KELLI KAY DUCRAY (NPI# 1306338736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306338736 |
| Entity Type | Individual |
| Full Name | KELLI KAY DUCRAY |
| Practice Address |
140 S Power Rd Ste 102 Mesa AZ 85206-5297 |
| Practice Telephone | 4809454343 |
| Mailing Telephone | 4809454343 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP11335 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
140 S POWER RD STE 102 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-5297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023122843 | Cardiojost, Inc | Pharmacy | 140 S Power Rd Ste 102, Mesa, AZ 85206-5297 | 2006-08-18 |
| 1528377090 | Nachiket Patel | Internal Medicine | 140 S Power Rd Ste 102, Mesa, AZ 85206-5297 | 2010-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255955282 | Erica Leigh Whetten | Nurse Practitioner | 1520 S Dobson Rd Ste 218, Mesa, AZ 85202-4754 | 2020-06-05 |
| 1366097255 | Samantha Alice Polito | Nurse Practitioner | 6750 E Baywood Ave Ste 401, Mesa, AZ 85206-1749 | 2019-08-07 |
| 1396203113 | Rakhi Joshi | Nurse Practitioner | 2919 S Ellsworth Rd Ste 139, Mesa, AZ 85212-2168 | 2019-03-11 |
| 1457839896 | Noah Kipkorir Sang | Nurse Practitioner | 7525 E Broadway Rd Ste 11, Mesa, AZ 85208-1156 | 2018-07-28 |
| 1659828358 | Devon Lewis | Nurse Practitioner | 1701 N Sundial, Mesa, AZ 85205-3544 | 2016-09-10 |
| 1508210659 | Kristina Denise Bardwell | Nurse Practitioner | 1520 S Dobson Rd Ste 209, Mesa, AZ 85202-4753 | 2016-04-14 |
| 1639538986 | Mark Raymond Hinde | Nurse Practitioner | 1237 S Val Vista Dr Ste 122, Mesa, AZ 85204-6401 | 2016-02-15 |
| 1558751396 | Tami Howard | Nurse Practitioner | 6020 E Arbor Ave Ste 101, Mesa, AZ 85206-6102 | 2015-02-02 |
| 1003195025 | Aida E Amado | Nurse Practitioner | 10163 E Jacob Ave, Mesa, AZ 85209-7086 | 2011-08-08 |
| 1942595830 | Ruth Anne Skinner | Nurse Practitioner | 1434 N Delmar, Mesa, AZ 85203-3805 | 2011-06-18 |
| Find all providers in MESA | ||||
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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.