SUZANNE KELLEY (NPI# 1336118678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336118678 |
| Entity Type | Individual |
| Full Name | SUZANNE KELLEY |
| Credential | NP |
| Practice Address |
222 W Thomas Rd Ste 114 Phoenix AZ 85013 |
| Mailing Address |
222 W Thomas Rd Ste 114 Phoenix AZ 85013-4420 |
| Practice Telephone | 6024066304 |
| Practice Fax Number | 6024066302 |
| Mailing Telephone | 6024066304 |
| Mailing Fax Number | 6024066302 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2018-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN063733 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | NURSING LICENSE | RN063733 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790203768 | Suzanne Kelley | Speech-Language Pathologist | 1719 Kingsbury Rd, Washington, IL 61571-9278 | 2017-08-30 |
| 1275637795 | Suzanne Kay Kelley | Family Medicine | 3721 Tecport Dr, Harrisburg, PA 17111-1219 | 2006-09-13 |
| 1871512277 | Suzanne Kelley | Pharmacist | 5041 North 12th Avenue, Covenant Hospice, Pensacola, FL 32504 | 2006-07-18 |
| 1164959599 | Suzanne Nicole Kelley | Massage Therapist | 55 Nw Wall St Ste 100, Bend, OR 97703-3200 | 2017-05-16 |
| 1518385863 | Suzanne Kelley | Counselor | 633 Asbury Dr, Suite A, Mandeville, LA 70471-6511 | 2014-04-03 |
| 1689931180 | Suzanne M Kelley | Nurse Practitioner | 4716 Alliance Blvd Ste 500, Plano, TX 75093 | 2012-04-20 |
| 1508135138 | Suzanne Kelley | Counselor | 950 N 4th St, Longview, TX 75601-5436 | 2011-12-28 |
| 1659569192 | Suzanne P Kelley | Counselor | 101 Jordan Dr, Chattanooga, TN 37421-6732 | 2007-10-10 |
| 1033146436 | Suzanne B Kelley | Pediatrics | 1500 S Main St, Fort Worth, TX 76104-4917 | 2006-06-28 |
| Street Address |
222 W THOMAS RD STE 114 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396252409 | Alexi Turk | Physical Medicine & Rehabilitation | 222 W Thomas Rd Ste 114, Phoenix, AZ 85013-4420 | 2018-01-10 |
| 1285019695 | Kenneth Vickroy | Physical Medicine & Rehabilitation | 222 W Thomas Rd Ste 114, Phoenix, AZ 85013-4420 | 2015-07-27 |
| 1235524802 | Joseph Eldon Ostler | Physical Medicine & Rehabilitation | 222 W Thomas Rd Ste 114, Phoenix, AZ 85013-4420 | 2015-04-01 |
| 1255751749 | David Lee Jung | Physical Medicine & Rehabilitation | 222 W Thomas Rd Ste 114, Phoenix, AZ 85013 | 2014-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322168 | Tessie Leigh Eberhart | Nurse Practitioner | 6025 N 27th Ave Ste 6, Phoenix, AZ 85017-1764 | 2020-07-02 |
| 1952927048 | John Leo Conway Jr. | Nurse Practitioner | 1705 E Claremont St, Phoenix, AZ 85016-1514 | 2020-06-24 |
| 1902434855 | Alyssa Young | Nurse Practitioner | 3033 N 34th Pl, Phoenix, AZ 85018-6903 | 2020-03-27 |
| 1609408194 | Az Regenerative Medicne | Nurse Practitioner | 16620 N 40th St Ste G2, Phoenix, AZ 85032-3351 | 2020-02-12 |
| 1124667175 | Jennifer Leigh Hanisch | Nurse Practitioner | 7314 S 26th Ln, Phoenix, AZ 85041-6475 | 2019-12-21 |
| 1295370179 | Jessica Anne Harper | Nurse Practitioner | 4141 N 32nd St Ste 104, Phoenix, AZ 85018-4775 | 2019-11-14 |
| 1134764590 | Rachael Bennett | Nurse Practitioner | 14001 N 7th St Ste F111, Phoenix, AZ 85022-4382 | 2019-11-08 |
| 1720621410 | Cynthia Chebator | Nurse Practitioner | 3233 W Peoria Ave Ste 106&120, Phoenix, AZ 85029-4614 | 2019-10-24 |
| 1295396273 | Ashleigh Beatty | Nurse Practitioner | 334 E Acapulco Ln, Phoenix, AZ 85022-3620 | 2019-06-21 |
| 1295292589 | Rosalind Robles Caumban | Nurse Practitioner | 4575 E Cactus Rd Ste 130, Phoenix, AZ 85032-7700 | 2019-02-23 |
| Find all providers in PHOENIX | ||||
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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.