MS. PATRICIA MARY KELLY (NPI# 1295819076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295819076 |
| Entity Type | Individual |
| Full Name | MS. PATRICIA MARY KELLY |
| Credential | RN |
| Practice Address |
1270 Kotnum Road Warm Springs OR 97761 |
| Practice Telephone | 5415531196 |
| Mailing Telephone | 5415531196 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
RN00074801 | WA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 237855 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720575186 | Patricia Kelly | Physical Therapist | 128 Hampton Dr, Berkeley Heights, NJ 07922-2527 | 2018-04-20 |
| 1861842908 | Patricia Kelly | Registered Nurse | 9649 Covemeadow Dr, Dallas, TX 75238-1819 | 2016-06-20 |
| 1124498530 | Patricia Kelly | Registered Nurse | 65 Carman Rd, Scarsdale, NY 10583-6326 | 2015-09-28 |
| 1568729473 | Patricia Kelly | Social Worker | 6940 N Keating Ave, Lincolnwood, IL 60712-2408 | 2012-04-16 |
| 1366759532 | Patricia Kelly | Licensed Vocational Nurse | 27 Clinton Rd, Garden City, NY 11530-6338 | 2010-09-08 |
| 1306080676 | Patricia Ann Kelly | Licensed Practical Nurse | 114 Parsons Rd, Camillus, NY 13031-2144 | 2009-04-29 |
| 1194924530 | Patricia L Kelly | Psychiatry & Neurology | 2305 Matthew Ave Nw, Albuquerque, NM 87104-3214 | 2007-07-16 |
| 1023217098 | Patricia Marie Kelly | Specialist | 66 Oak Dr, Calverton, NY 11933-1100 | 2007-07-11 |
| 1659438976 | Patricia Elizabeth Kelly | Physician Assistant | 116 W Mitchell St, Petoskey, MI 49770-2324 | 2007-01-03 |
| 1568535045 | Patricia Kelly | Speech-Language Pathologist | 140 S Gilbert Rd, Gilbert, AZ 85296-1016 | 2006-11-15 |
| Street Address |
1270 KOTNUM ROAD |
| City | WARM SPRINGS |
| State | OR |
| Zip Code | 97761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508863317 | Mitzie Althea Allen | Pharmacist | 1270 Kotnum Road, Warm Springs, OR 97761 | 2005-07-07 |
| 1366757742 | Loraine V Williams | Registered Nurse | 1270 Kotnum Road, Warm Springs, OR 97761 | 2010-08-10 |
| 1265744338 | Amy Rochelle Whisler | Pharmacist | 1270 Kotnum Road, Warm Springs, OR 97761-1209 | 2010-07-06 |
| 1861728883 | Shanalee H Manzano | Registered Nurse | 1270 Kotnum Road, Warm Springs, OR 97761-1209 | 2009-10-27 |
| 1215167226 | Sapna Jain | Family Medicine | 1270 Kotnum Road, Warm Springs, OR 97761-1209 | 2009-07-24 |
| 1881828531 | Nanette L Harlowe | Registered Nurse | 1270 Kotnum Road, Warm Springs, OR 97761-1209 | 2009-05-11 |
| 1043451362 | Raneva J Dowty | Physician Assistant | 1270 Kotnum Road, Warm Springs, OR 97761-1209 | 2009-03-17 |
| 1689821845 | Cheryl Louise Armitage | Registered Nurse | 1270 Kotnum Road, Warm Springs, OR 97761-1209 | 2008-08-19 |
| 1962687707 | Thomas Martin Weiser | Family Medicine | 1270 Kotnum Road, Warm Springs, OR 97761-1209 | 2007-12-28 |
| 1447434600 | Jeffery Scott Mccoy | Pharmacist | 1270 Kotnum Road, Warm Springs, OR 97761-1209 | 2007-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891850749 | Frank A Mendoza | Dentist | Warm Springs Indian Health Service Dental Clinic, 1270 Kot-num Road, Warm Springs, OR 97761 | 2006-12-22 |
| 1477596112 | Eric Bradford | Physical Therapist | 1270 Kotnum Rd., Warm Springs, OR 97761 | 2006-06-13 |
| 1629033527 | Lynette R Dziuk | Optometrist | 1270 Kot Num Rd, Warm Springs, OR 97761 | 2006-04-20 |
| 1982690954 | Hai Tuan Tran | Podiatrist | 1270 Kot-num, Warm Springs, OR 97761 | 2005-09-23 |
| 1154320240 | James C Gemelas | Pharmacist | 1270 Kotnum Rd, Warm Springs, OR 97761 | 2005-07-20 |
| 1144229154 | Frank Charles Hoffman | Emergency Medicine | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2005-07-20 |
| 1952303273 | Stephen Miles Rudd | Family Medicine | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2005-06-01 |
| 1184239956 | Brian Daniel Wojahn | Dentist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2020-09-09 |
| 1639789266 | Kasem Darwish El-hajji | Pharmacist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2020-08-07 |
| 1740829563 | Kathleen Boxx | Dietitian, Registered | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2019-12-26 |
| Find all providers in zip 97761 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821367806 | Susan Arlette Knight | Registered Nurse | 1270 Kot-num Road, Warm Springs, OR 97761-1209 | 2011-12-21 |
| 1689821845 | Cheryl Louise Armitage | Registered Nurse | 1270 Kotnum Road, Warm Springs, OR 97761-1209 | 2008-08-19 |
| 1780747592 | Constance Jean Street | Registered Nurse | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2006-12-19 |
| 1093874786 | Lois Ann Wells | Registered Nurse | 1270 Kot Num Road, Warm Springs, OR 97761 | 2006-12-08 |
| 1245313089 | Katherine Julene Russell | Registered Nurse | 1270 Kotnum Rd, Warm Springs, OR 97761 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009060 | Jaclyn Ann Mclaughlin | Registered Nurse | 500 Ne Multnomah St Ste 1006th, Portland, OR 97232-2023 | 2020-09-30 |
| 1184948358 | Trudy Lynn Au | Registered Nurse | 2925 N Willamette Blvd, Portland, OR 97217 | 2010-03-17 |
| 1184237935 | Brittney Tice | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2020-08-30 |
| 1194345389 | Courtney Rae Klum | Registered Nurse | 110 Beavercreek Rd Ste 100, Oregon City, OR 97045-4307 | 2020-04-17 |
| 1083240295 | Jesse Edward Vander Heide | Registered Nurse | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-03-19 |
| 1912567082 | Teresa C Braus | Registered Nurse | 4400 Ne Halsey St Ste 200, Portland, OR 97213-1545 | 2019-06-19 |
| 1962971796 | Adria Felice Thomas | Registered Nurse | 2900 State St Ste 101, Medford, OR 97504-8458 | 2018-11-22 |
| 1023557477 | Julie Anne Larson | Registered Nurse | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2017-02-17 |
| 1043752777 | Heather Carey | Registered Nurse | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2016-11-11 |
| 1669828323 | Michelle Livingston | Registered Nurse | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2016-05-11 |
| Find all providers with the same taxonomy | ||||
| City | WARM SPRINGS |
| Zip Code | 97761 |
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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.