KELLY MCDANIEL (NPI# 1275158164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275158164 |
Entity Type | Individual |
Full Name | KELLY MCDANIEL |
Credential | NP-C |
Practice Address |
288 Rolling Meadows Rd Lebanon VA 24266-5870 |
Practice Telephone | 2766084114 |
Mailing Telephone | 2766084114 |
Enumeration Date | 2020-06-16 |
Last Update Date | 2020-06-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
27768 | TN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780970764 | Kelly Mcdaniel | Counselor | 304 Wildrose Ave, San Antonio, TX 78209-3817 | 2011-06-28 |
1619504545 | Kelly Mcdaniel | Case Manager/Care Coordinator | 4342 Gallia St Ste A, Portsmouth, OH 45662-5563 | 2020-03-23 |
1295094662 | Kelly Marie Mcdaniel | Dietitian, Registered | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2012-05-04 |
1962718908 | Kelly Michelle Mcdaniel | Nurse Anesthetist, Certified Registered | 632 N 12th St # 230, Murray, KY 42071-1651 | 2010-08-27 |
1437330420 | Kelly Mcdaniel | Social Worker | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2007-11-18 |
Street Address |
288 ROLLING MEADOWS RD |
City | LEBANON |
State | VA |
Zip Code | 24266-5870 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
Find all providers in zip 24266 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
1932716420 | Jessica Erb | Nurse Practitioner | 804 Holly Ln, Lebanon, PA 17042-9028 | 2020-09-28 |
1922619527 | Tammy Lynn Whitt | Nurse Practitioner | 961 Poor Farm Rd, Lebanon, VA 24266-7097 | 2020-08-17 |
1538777529 | Shenia Diane Johnson | Nurse Practitioner | 71 S. Flannagan Ave., Lebanon, VA 24266-2426 | 2020-07-16 |
1609498955 | Kelsey Jones | Nurse Practitioner | 1412 Nathaniel Dr, Lebanon, MO 65536-8906 | 2020-05-09 |
1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
1821642430 | Jill Montgomery Major | Nurse Practitioner | 135 Knights Brg, Lebanon, TN 37090-1410 | 2019-07-31 |
1457823387 | Wanda J. Mcmoore | Nurse Practitioner | 100 Physicians Way Ste 300, Lebanon, TN 37090-8103 | 2018-12-17 |
Find all providers in LEBANON |
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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.