LA 71201-4406 | 2012-03-16 |
| 1538436464 | Pamela Jean Kelley | Nurse Practitioner | 1500 E Medical Center Dr, 1h247 Unersity Hospital, Ann Arbor, MI 48109-5048 | 2011-11-21 |
| 1588852107 | Pamela Sue Kelley | Nurse Practitioner | 747 N Rutledge St, Baylis Building, 2nd Floor, Springfield, IL 62702-6700 | 2007-10-09 |
| Street Address |
720 NW 6TH ST |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750901765 | Sonder Kymberly Legari | Counselor | 720 Nw 6th St, Grants Pass, OR 97526-1524 | 2020-04-20 |
| 1144887423 | Nounouche Chorley | Counselor | 720 Nw 6th St, Grants Pass, OR 97526-1524 | 2019-05-22 |
| 1356820534 | Christopher Tyler | Counselor | 720 Nw 6th St, Grants Pass, OR 97526-1524 | 2018-08-09 |
| 1629557756 | Carlos Acevedo | Peer Specialist | 720 Nw 6th St, Grants Pass, OR 97526-1524 | 2018-08-09 |
| 1366920704 | Michael John Watson | Counselor | 720 Nw 6th St, Grants Pass, OR 97526-1524 | 2018-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275950 | Amy Bailey | Counselor | 401 Marion Ln, Grants Pass, OR 97527-5570 | 2020-11-03 |
| 1346889615 | Shawna A Valadez | Counselor | 109 N.e. Manzanita Avenue, Grants Pass, OR 97526-1400 | 2020-01-03 |
| 1033753314 | Wade Counseling and Mentoring Services | Counselor | 232 Sw 6th St, Grants Pass, OR 97526-2406 | 2019-10-30 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1134639891 | Stephanie Moore | Counselor | 418 Nw 6th St Ste 102, Grants Pass, OR 97526-2006 | 2017-10-09 |
| 1538603618 | Michael Peter Higginbotham II | Counselor | 233 Ne B St Ste 201, Grants Pass, OR 97526-2108 | 2016-12-08 |
| 1376902825 | James A Malan | Counselor | 324 Sw Ramsey, Grants Pass, OR 97527-5529 | 2016-02-12 |
| 1871968602 | Jeffrey A Christophersen | Counselor | 109 Nw Manzanita Ave, Grants Pass, OR 97526 | 2015-12-04 |
| 1649649211 | Carol L Stephens | Counselor | 109 N.e. Manzanita Ave, Grants Pass, OR 97526-1400 | 2015-09-24 |
| 1548654031 | Tawnya Woodley | Counselor | 109 Ne Manzanita Avenue, Grants Pass, OR 97526-1400 | 2015-03-24 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on PAMELA DEE KELLEY.
| 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.