CHRISTINE KELLY (NPI# 1295272821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295272821 |
| Entity Type | Individual |
| Full Name | CHRISTINE KELLY |
| Credential | APN-C |
| Practice Address |
2475 Mcclellan Ave Pennsauken NJ 08109-4683 |
| Practice Telephone | 8566753355 |
| Mailing Telephone | 8566753355 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
26NJ00701200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649300336 | Christine M. Kelly | Specialist/Technologist | 1914 1st Ave. S., Great Falls, MT 59401 | 2007-03-06 |
| 1952359309 | Christine Kelly | Physician Assistant | 60 Cuttermill Rd, 507, Great Neck, NY 11021-3104 | 2006-05-05 |
| 1952940181 | Christine Kelly | Specialist | 744 Empire St Ste 160, Fairfield, CA 94533-5562 | 2020-01-06 |
| 1043865686 | Christine Mary Kelly | Specialist | 116 W 32nd St, New York, NY 10001-3212 | 2019-08-08 |
| 1699275347 | Christine A Kelly | Case Manager/Care Coordinator | 12395 Mccracken Rd, Garfield Hts, OH 44125-2967 | 2018-02-20 |
| 1528479516 | Christine Kelly | Nurse Practitioner | 7050 N Recreation Ave, Suite 102, Fresno, CA 93720-8001 | 2014-05-13 |
| 1942544242 | Christine M Kelly | Physical Therapist | 2541 Pass Rd, Suite F, Biloxi, MS 39531-2106 | 2012-11-27 |
| 1346514700 | Christine Rachael Kelly | Counselor | 606 Coral St, Honolulu, HI 96813-5135 | 2012-03-02 |
| 1992946701 | Christine Sanders Kelly | Speech-Language Pathologist | 212 North Court Street, Wayne, WV 25570 | 2009-03-09 |
| 1043465867 | Christine Elizabeth Kelly | Counselor | 845 Church St N, Suite 305, Concord, NC 28025-4300 | 2008-11-20 |
| Street Address |
2475 MCCLELLAN AVE |
| City | PENNSAUKEN |
| State | NJ |
| Zip Code | 08109-4683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841277936 | Gerald M Fendrick | Pediatrics | 2475 Mcclellan Ave, Suite B201, Pennsauken, NJ 08109 | 2005-12-29 |
| 1255680542 | Rita M Harder | Registered Nurse | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2012-09-03 |
| 1770830457 | Patricia Brown-lyons | Registered Nurse | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2012-08-13 |
| 1487901161 | Patricia Ann Smith | Registered Nurse | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2012-08-13 |
| 1891041208 | Alva Thompson | Registered Nurse | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2012-08-03 |
| 1255687695 | Deborah Hart | Physical Therapist | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2012-08-02 |
| 1871849315 | Jeri Middlebrook | Social Worker | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2012-08-02 |
| 1730435595 | Sandra S Fletcher | Registered Nurse | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2012-07-31 |
| 1801142658 | Mary P Salpas | Clinic/Center | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2012-07-31 |
| 1740536499 | Carol A Kopil | Registered Nurse | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2012-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730615543 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8301 Maple Ave, Pennsauken, NJ 08109 | 2017-05-11 |
| 1588085237 | Annie Nicole Fisher | Social Worker | 21 Merwit Court, Merchantville, NJ 08109 | 2013-12-26 |
| 1992013437 | Reliable Resources LLC | In Home Supportive Care | 211 West End Ave, Merchantville, NJ 08109 | 2010-09-17 |
| 1184942351 | Matt Lobel | Pharmacist | 14 South Cenre Street, Merchantville, NJ 08109 | 2010-05-12 |
| 1063662187 | Life At Lourdes Inc | PACE Provider Organization | 2475 Mcclellan Avenue, Pennsauken, NJ 08109 | 2008-09-25 |
| 1376712786 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 7980 S Crescent Boulevard, Pennsauken, NJ 08109 | 2008-02-29 |
| 1043488851 | Karen Claytor | Physical Therapist | 2626 Mandall Ave, Pennsauken, NJ 08109 | 2008-02-14 |
| 1235334814 | Marian W Mote | Nurse Practitioner | Merchantville Pediatrics- A Division of Cha, 1 S. Centre Street, Suite 100, Merchantville, NJ 08109 | 2007-06-15 |
| 1386865905 | Enrico Doganiero | Pharmacist | 6338 Browning Rd, Pennsauken, NJ 08109 | 2007-05-01 |
| 1710008164 | Michele Jo Hain | Physical Therapist | 6981 N Park Drive, Suite 102, Pennsaukin, NJ 08109 | 2007-04-03 |
| Find all providers in zip 08109 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098677 | Lauren Olmstead | Nurse Practitioner | 317 George St Ste 440, New Brunswick, NJ 08901-2008 | 2020-09-17 |
| 1275151961 | Natacha Jharahy | Nurse Practitioner | 2194 Stecher Ave, Union, NJ 07083-5252 | 2020-07-08 |
| 1477178424 | Dorota Mironiuk | Nurse Practitioner | 17 Reagan Way, Kinnelon, NJ 07405-2738 | 2020-06-15 |
| 1770111320 | Adrian A Sanchez | Nurse Practitioner | 28 Springbrook Rd E, Montville, NJ 07045-9162 | 2020-03-30 |
| 1356977409 | Gayle M Pistilli | Nurse Practitioner | 271 Cindy St, Old Bridge, NJ 08857-3060 | 2020-03-20 |
| 1578193876 | Melonie D Smith | Nurse Practitioner | 39 E 39th St Apt 4p, Paterson, NJ 07514-1163 | 2020-01-25 |
| 1710529151 | Anna M Comayagua | Nurse Practitioner | 82 Crab Apple Hill Rd, Milford, NJ 08848-1803 | 2019-10-16 |
| 1740830157 | Trisha Boland | Nurse Practitioner | 133 Center St Unit B2, New Milford, NJ 07646-2653 | 2019-09-17 |
| 1881242840 | Emily Lott | Nurse Practitioner | 1865 Rte 70 E, Cherry Hill, NJ 08003 | 2019-09-03 |
| 1528532397 | Jill Marie Generelli | Nurse Practitioner | 972 Hwy 36, Hazlet, NJ 07730-1700 | 2019-01-15 |
| Find all providers with the same taxonomy | ||||
| City | PENNSAUKEN |
| Zip Code | 08109 |
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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.