KELLY MICHELLE MANN


Address: 939 Caroline St, Port Angeles, WA 98362-3997
Phone: 3604177724

KELLY MICHELLE MANN (NPI# 1295391357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295391357
Entity Type Individual
Full Name KELLY MICHELLE MANN
Credential ARNP
Practice Address 939 Caroline St
Port Angeles
WA 98362-3997
Practice Telephone 3604177724
Practice Fax Number 3604525772
Mailing Telephone 3604177724
Mailing Fax Number 3604525772
Enumeration Date 2019-05-14
Last Update Date 2019-09-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner AP60971043 WA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY MANN

NPI Name Taxonomy Address Enumeration
1386242873 Kelly Mann Counselor 301 S Henry St, Ashkum, IL 60911-7119 2020-10-15
1720625387 Kelly Mann Behavior Technician 27777 Inkster Rd, Farmington Hills, MI 48334-5326 2019-12-03
1437671823 Kelly Mann Nurse Practitioner 488 Saint Lukes Dr, Montgomery, AL 36117-7104 2017-07-07
1164683728 Kelly Mann Pediatrics 2055 Lincoln Ave, Pasadena, CA 91103 2008-06-17
1053454447 Kelly Ann Mann Registered Nurse 3031 W Grand Blvd, Suite 800 Endo Metab, Detroit, MI 48202-3046 2007-02-15

Office Location

Street Address 939 CAROLINE ST
City PORT ANGELES
State WA
Zip Code 98362-3997

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295739829 Pamela J Bundy Anesthesiology 939 Caroline St, Port Angeles, WA 98362-3909 2005-06-10
1508463902 Amy Kalisek Nurse Practitioner 939 Caroline St, Port Angeles, WA 98362-3997 2020-10-08
1376155721 Tierra Renee Thompson Social Worker 939 Caroline St, Port Angeles, WA 98362-3909 2020-08-18
1194344333 Kassandra Simmons Yager Nurse Practitioner 939 Caroline St, Port Angeles, WA 98362-3909 2020-04-08
1285286534 Trevor Jackman Physician Assistant 939 Caroline St, Port Angeles, WA 98362-3997 2019-07-16
1023580461 Fallon Ann Clancy Physician Assistant 939 Caroline St, Port Angeles, WA 98362-3997 2018-12-26
1548740210 King County Public Hospital District No. 2 Neurological Surgery 939 Caroline St, Port Angeles, WA 98362 2018-08-21
1619460185 Emily Allison Allen Speech-Language Pathologist 939 Caroline St, Port Angeles, WA 98362-3997 2018-06-10
1093215121 Elizabeth Schuerman Dietitian, Registered 939 Caroline St, Port Angeles, WA 98362-3909 2018-02-15
1457872251 Heidi Byers Registered Nurse 939 Caroline St, Port Angeles, WA 98362-3909 2017-06-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831735778 Jayme Marie Williams Technician 518 S. Liberty St., Port Angeles, WA 98362 2019-11-26
1780229559 Barbara Amsler Nutrition, Pllc Dietitian, Registered 320 E. 5th St., Port Angeles, WA 98362 2019-11-15
1902315005 Barbara Amsler Nutritionist 116 S. Ennis St, Port Angeles, WA 98362 2017-09-21
1134659667 Janet Li Hanson Registered Nurse 532 South Alder Lane, Port Angeles, WA 98362 2017-06-18
1790220192 Monica Kay Henry Massage Therapist 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 2016-12-21
1124491725 Gabrielle Carter Naturopath 1126 Columbia St, Port Angeles, WA 98362 2015-11-04
1912301185 Danya Lyn Davis Massage Therapist 106 W. Lauridsen Blvd., Port Angeles, WA 98362 2014-10-17
1528470861 Richard Dean Thorson Orthopaedic Surgery 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 2014-05-21
1780001743 Dr Adam Cramer Pllc Clinic/Center 104 W. 3rd St, Port Angeles, WA 98362 2014-03-27
1588089189 Melanie Mccaughan Counselor 933 E First St, Port Angeles, WA 98362 2014-02-19
Find all providers in zip 98362

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720084676 Linda Susan Dahl Nurse Practitioner 923 Georgiana St, Port Angeles, WA 98362-3911 2005-06-24
1508463902 Amy Kalisek Nurse Practitioner 939 Caroline St, Port Angeles, WA 98362-3997 2020-10-08
1174145494 Kim M Weber Nurse Practitioner 907 Georgiana St, Port Angeles, WA 98362-3911 2020-05-08
1194344333 Kassandra Simmons Yager Nurse Practitioner 939 Caroline St, Port Angeles, WA 98362-3909 2020-04-08
1366001406 Emilie Kuster Nurse Practitioner 433 E 8th St, Port Angeles, WA 98362-6219 2019-06-12
1376045658 Denise Renee Durian Nurse Practitioner 907 Georgiana St, Port Angeles, WA 98362 2018-03-02
1043722523 Sophia Felder Nurse Practitioner 907 Georgiana St, Port Angeles, WA 98362-3911 2017-10-24
1386051662 Michael Edward Mcguire Nurse Practitioner 907 Georgiana St, Port Angeles, WA 98362-3911 2014-07-17
1295916351 Lynda Minor Nurse Practitioner 939 Caroline St, Olympic Medical Center, Port Angeles, WA 98362-3909 2007-11-16
1376583674 Joseph Wayne Reis Nurse Practitioner 118 E 8th St, Port Angeles, WA 98362-6129 2006-06-07
Find all providers in PORT ANGELES

Competitor

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City PORT ANGELES
Zip Code 98362

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Dataset Information

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.

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