MRS. KELLY LEIGH KURTZ (NPI# 1275698284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275698284 |
| Entity Type | Individual |
| Full Name | MRS. KELLY LEIGH KURTZ |
| Credential | ARNP-C |
| Practice Address |
2868 Prospect Park Dr Rancho Cordova CA 95670-6020 |
| Mailing Address |
670 Pacific St Apt 606 Brooklyn NY 11217-3984 |
| Practice Telephone | 9163254204 |
| Mailing Telephone | 2399406324 |
| Mailing Fax Number | 3056769093 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95010236 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
308061 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DEA | MK4165634 | 01 |
| NPI | 1275698284 | 01 | |
| FL | BLUE CROSS BLUE SHIELD | Y03N2 | 01 |
| FL | 0019761000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1250 Waters Pl, 602, Bronx, NY 104612720 | 8772268500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482223 | Kelly Kurtz | Social Worker | 111 Janet Trl, Fairfield, PA 17320-8174 | 2020-09-18 |
| 1558814756 | Kelly Jo Kurtz | Marriage & Family Therapist | 1224 E Lowell St, Tucson, AZ 85721-0400 | 2016-07-25 |
| 1447598164 | Kelly Kurtz | Pharmacist | 8900 Tamiami Trl N, Naples, FL 34108-2535 | 2013-01-30 |
| 1740305713 | Kelly Kurtz | Occupational Therapist | 55 Cinema Blvd, Leominster, MA 01453-3290 | 2007-03-20 |
| Street Address |
2868 PROSPECT PARK DR |
| City | RANCHO CORDOVA |
| State | CA |
| Zip Code | 95670-6020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851847891 | The Cataract Vision Institute LLC | Clinic/Center | 2868 Prospect Park Dr, Suite 150, Rancho Cordova, CA 95670-6020 | 2016-08-30 |
| 1336473164 | Single Source Medical, LLC | Durable Medical Equipment & Medical Supplies | 2868 Prospect Park Dr, Suite 600, Rancho Cordova, CA 95670-6020 | 2009-09-26 |
| 1639346901 | Francis Jose Maria Felix | Internal Medicine | 2868 Prospect Park Dr, Suite 230, Rancho Cordova, CA 95670-6020 | 2008-05-14 |
| 1750423406 | Laser Vision Partners Inc | Optometrist | 2868 Prospect Park Dr, Suite 150, Rancho Cordova, CA 95670-6020 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297640 | Blue Angels Trans LLC | Non-emergency Medical Transport (VAN) | 11082 Coloma Rd. Suite #10, Rancho Cordova, CA 95670 | 2020-05-26 |
| 1104452796 | Stephanie Lynn Miller | Registered Nurse | 10850 Golden Center Drive, Rancho Cordova, CA 95670 | 2020-03-16 |
| 1174165948 | Sacramento County Office of Education | Clinic/Center | Mitchell Middle School/folsom-cordova Unified School Di, 2100 Zinfandel Drive, School Counseling Office, Rancho Cordova, CA 95670 | 2019-10-14 |
| 1700364353 | Kavneet Bindra | Dentist | 3191 Zinfandel Dr Ste 21, Rancho Cordova, CA 95670 | 2018-08-04 |
| 1487172029 | Monica Jackson | Registered Nurse | 3235 Gosport Way, Rancho Cordova, CA 95670 | 2017-09-05 |
| 1710408422 | Noemi Colmenares | Specialist/Technologist | 11100 Coloma Rd., Rancho Cordova, CA 95670 | 2017-07-03 |
| 1245779552 | Kristin Lyn Kaminski-wadle | Student in an Organized Health Care Education/Training Program | 11344 Coloma Rd Ste 515, Gold River, CA 95670 | 2017-02-20 |
| 1801331822 | Margrette Elaine Townsend | Counselor | 2379 Stone River Ct, Gold River, CA 95670 | 2016-12-29 |
| 1164889572 | Jose H Macaspac Iv | Physical Therapist | 12155 Tributary Point Dr Apt 124, Rancho Cordova, CA 95670 | 2016-01-15 |
| 1972971620 | Harry James Buzbuzian Jr. | General Practice | 11345 Gold Country Blvd, Gold River, CA 95670 | 2015-09-11 |
| Find all providers in zip 95670 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO CORDOVA |
| Zip Code | 95670 |
Please comment or provide details below to improve the information on MRS. KELLY LEIGH KURTZ.
| 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.