KELLY BLOSSER (NPI# 1295152734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295152734 |
| Entity Type | Individual |
| Full Name | KELLY BLOSSER |
| Credential | CRNP |
| Practice Address |
1117 Knopp Rd Jarrettsville MD 21084-1614 |
| Practice Telephone | 4103289503 |
| Mailing Telephone | 4103289503 |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2014-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R134812 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376049312 | Kelly Blosser | Behavioral Analyst | 9051 Executive Park Dr Ste 302, Knoxville, TN 37923-4627 | 2018-03-30 |
| Street Address |
1117 KNOPP RD |
| City | JARRETTSVILLE |
| State | MD |
| Zip Code | 21084-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760544589 | Jarrettsville Volunteer Fire Co Inc. | Ambulance | 3825 Federal Hill Rd, Jarrettsville, MD 21084 | 2006-12-15 |
| 1356301840 | Christopher D Maull | Urology | 1342 South Division Street, Unit 401, Peninsula Urology Associates Pa, Salisbury, MD 21084 | 2006-03-27 |
| 1790272110 | Rachel Lynn Kendzejeski | Social Worker | 1714 Jarrettsville Rd, Jarrettsville, MD 21084 | 2018-04-20 |
| 1528378270 | Capri Joyce Digiovanni | Pharmacist | 3714 Norrisville Rd, Jarrettsville, MD 21084 | 2010-10-15 |
| 1891756748 | Harold I Genvert | Urology | 1342 South Division Street, Unit 401, Salisbury, MD 21084 | 2006-03-30 |
| 1073573572 | Michael Spack | Physician Assistant | 1342 South Division Street, Unit 401, Peninsula Urology Associates Pa, Salisbury, MD 21084 | 2006-03-27 |
| 1184684789 | Mark T Edney | Urology | 1342 South Division Street, Unit 401 Peninsula Urology Associates Pa, Salisbury, MD 21084 | 2006-03-27 |
| 1942550421 | Lion and Lamb Transportation and Care Inc. | Non-emergency Medical Transport (VAN) | 4154 Madonna Rd, Jarrettsville, MD 21084-1031 | 2012-09-12 |
| 1447604137 | Christopher Mckay | Obstetrics & Gynecology | 4113 Manor View Ct, Jarrettsville, MD 21084-1112 | 2016-04-19 |
| 1639418171 | Jeffrey Lewis Selznick | Dentist | 1818 Midsummer Ln, Jarrettsville, MD 21084-1200 | 2013-02-04 |
| Find all providers in zip 21084 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416256 | Muriel Monsalud | Nurse Practitioner | 103 W Ostend St, Baltimore, MD 21230-3710 | 2020-10-27 |
| 1891307575 | Aparna Cynthia Nallala Anil | Nurse Practitioner | 75 Thomas Johnson Dr Ste I, Frederick, MD 21702-4895 | 2020-08-23 |
| 1285243832 | Jaspreet Kaur Garriques | Nurse Practitioner | 22 S Greene St # N8e10, Baltimore, MD 21201-1590 | 2020-07-29 |
| 1386267011 | Ann Acosta | Nurse Practitioner | 2014 English Oak Ct, Waldorf, MD 20601-4505 | 2020-05-28 |
| 1205455029 | Latoya Harvey | Nurse Practitioner | 8408 Adler Ct, Millersville, MD 21108-1771 | 2020-04-11 |
| 1013546100 | Issa Tew Lo | Nurse Practitioner | 6001 Muncaster Mill Rd, Rockville, MD 20855-1622 | 2020-04-02 |
| 1891328779 | Sergio Arellano-ayala | Nurse Practitioner | 22 S Greene St # S4d03, Baltimore, MD 21201-1544 | 2020-02-19 |
| 1518599844 | Hibret Kassa Yifru | Nurse Practitioner | 102 Abbey Manor Ter, Brookeville, MD 20833-3291 | 2020-02-05 |
| 1710518402 | Conny Nganga | Nurse Practitioner | 10605 Meridian Hill Way, Upper Marlboro, MD 20772-4847 | 2020-01-31 |
| 1689204604 | Nathaniel Darway | Nurse Practitioner | 500 John Ave, Essex, MD 21221-3344 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
| City | JARRETTSVILLE |
| Zip Code | 21084 |
Please comment or provide details below to improve the information on KELLY BLOSSER.
| 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.