SAMANTHA ANN KELLY (NPI# 1255970703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255970703 |
| Entity Type | Individual |
| Full Name | SAMANTHA ANN KELLY |
| Credential | CPHT |
| Practice Address |
1812 Centre Creek Dr Ste 115 Austin TX 78754-5133 |
| Mailing Address |
1801 Wells Branch Pkwy Apt 1614 Austin TX 78728-6918 |
| Practice Telephone | 5125790184 |
| Mailing Telephone | 3186555077 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 281242 | TX | Pharmacy Service Providers |
| N | 174H00000X | Health Educator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619591963 | Samantha Patel Kelly | Student in an Organized Health Care Education/Training Program | 800 Stone Creek Blvd, Yukon, OK 73099-4432 | 2020-06-02 |
| 1255852661 | Samantha Jo Kelly | Dentist | 1710 Nashville Pike # 102, Gallatin, TN 37066 | 2017-07-06 |
| 1417369448 | Samantha Kelly | Speech-Language Pathologist | 2631 S Moore Dr Unit B, Lakewood, CO 80227-2789 | 2014-05-26 |
| 1639708191 | Samantha Nicole Kelly | Licensed Vocational Nurse | 1664 Broadway, El Cajon, CA 92021-5201 | 2020-04-06 |
| 1568010205 | Samantha Elizabeth Kelly | Social Worker | 1010 Downing Ave Ste 60, Hays, KS 67601-2461 | 2019-08-27 |
| 1518488634 | Samantha Kelly | Registered Nurse | 5900 Coyle Ave, Carmichael, CA 95608-0400 | 2017-06-28 |
| 1245465699 | Samantha Anne Kelly | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2009-05-28 |
| 1477629442 | Samantha Josephine Kelly | Case Manager/Care Coordinator | 1733 Vine St, Denver, CO 80206-1119 | 2006-11-28 |
| 1275557852 | Samantha A. Kelly | Nurse Anesthetist, Certified Registered | 1000 N. Village Ave, Rockville Centre, NY 11570 | 2006-07-27 |
| Street Address |
1812 CENTRE CREEK DR STE 115 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78754-5133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604337 | Sylvia Lee Guan | Pharmacist | 1812 Centre Creek Dr Ste 115, Austin, TX 78754-5133 | 2018-03-27 |
| 1740829944 | Diana Morales | Pharmacy Technician | 1812 Centre Creek Dr Ste 115, Austin, TX 78754-5133 | 2020-01-06 |
| 1508405051 | Theresa Ann Cantu | Pharmacy Technician | 1812 Centre Creek Dr Ste 115, Austin, TX 78754-5133 | 2020-01-02 |
| 1215576715 | Baohiep Hong | Pharmacy Technician | 1812 Centre Creek Dr Ste 115, Austin, TX 78754-5133 | 2019-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425214 | Paul Lewis Duffy | Counselor | Counseling Services, 1625 Rutherford Ln., Austin, TX 78754 | 2020-10-20 |
| 1174006324 | Lannie Hood | Licensed Practical Nurse | 9017 Wellesley Dr, Austin, TX 78754 | 2018-09-13 |
| 1013499680 | Angela Mccaughey | Physical Therapy Assistant | 6513 Boyce Ln, Austin, TX 78754 | 2018-08-30 |
| 1518484351 | St. Teresa of Calcutta Home Health, LLC | Home Health Aide | 12609 Dessau Rd. Lot 313, Austin, TX 78754 | 2017-08-23 |
| 1386050573 | Tuyen Dao | Pharmacist | 11403 Birchover Lane, Austin, TX 78754 | 2014-07-08 |
| 1568895829 | Cameron Diagnostic Center, Inc | Contractor | 7901 Cameron Rd.bldg.2 Suite 143, Austin, TX 78754 | 2013-08-09 |
| 1427495415 | Universal Diagnostic Services Inc | Specialist | 7901 Cameron Rd Bldg 2, Suite 144, Austin, TX 78754 | 2013-05-30 |
| 1598044414 | Sleiman Weight Loss Centers Pa | Family Medicine | 7901 Cameron Rd Bldg 3, Suite 105, Austin, TX 78754 | 2011-08-09 |
| 1922321462 | Nowling Home Healthcare Inc | Hospice Care, Community Based | 7901 Cameron, Building 3 Suite 135, Austin, TX 78754 | 2010-03-11 |
| 1760714240 | Shireen Connor | Social Worker | 1611 Headway Circle, Bldg. 2, Austin, TX 78754 | 2010-02-08 |
| Find all providers in zip 78754 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275164881 | Trevor William Price | Pharmacy Technician | 401 W 39th St Apt 210, Austin, TX 78751-4928 | 2020-02-01 |
| 1760013619 | Fabrice Lionel Pougoue Ngomsi | Pharmacy Technician | 12041 Dessau Rd Apt 2309, Austin, TX 78754-1729 | 2020-01-30 |
| 1780215608 | Carlos Eduardo Sanchez | Pharmacy Technician | 706 W Martin Luther King Jr Blvd Apt 214b, Austin, TX 78701-1117 | 2020-01-29 |
| 1548891641 | Shelly Tran | Pharmacy Technician | 3301 Red River St Apt 309, Austin, TX 78705-2642 | 2020-01-28 |
| 1033740220 | Chandler Aniko Prevatt | Pharmacy Technician | 2208 Ranch Road 620 N Apt 4403, Austin, TX 78734-2842 | 2020-01-28 |
| 1821629122 | Amaka Epoh | Pharmacy Technician | 7004 Armagh Dr, Austin, TX 78754-6081 | 2020-01-27 |
| 1801427067 | Logan Nicholas Woessner | Pharmacy Technician | 2900 Manor Rd Apt 2219, Austin, TX 78722-2156 | 2020-01-27 |
| 1184255341 | Grace Abimbola Akinyemi | Pharmacy Technician | 1301 Crossing Pl Apt 131a, Austin, TX 78741-1804 | 2020-01-27 |
| 1144568940 | Candice Marie Faith Kielion | Pharmacy Technician | 1340 Airport Commerce Dr Ste 350, Austin, TX 78741-6836 | 2013-01-29 |
| 1730412396 | Jason Wayne Koneman | Pharmacy Technician | 10101 W Parmer Ln Apt 1314, Austin, TX 78717-5031 | 2009-09-15 |
| Find all providers in AUSTIN | ||||
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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.