JOAN KELLEY (NPI# 1346465697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346465697 |
Entity Type | Individual |
Full Name | JOAN KELLEY |
Practice Address |
1025 Dodd Rd Saint Paul MN 55118-1113 |
Mailing Address |
5918 Cambridge St St Louis Park MN 55416-5117 |
Practice Telephone | 6514502220 |
Mailing Telephone | 9529130354 |
Enumeration Date | 2007-04-13 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
174609 | MN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | CPRP | 174609 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205210143 | Joan Kelley | Nurse Practitioner | 309 Rivers Edge Dr, Minooka, IL 60447-9397 | 2015-07-09 |
1649529108 | Joan Irene Kelley | Registered Nurse | 175 Gwinnett Dr., Lawrenceville, GA 30046-8444 | 2012-08-30 |
1881604585 | Joan Frances Kelley | Nurse Practitioner | 1765 Commercial St, Warsaw, MO 65355-3096 | 2006-08-08 |
Street Address |
1025 DODD RD |
City | SAINT PAUL |
State | MN |
Zip Code | 55118-1113 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902926124 | Richard Aylward | Counselor | 1025 Dodd Rd, Saint Paul, MN 55118-1113 | 2007-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033764428 | Able Solutions LLC | Day Training, Developmentally Disabled Services | 260 E Wentworth Ave Suite 112, St Paul, MN 55118 | 2019-08-03 |
1861059974 | Tanya F Langford | Massage Therapist | 3627 Cedar Ave No., 1166 S Robert St. St. Paul West, St. Paul, MN 55118 | 2019-05-23 |
1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
1538643424 | Marcus James Rohrbauck | Social Worker | 1312-1314 Livingston Avenue, West St. Paul, MN 55118 | 2018-09-18 |
1609394287 | Eric Graham Dorr | Pharmacist | 149 Thompson Ave East, Suite 150, West Saint Paul, MN 55118 | 2017-09-05 |
1518485242 | Meaghan Claire Puckett | Marriage & Family Therapist | 33 Wentworth Ave E Ste 210, West St Paul, MN 55118 | 2017-09-01 |
1174078307 | Michal Frank | Counselor | 240 Dakota St, West Saint Paul, MN 55118 | 2016-08-17 |
1184011868 | Rachel Devries | Pediatrics | 1880 Livingston Ave Ste 102, West St Paul, MN 55118 | 2015-04-21 |
1124411772 | Ahmed Salad Associates | Dentist | 1200 S Robert St, Suite C, St Paul, MN 55118 | 2015-03-06 |
1225458458 | Shellea J Altman | Dentist | 576 High Ridge Circle, Mendota Heights, MN 55118 | 2014-04-28 |
Find all providers in zip 55118 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699386045 | Jill Thompson | Counselor | 1550 Eustis St Apt H, Saint Paul, MN 55108-1211 | 2020-08-10 |
1447892211 | Kimberly Marette | Counselor | 762 Transfer Rd Ste 116, Saint Paul, MN 55114-4506 | 2019-10-14 |
1639711641 | Megan Jean Manty | Counselor | 393 Dunlap St N Ste 300, Saint Paul, MN 55104-4207 | 2019-10-10 |
1417510124 | Hannah Kleese | Counselor | 1154 Grand Ave Unit 2, Saint Paul, MN 55105-2628 | 2019-04-17 |
1487116307 | Eric Wittkopf | Counselor | 1821 University Ave W Ste N180, Saint Paul, MN 55104-2803 | 2019-04-01 |
1467927087 | Kathleen Renee Semke | Counselor | 700 8th St E, Saint Paul, MN 55106-4414 | 2018-10-10 |
1750819777 | Laureen Ann Schwartz | Counselor | 338 Snelling Ave S, Saint Paul, MN 55105-2048 | 2017-06-03 |
1114468238 | Benjamin Kline | Counselor | 1163 Matilda St, Saint Paul, MN 55117-4820 | 2017-03-09 |
1841672623 | Linda Lee Labarre | Counselor | 68 Maria Ave, Saint Paul, MN 55106-6307 | 2015-06-29 |
1952789349 | Terry Campbell | Counselor | 333 Grand Ave Ste 204, Saint Paul, MN 55102-2583 | 2015-05-18 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55118 |
Please comment or provide details below to improve the information on JOAN KELLEY.
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.