STACY E KELLEY (NPI# 1295349603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295349603 |
| Entity Type | Individual |
| Full Name | STACY E KELLEY |
| Credential | LMT |
| Practice Address |
312 Thalia Station Ct Virginia Beach VA 23452-1752 |
| Practice Telephone | 7575594544 |
| Mailing Telephone | 7575594544 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0019007831 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174802938 | Stacy Sue Kelley | Nurse Practitioner | 6515 Pullman Dr, Lewis Center, OH 43035-7380 | 2011-08-11 |
| Street Address |
312 THALIA STATION CT |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676531 | Dana Carlton | Massage Therapist | 1340 N Great Neck Rd # 1272263, Virginia Beach, VA 23454-2268 | 2020-10-13 |
| 1184221459 | Kathryn Brie Cunningham | Massage Therapist | 3209 Barbour Dr, Virginia Beach, VA 23456-7904 | 2020-10-08 |
| 1730796038 | Kaya Ann Steele | Massage Therapist | 319 Edwin Dr Ste 103, Virginia Beach, VA 23462-4541 | 2020-09-30 |
| 1295340834 | Ashlee Eley | Massage Therapist | 1713 Chase Arbor Cmn, Virginia Beach, VA 23462-7412 | 2020-09-10 |
| 1861005852 | Angela Sayre Denton | Massage Therapist | 3757 N Landing Rd, Virginia Beach, VA 23456-2402 | 2020-08-28 |
| 1710515606 | Christine M Barnes | Massage Therapist | 1357 N Great Neck Rd Ste 106, Virginia Beach, VA 23454-2237 | 2020-03-28 |
| 1548895923 | Kantria Sierra Kaaroud | Massage Therapist | 4605 Pembroke Lake Cir Ste 303, Virginia Beach, VA 23455-6448 | 2020-03-06 |
| 1427609379 | Ardebe Therapy | Massage Therapist | 1213 Laskin Rd Ste 202, Virginia Beach, VA 23451-5260 | 2019-09-23 |
| 1770138687 | Courtney Janelle Uzzle | Massage Therapist | 156 Newtown Rd Ste A-4, Virginia Beach, VA 23462-2410 | 2019-08-07 |
| 1174188478 | Lyndera Vickland | Massage Therapist | 1248 Gunn Hall Dr Ste 102, Virginia Beach, VA 23454-5757 | 2019-05-02 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
Please comment or provide details below to improve the information on STACY E KELLEY.
| 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.