JULIA R KELLCY (NPI# 1265540793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265540793 |
| Entity Type | Individual |
| Full Name | JULIA R KELLCY |
| Credential | D.O. |
| Practice Address |
921 Lakeview Blvd New Braunfels TX 78130-4135 |
| Mailing Address |
Po Box 311774 New Braunfels TX 78131-1774 |
| Practice Telephone | 8306207744 |
| Practice Fax Number | 8306250353 |
| Mailing Telephone | 8306207744 |
| Mailing Fax Number | 8306250353 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | K5088 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | K5088 | TX | Allopathic & Osteopathic Physicians |
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
K5088 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | KELLCY MEDICAL GROUP MEDICAID # | 433161-01 | 01 |
| TX | GROUP PTAN | OOY940 | 01 |
| TX | BC/BS OF TEXAS | 8CR078 | 01 |
| TX | RR MEDICARE | P00903522 | 01 |
| TX | INDIVIDUAL PTAN # | 8F7697 | 01 |
| TX | 1431736-01 | 05 | |
| TX | KELLCY MEDICAL GROUP MEDICARE NUMBER | 00343R | 01 |
| Street Address |
921 LAKEVIEW BLVD |
| City | NEW BRAUNFELS |
| State | TX |
| Zip Code | 78130-4135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720053739 | Guido Calderon | Internal Medicine | 921 Lakeview Blvd, Suite 200, New Braunfels, TX 78130-4135 | 2006-02-22 |
| 1366078909 | Madelyn Alyssa Woods | Physician Assistant | 921 Lakeview Blvd, New Braunfels, TX 78130-4135 | 2020-03-16 |
| 1457760480 | Abigail Marie Laney | Clinical Nurse Specialist | 921 Lakeview Blvd, Suite 200, New Braunfels, TX 78130-4135 | 2014-08-04 |
| 1467758003 | Allison Marie Stewart | Psychologist | 921 Lakeview Blvd, Suite 200, New Braunfels, TX 78130-4135 | 2011-01-30 |
| 1346471034 | Sarah Malins Barry | Clinical Nurse Specialist | 921 Lakeview Blvd, Suite 200, New Braunfels, TX 78130-4135 | 2009-07-29 |
| 1598903080 | Jeanette E Naschke | Physician Assistant | 921 Lakeview Blvd, New Braunfels, TX 78130-4135 | 2009-01-22 |
| 1538318969 | Nancy Seman Lough | Nurse Practitioner | 921 Lakeview Blvd, Suite 200, New Braunfels, TX 78130-4135 | 2008-09-10 |
| 1730361635 | Angela Nolen | Physician Assistant | 921 Lakeview Blvd, New Braunfels, TX 78130-4135 | 2007-12-03 |
| 1881813806 | Kellcy Medical Group, P.a. | Pediatrics | 921 Lakeview Blvd, New Braunfels, TX 78130 | 2007-04-25 |
| 1033245923 | Mckenna Medical Group | Clinic/Center | 921 Lakeview Blvd, New Braunfels, TX 78130-4135 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841827102 | Madison Johnson | Licensed Vocational Nurse | 3127 Doulglas Fir Dr, New Braunfels, TX 78130 | 2020-03-26 |
| 1558997734 | Children's Dental Ranch of New Braunfels, Pllc | Dentist | 1187 West County Line Rd, Suite 11b, New Braunfels, TX 78130 | 2020-03-19 |
| 1114559432 | Guadalupe Regional Medical Group | Clinic/Center | 1761 S. State Hwy 46, Suite 104, New Braunfels, TX 78130 | 2020-02-05 |
| 1164052536 | Talia Louise Risinger | Specialist/Technologist | 2551 337-loop 337, New Braunfels, TX 78130 | 2020-01-24 |
| 1255971099 | Next Level Orthodontics, Pllc | Dentist | 2084 Central Plaza, Ste 102, New Braunfels, TX 78130 | 2020-01-09 |
| 1568008613 | Carol Abel | Chiropractor | 931 N Ih35 Business, Suite 200, New Braunfels, TX 78130 | 2019-11-25 |
| 1245872910 | Tyler Vassar | Behavior Technician | 475 Oxford Dr. Ste. 104, New Braunfels, TX 78130 | 2019-10-14 |
| 1528617735 | Alexis Ellis | Licensed Practical Nurse | 2619 Pahmeyer Rd, New Braunfels, TX 78130 | 2019-09-10 |
| 1144790718 | Jamie Lynn Taylor | Counselor | 1414 W. San Antonio St, New Braunfels, TX 78130 | 2018-11-27 |
| 1417422270 | Ace Dental09 Pllc | Dentist | 1671 N. Ih 35, Ste 300, New Braunfels, TX 78130 | 2018-10-09 |
| Find all providers in zip 78130 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104042795 | Felice Fay Crowder | Family Medicine | 1040 N Walnut Ave, Suite B, New Braunfels, TX 78130-5312 | 2007-04-18 |
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| 1902434210 | Ardent Hospice, LLC | Family Medicine | 700 Parker Sq Ste 105, Flower Mound, TX 75028-7448 | 2020-03-31 |
| 1801456322 | Abundant Grace Hospice, LLC | Family Medicine | 1332 E Denman Ave Ste 103, Lufkin, TX 75901-5701 | 2019-06-17 |
| 1275196164 | Raza Jafri Md Pa | Family Medicine | 45 W Canyon Wren Cir, Spring, TX 77389-4389 | 2019-04-17 |
| 1003383050 | Hpa Medical Management, LLC | Family Medicine | 3201 Cherry Ridge St Ste C313, San Antonio, TX 78230-4826 | 2018-10-29 |
| 1730562091 | Hs Clinical Services | Family Medicine | 2800 North Loop W Ste 600, Houston, TX 77092-8814 | 2015-07-06 |
| 1669877932 | Enchant Health Pllc | Family Medicine | 5307 Willowbend Blvd, Houston, TX 77096-5220 | 2014-10-29 |
| 1649512856 | Trinbago Physicians Group, P.a. | Family Medicine | 6633 Muirfield Cir, Plano, TX 75093-6300 | 2013-03-26 |
| 1740566017 | Vitas Health Services of Texas, P.a. | Family Medicine | Crown Sterling Building, 14651 North Dallas Parkway, Suite 811, Dallas, TX 75254-7476 | 2011-10-31 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRAUNFELS |
| Zip Code | 78130 |
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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.