MS. KATHRYN NICOLE KELLEY (NPI# 1376152603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376152603 |
| Entity Type | Individual |
| Full Name | MS. KATHRYN NICOLE KELLEY |
| Credential | CHW |
| Practice Address |
1233 Edgewater St Nw Salem OR 97304-4049 |
| Practice Telephone | 5033787526 |
| Mailing Telephone | 5033787526 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | THW000003850 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649469735 | Kathryn Kelley | Adult Companion | 5324 Ne 16th Ave, Portland, OR 97211-4910 | 2007-10-15 |
| 1588856074 | Kathryn Kelley | Physical Therapy Assistant | 75 Kings Highway Cutoff Ofc 4th, Fairfield, CT 06824-5340 | 2007-08-17 |
| 1457414773 | Kathryn A. Kelley | Counselor | 40 N Last Chance Gulch St, Helena, MT 59601-4122 | 2006-12-18 |
| 1356977839 | Kathryn Kelley | Physical Therapist | 23852 Michigan Ave, Dearborn, MI 48124-1829 | 2020-03-17 |
| 1144711946 | Kathryn Clare Kelley | Surgery | 801 Ostrum St, Bethlehem, PA 18015 | 2018-05-29 |
| 1992186779 | Kathryn Kelley | Counselor | 1120 Hancock St, Quincy, MA 02169-4313 | 2015-06-17 |
| 1952616765 | Kathryn Kay Kelley | Physical Therapy Assistant | 116 S Central Ave, Mulvane, KS 67110-1718 | 2010-08-17 |
| 1205011053 | Kathryn L Kelley | Nurse Practitioner | 17201 I H 45 S, Shenandoah, TX 77385-3311 | 2007-12-28 |
| Street Address |
1233 EDGEWATER ST NW |
| City | SALEM |
| State | OR |
| Zip Code | 97304-4049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306827100 | William Earle Williams | Physician Assistant | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2005-11-08 |
| 1336758630 | Ted Alas | Community Health Worker | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2020-07-23 |
| 1245849462 | Taylor Thompson | Community Health Worker | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2020-07-23 |
| 1063021285 | Stephanie Ochoa | Community Health Worker | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2020-07-23 |
| 1386280352 | Terry Denise Banta | Social Worker | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2019-11-25 |
| 1407498074 | Jacob Benjamin Johnston | Technician | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2019-10-15 |
| 1346723038 | Erik Stephen Gillis | Physician Assistant | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2018-09-10 |
| 1215414669 | Taylor Jeanne Mcdowell | Physician Assistant | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2018-07-27 |
| 1114435807 | Elisabeth Ruth Decelles | Nurse Practitioner | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2018-01-16 |
| 1780196220 | Deborah Gloria Baca-dietz | Nurse Practitioner | 1233 Edgewater St Nw, Salem, OR 97304 | 2017-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114413010 | Sam Mackenzie Lane | Massage Therapist | 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 | 2018-07-03 |
| 1144761131 | Rachel E Carson | Physical Therapist | 1025 2nd St. Nw, West Salem, OR 97304 | 2017-03-10 |
| 1962951061 | Lee Ann Nail | Social Worker | 3965 Gibson Rd Nw, Salem, OR 97304 | 2016-09-29 |
| 1619421591 | Logan Walters | Physical Therapist | 1025 2nd St Nw, Salem, OR 97304 | 2016-08-09 |
| 1770941338 | Tysandra Gillis | Massage Therapist | 859 Mule Deer St., Salem, OR 97304 | 2016-02-10 |
| 1144620295 | Molly Rodden | Nurse Practitioner | 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 | 2014-08-26 |
| 1881942126 | Cynthia Ruth Rettler | Registered Nurse | 1520 Plaza St Nw Ste 150, Salem, OR 97304 | 2012-08-16 |
| 1336401017 | Trillium Family Services | Community/Behavioral Health | 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 | 2012-06-08 |
| 1033428198 | Kathleen Ketelson | Nurse Practitioner | 560 Wallace Rd Nw Ste 140, Salem, OR 97304 | 2010-10-06 |
| 1922332535 | Robert Scott Mcadam | Social Worker | 1245 Edgewater St. Nw, Salem, OR 97304 | 2009-09-29 |
| Find all providers in zip 97304 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117022 | Juana Laura Damian Damian | Community Health Worker | 4373 Satter Pl Ne, Salem, OR 97305-4107 | 2019-10-29 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1952826661 | Tracy Lopez-mendoza | Community Health Worker | 3180 Center St Ne Ste 1360, Salem, OR 97301-4532 | 2017-08-03 |
| 1770024283 | Laura Pacheco | Community Health Worker | 29 Albion St, Salem, MA 01970-1303 | 2017-03-16 |
| 1427407501 | Stephanie Gibson | Community Health Worker | 600b N Lake Dr, Salem, SC 29676-2406 | 2016-06-08 |
| 1255788683 | Roxanne Mcanally | Community Health Worker | 980 Terrace Dr Nw, Salem, OR 97304-3726 | 2016-05-16 |
| 1598127532 | Paula Marie Rowe | Community Health Worker | 4001 12th St Cutoff Se, Apt 11, Salem, OR 97302-1770 | 2016-03-28 |
| 1831557446 | Antonio J Cervantes | Community Health Worker | 3998 Nestor Ln Ne, Salem, OR 97305-3922 | 2016-02-10 |
| 1861859449 | Jenny Abarca | Community Health Worker | 9 Sable Rd, Salem, MA 01970-1015 | 2016-01-27 |
| 1134585540 | Nikolay Shalashov | Community Health Worker | 4485 Great Plains Dr Ne, Salem, OR 97305-3681 | 2016-01-14 |
| Find all providers in SALEM | ||||
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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.