MARY CATHERINE KELLY (NPI# 1306058714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306058714 |
| Entity Type | Individual |
| Full Name | MARY CATHERINE KELLY |
| Credential | PNP |
| Practice Address |
275 Riverside Ave Riverside CT 06878-2313 |
| Practice Telephone | 2036987403 |
| Mailing Telephone | 2036987403 |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F381068-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558844811 | Mary Elizabeth Kelly | Social Worker | 97 Libbey Industrial Pkwy Ste 301, Weymouth, MA 02189-3110 | 2018-09-12 |
| 1215410790 | Mary Jane Kelly | Dietitian, Registered | 1046 E Elgenia Ave, West Covina, CA 91790-1318 | 2018-09-11 |
| 1073020590 | Mary Teresa Kelly | Counselor | 726 Cherryvale Rd, Boulder, CO 80303-2911 | 2018-01-05 |
| 1972040459 | Mary A Kelly | Registered Nurse | 116 N Lake Ave, Albany, NY 12206-2710 | 2017-01-23 |
| 1073904215 | Mary Kelly | Registered Nurse | 3145 State Route 718, Troy, OH 45373-8908 | 2015-02-10 |
| 1174924054 | Mary Kelly | Nurse Practitioner | 14435 15th Ave, Whitestone, NY 11357-2407 | 2014-09-10 |
| 1134340086 | Mary Kris Kelly | Nurse Practitioner | 1 Gustave L Levy Pl # 1030, New York, NY 10029-6500 | 2007-05-01 |
| 1518187772 | Mary Ann Kelly | Dietary Manager | 6448 Hallee Rd Ste 9, Joshua Tree, CA 92252-1908 | 2007-04-27 |
| 1003036583 | Mary Anne Kelly | Marriage & Family Therapist | 105 Sunnyside Ave, Piedmont, CA 94611-4419 | 2007-04-26 |
| 1902920549 | Mary Kathleen Kelly | Nurse Practitioner | 4221 Penn Ave, Pittsburgh, PA 15224-1307 | 2007-03-19 |
| Street Address |
275 RIVERSIDE AVE |
| City | RIVERSIDE |
| State | CT |
| Zip Code | 06878-2313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164933750 | Stephanie Jane Oertel | Physician Assistant | 1285 E Putnam Ave, Riverside, CT 06878 | 2017-10-23 |
| 1669757050 | Bozena Valencic | Pharmacist | 1333 East Putnam Avenue, Riverside, CT 06878 | 2011-10-17 |
| 1245520485 | Sonya N Joseph | Psychiatry & Neurology | 7 Meyer Place, River Side, CT 06878 | 2011-04-08 |
| 1487964037 | Alex E Lash | Special Hospital | 23 Westview Place, Riverside, CT 06878 | 2010-10-18 |
| 1578780516 | Angelo Milazzo | Dentist | 1212 East Putnam Ave, Greenwich, CT 06878 | 2007-04-19 |
| 1720168347 | Neil N Boside | Internal Medicine | 1200 East Putnam Ave, 2nd Floor, Riverside, CT 06878 | 2006-10-17 |
| 1447534094 | Elam H. Joseph | Anesthesiology | 7 Meyer Place, Riverside, CT 06878 | 2011-09-30 |
| 1508186651 | Prabaakar Reddy | Internal Medicine | 1200 East Putnam Ave, Greewich Walk In Medical Ctr, Riverside, CT 06878 | 2010-06-10 |
| 1295275808 | Eastern Comprehensive Medical Services | Specialist | 106 Sheephill Rd, Riverside, CT 06878-1120 | 2017-03-01 |
| 1871961649 | Diane Chiappetta Fox | Speech-Language Pathologist | 40 Bonwit Rd, Riverside, CT 06878-1215 | 2015-09-09 |
| Find all providers in zip 06878 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083259360 | Linda E Harrison | Nurse Practitioner | 6950 Brockton Ave Ste 5, Riverside, CA 92506-3830 | 2019-11-11 |
| 1801892542 | Nancy Lynn Hosek | Nurse Practitioner | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2005-06-27 |
| 1801312392 | Elizabeth Coleman | Nurse Practitioner | 4440 Brockton Ave Ste 420, Riverside, CA 92501-4026 | 2017-08-16 |
| 1972048601 | Cynthia Maria Zavala | Nurse Practitioner | 1970 University Ave, Riverside, CA 92507-5202 | 2017-01-04 |
| 1184015133 | Pamela Hughes | Nurse Practitioner | 4440 Brockton Ave, Suite 420, Riverside, CA 92501-4068 | 2015-02-12 |
| 1831510353 | Lauren Seastrom Hunt | Nurse Practitioner | 6926 Brockton Ave, Suite 6, Riverside, CA 92506-3804 | 2013-12-31 |
| 1003246315 | Luamy Gabriela Cornejo | Nurse Practitioner | 4440 Brockton Ave Ste 100, Riverside, CA 92501-4026 | 2013-11-22 |
| 1174963177 | Manju Kaur | Nurse Practitioner | 3975 Jackson St, Riverside, CA 92503-3901 | 2013-07-05 |
| 1780023317 | Shannon Jones | Nurse Practitioner | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2013-06-17 |
| 1851680078 | Kimberly Joy Buck | Nurse Practitioner | 4440 Brockton Ave Ste 420, Riverside, CA 92501-4026 | 2011-03-29 |
| Find all providers in RIVERSIDE | ||||
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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.