EILEEN KELLY (NPI# 1285729442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285729442 |
| Entity Type | Individual |
| Full Name | EILEEN KELLY |
| Credential | ARNP |
| Practice Address |
1403 Medical Plaza Dr Suite 202 Sanford FL 32771-1000 |
| Practice Telephone | 4073223096 |
| Practice Fax Number | 4073215655 |
| Mailing Telephone | 4073223096 |
| Mailing Fax Number | 4073215655 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP2778312 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275860793 | Eileen Elizabeth Kelly | Licensed Practical Nurse | 234 Salem Rd, Pound Ridge, NY 10576-1319 | 2009-11-04 |
| 1841428943 | Eileen Joyce Kelly | Massage Therapist | 2953 Bee Ridge Rd, Sarasota, FL 34239 | 2009-06-26 |
| 1184271785 | Eileen Kelly | Social Worker | 1509 Maple St, Scranton, PA 18505-2707 | 2019-08-20 |
| 1659729952 | Eileen Kelly | Occupational Therapist | 1 Skyline Dr, Suite 298, Hawthorne, NY 10532-2157 | 2016-05-26 |
| 1033473723 | Eileen Kelly | Early Intervention Provider Agency | 47 Humphrey Dr, Syosset, NY 11791-4022 | 2012-06-27 |
| 1073738092 | Eileen Patrice Kelly | Marriage & Family Therapist | 111 East Avenue, Suite 313, Norwalk, CT 06851 | 2007-04-16 |
| 1962587105 | Eileen Kelly | Marriage & Family Therapist | 699 Hampshire Rd, Suite 215, Westlake Village, CA 91361-2379 | 2006-10-26 |
| 1720179583 | Eileen A Kelly | Internal Medicine | 2050 Pfingsten Rd, Suite 360, Glenview, IL 60026-1324 | 2006-09-27 |
| 1689616773 | Eileen Kelly | Pediatrics | 492 Montauk Hwy, East Moriches, NY 11940-1347 | 2006-06-12 |
| Street Address |
1403 MEDICAL PLAZA DR SUITE 202 |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213234 | Bhupinder S Mangat | Specialist | 1403 Medical Plaza Dr, Ste 204, Sanford, FL 32771-1047 | 2005-05-23 |
| 1164881751 | Matthew Combes | Physician Assistant | 1403 Medical Plaza Dr, Suite 102, Sanford, FL 32771-1000 | 2016-02-11 |
| 1710345723 | Ramon Luis Vega | Chiropractor | 1403 Medical Plaza Dr, Ste 100, Sanford, FL 32771-1000 | 2016-02-04 |
| 1477918415 | The Urology Center | Urology | 1403 Medical Plaza Dr, Suite 101, Sanford, FL 32771-1000 | 2015-12-17 |
| 1548636830 | Paula Wright | Social Worker | 1403 Medical Plaza Dr, 202, Sanford, FL 32771-1000 | 2015-08-20 |
| 1215270764 | Orlando Mota-aquino | Pediatrics | 1403 Medical Plaza Dr, Suite 104, Sanford, FL 32771-1000 | 2013-04-03 |
| 1427340975 | Active Pain and Injury Inc | Pain Medicine | 1403 Medical Plaza Dr, Suite 109, Sanford, FL 32771-1000 | 2011-05-03 |
| 1861636078 | Andrew Craig Skattum | Surgery | 1403 Medical Plaza Dr, Suite 102, Sanford, FL 32771-1000 | 2009-05-01 |
| 1417197393 | Seminole Neurology Associates Pa | Specialist | 1403 Medical Plaza Dr, Suite 204, Sanford, FL 32771-1000 | 2009-03-04 |
| 1700052214 | Jessica K Shutt | Clinical Nurse Specialist | 1403 Medical Plaza Dr, 202, Sanford, FL 32771-1000 | 2008-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598319246 | Danielle Lynnette Hammons | Nurse Practitioner | 520 W Lake Mary Blvd Ste 204, Sanford, FL 32773-7424 | 2019-07-31 |
| 1578019618 | Maclean Moraa Masese | Nurse Practitioner | 3112 Tramway Rd, Sanford, NC 27332-7142 | 2016-08-29 |
| 1619272903 | William Kenneth Mcdowell | Nurse Practitioner | 919 East Second Street, Sanford, FL 32771 | 2011-01-18 |
| 1316457948 | Jannia Mendez | Nurse Practitioner | 526 W Lake Mary Blvd, Sanford, FL 32773 | 2017-10-10 |
| 1649655747 | Teresa G Ottmann | Nurse Practitioner | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2015-07-30 |
| 1831582378 | Susan Neil | Nurse Practitioner | 526 W Lake Mary Blvd, Sanford, FL 32773-7467 | 2015-03-09 |
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| 1952908352 | Karen Weinstock | Nurse Practitioner | 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 | 2020-10-08 |
| 1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
| 1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
| 1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
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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.