KELLY REBECCA TULLY (NPI# 1346899036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346899036 |
| Entity Type | Individual |
| Full Name | KELLY REBECCA TULLY |
| Practice Address |
2580 Sierra Sunrise Ter Ste 100 Chico CA 95928-8441 |
| Practice Telephone | 5308771965 |
| Practice Fax Number | 5308945791 |
| Mailing Telephone | 5308771965 |
| Mailing Fax Number | 5308945791 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821348673 | Kelly Ann Tully | Physical Therapist | 10 Rosemont Ct, Greenlawn, NY 11740-1811 | 2012-09-19 |
| Street Address |
2580 SIERRA SUNRISE TER STE 100 |
| City | CHICO |
| State | CA |
| Zip Code | 95928-8441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144784315 | Youth for Change | Clinic/Center | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2019-01-22 |
| 1124651088 | Lacey Jenevieve Grubb | Counselor | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2020-02-19 |
| 1376173922 | Amber Lea Martin | Counselor | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2020-01-23 |
| 1053941641 | Alfonso Abraham Torrez | Counselor | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2020-01-22 |
| 1194364794 | Egypt Dominique Howard | Counselor | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2019-12-30 |
| 1043854730 | Marla Dawn Oates | Counselor | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2019-11-05 |
| 1205478062 | Aimee Avila | Counselor | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2019-10-14 |
| 1861041881 | Yardley Silva | Counselor | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2019-09-11 |
| 1255980744 | Marcelina Beatrice Porras | Counselor | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2019-09-06 |
| 1194378059 | Dana Leona West | Licensed Vocational Nurse | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2019-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232672 | Mary Ester Potts | Behavior Technician | 1611 Chico River Road, Chico, CA 95928 | 2020-07-09 |
| 1679105605 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1910 E. 20th Street, Chico, CA 95928 | 2020-02-07 |
| 1790250306 | Amy Groven | Counselor | 7 Williamsburg Lane, Chico, CA 95928 | 2018-10-10 |
| 1093217424 | Bonnie Jo Nelson | Registered Nurse | 91 Elderberry Court, Chico, CA 95928 | 2018-03-01 |
| 1174039036 | Deer Creek Surgery Center LLC | Clinic/Center | 127 Raley Blvd., Chico, CA 95928 | 2017-12-14 |
| 1174063606 | Erika Beteran | Counselor | 344 W 8th St, Chico, CA 95928 | 2017-03-02 |
| 1356723266 | Arjun S Sandhu | Podiatrist | 1806 Foundation Lane, Chico, CA 95928 | 2015-06-26 |
| 1912394735 | Kirk Bjella | Pediatrics | 1515 Springfield Dr, Children's Health Center, Chico, CA 95928 | 2015-04-20 |
| 1215346309 | Kathleen Renee Dahlstrom | Marriage & Family Therapist | 315 Wall St Ste 5, Chico, CA 95928 | 2014-08-04 |
| 1740696574 | Northern Valley Catholic Social Service, Inc. | Case Management | 1297 Park Avenue, Chico, CA 95928 | 2014-07-01 |
| Find all providers in zip 95928 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790250306 | Amy Groven | Counselor | 7 Williamsburg Lane, Chico, CA 95928 | 2018-10-10 |
| 1437624418 | Abram W Andersen | Counselor | 30 Landing Cir, Chico, CA 95973-7895 | 2018-10-05 |
| 1649752437 | Rebecca Ann Lacque | Counselor | 315 Wall St Ste 13, Chico, CA 95928-7800 | 2018-08-29 |
| 1770079691 | Brelynn Ashtyn Conn | Counselor | 572 Rio Lindo Ave Ste 206, Chico, CA 95926-1851 | 2018-07-03 |
| 1679075055 | Adrienne Mary Parker | Counselor | 1500 Normal Ave, Chico, CA 95928-6545 | 2018-03-01 |
| 1164940367 | Chris Stephen Jorgensen | Counselor | 301 Broadway St Ste 300, Chico, CA 95928-5321 | 2017-09-07 |
| 1760900724 | Judith Mercedes Sneed | Counselor | 1360 E. Lassen Ave, Chico, CA 95973 | 2017-08-30 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1134643497 | Stone Creek Counseling Center, Inc. | Counselor | 30 Landing Circle, Ste. 200, Chico, CA 95973 | 2017-07-28 |
| 1013379759 | Janet Servin-alejandre | Counselor | 130 Yellowstone Dr Ste 100, Chico, CA 95973-5884 | 2016-03-22 |
| Find all providers in CHICO | ||||
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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.