JENNIFER LYNNE KELLY (NPI# 1356959944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356959944 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNNE KELLY |
| Credential | AGNP |
| Practice Address |
2101 Corona Rd Ste 102 Columbia MO 65203-2582 |
| Mailing Address |
5401 Lindenwood Ave Saint Louis MO 63109-1602 |
| Practice Telephone | 5732341800 |
| Practice Fax Number | 5732341799 |
| Mailing Telephone | 6362880807 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 2009019364 | MO | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2020003607 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
2020003607 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881216463 | Jennifer Kelly | Nurse Practitioner | 7595 Affirmed Ct, Lewis Center, OH 43035-9143 | 2020-05-17 |
| 1790322758 | Jennifer Lee Kelly | Home Health Aide | 4519 Stanbrook Dr, North Chesterfield, VA 23234-4021 | 2019-12-09 |
| 1396386744 | Jennifer Eileen Kelly | Specialist | 2354 Ocean Ave, Ronkonkoma, NY 11779-6578 | 2019-10-07 |
| 1659936813 | Jennifer Noel Kelly | Behavior Technician | 3287 N Mayfield Ave, San Bernardino, CA 92405-2627 | 2019-05-03 |
| 1851784284 | Jennifer Kelly | Occupational Therapy Assistant | 1215 Gainsboro Rd, Bala Cynwyd, PA 19004-2014 | 2015-03-10 |
| 1952706699 | Jennifer Kelly | Pharmacist | 1701 Welsh Rd Ste 5, Philadelphia, PA 19115-3172 | 2014-10-23 |
| 1750791257 | Jennifer Kelly | Psychologist | 11 Brooklands Apt Gi, Bronxville, NY 10708-3512 | 2014-05-06 |
| 1851722995 | Jennifer L. Kelly | Speech-Language Pathologist | 555 Anthony Wayne Trail, Waterville, OH 43566 | 2013-11-27 |
| 1144598343 | Jennifer Elaine Kelly | Physician Assistant | 381 Park Avenue South, Suite 1020, New York, NY 10016 | 2011-12-02 |
| 1063789030 | Jennifer Zucal Kelly | Registered Nurse | 215 E 5th St, Emporium, PA 15834-1417 | 2011-11-18 |
| Street Address |
2101 CORONA RD STE 102 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-2582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619952520 | Eric A. Barnes | Internal Medicine | 2101 Corona Rd Ste 102, Columbia, MO 65203-2582 | 2005-12-13 |
| 1902390180 | Elise Catherine Pilger | Nurse Practitioner | 2101 Corona Rd Ste 102, Columbia, MO 65203 | 2018-06-20 |
| 1710353313 | Ashlee Sutherland | Nurse Practitioner | 2101 Corona Rd Ste 102, Columbia, MO 65203-2582 | 2015-08-18 |
| 1548565666 | Melissa Anne Pickett | Clinical Nurse Specialist | 2101 Corona Rd Ste 102, Columbia, MO 65203-2582 | 2011-01-20 |
| 1992011886 | Mary Virginia Creger | Clinical Nurse Specialist | 2101 Corona Rd Ste 102, Columbia, MO 65203-2582 | 2010-08-30 |
| 1396999686 | Barnes Health Care Management Group LLC | Internal Medicine | 2101 Corona Rd Ste 102, Columbia, MO 65203-2582 | 2008-11-12 |
| 1902012719 | Gretchen Fink | Nurse Practitioner | 2101 Corona Rd Ste 102, Columbia, MO 65203-2582 | 2007-05-16 |
| 1972614519 | Dennis R Drews | Internal Medicine | 2101 Corona Rd Ste 102, Columbia, MO 65203-2582 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407484041 | Vistina Metts Johnson | Nurse Practitioner | 121 Executive Center Dr Ste 131, Columbia, SC 29210-8492 | 2020-03-30 |
| 1265078570 | Paula Nicole Allen | Nurse Practitioner | 133 Beaver Dam Rd, Columbia, SC 29223-3101 | 2019-11-21 |
| 1922511054 | Anne Louise Grogan-hanford | Nurse Practitioner | 1317 Quail Vly W, Columbia, SC 29212-1554 | 2017-11-11 |
| 1639613813 | University of Missouri | Nurse Practitioner | 1100 Virginina Ave, Columbia, MO 65212-0001 | 2016-12-07 |
| 1861428625 | Linda Ann Poquette | Nurse Practitioner | 10832 Symphony Way, Columbia, MD 21044-4921 | 2006-06-24 |
| 1417560889 | Aziz Petiwala | Nurse Practitioner | 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203-8006 | 2020-08-26 |
| 1134751084 | James Stewart Morgan | Nurse Practitioner | 1601 Greene St, Columbia, SC 29208-4001 | 2020-02-09 |
| 1457831125 | Deidra M Singleton | Nurse Practitioner | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2018-08-21 |
| 1033697362 | Kyle Gross | Nurse Practitioner | 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 | 2018-07-30 |
| 1407333446 | Kimberly Ann Robertson | Nurse Practitioner | 1600 E Broadway, Columbia, MO 65201-5844 | 2018-07-23 |
| Find all providers in COLUMBIA | ||||
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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.