KELLY JAE STRALEY (NPI# 1386082923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386082923 |
| Entity Type | Individual |
| Full Name | KELLY JAE STRALEY |
| Credential | CNP |
| Practice Address |
140 Fox Rd Van Wert OH 45891-2475 |
| Practice Telephone | 4192325279 |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2017-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.334650 | OH | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA14689NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
COA14689-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0090042 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609915826 | Kelly M Straley | Nurse Practitioner | 1 Walsh Rd, Pittsburgh, PA 15205-2336 | 2007-02-05 |
| Street Address |
140 FOX RD |
| City | VAN WERT |
| State | OH |
| Zip Code | 45891-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225032964 | Matthew W. Miller | Family Medicine | 140 Fox Rd, Suite 202, Van Wert, OH 45891-2475 | 2005-06-10 |
| 1467994541 | Van Wert Medical Services, Ltd. | Podiatrist | 140 Fox Rd, Ste 209, Van Wert, OH 45891-2475 | 2016-11-07 |
| 1437521317 | Dental Center of Northwest Ohio | Clinic/Center | 140 Fox Rd, Suite 207, Van Wert, OH 45891-2475 | 2015-10-30 |
| 1215313846 | Shelley Kreeger | Specialist/Technologist | 140 Fox Rd, Suite 101, Van Wert, OH 45891-2475 | 2015-08-05 |
| 1396150272 | Allison Harting | Nurse Practitioner | 140 Fox Rd, Ste 201, Van Wert, OH 45891-2475 | 2014-06-30 |
| 1467867325 | Deborah Nicole Howell | Nurse Practitioner | 140 Fox Rd, Suiet 402, Van Wert, OH 45891-2475 | 2014-06-30 |
| 1487097317 | Serenity Solutions, LLC | Psychologist | 140 Fox Rd, Suite 303, Van Wert, OH 45891-2475 | 2013-04-10 |
| 1124369350 | Van Wert Medical Services, Ltd. | General Practice | 140 Fox Rd, Suite 104, Van Wert, OH 45891-2475 | 2013-03-13 |
| 1790039196 | Kelsey Renee Brokamp | Nurse Practitioner | 140 Fox Rd, Van Wert, OH 45891-2475 | 2012-11-07 |
| 1114287240 | Kathy Marie Carr | Psychologist | 140 Fox Rd, Suite 303, Van Wert, OH 45891-2475 | 2012-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638172 | Katlynn A Dotson | Social Worker | 160 Fox Road, Van Wert, OH 45891 | 2020-01-14 |
| 1982107975 | Van Wert Medical Services, Ltd. | Clinic/Center | 214 Towne Center Blvd, Van Wert, OH 45891 | 2018-03-15 |
| 1871800698 | Ronetta E Marhoover | Nurse Practitioner | 1052 S Washington Street, Van Wert, OH 45891 | 2010-09-01 |
| 1780918243 | Sherry Ann Eibling | Nurse's Aide | 3683 St Rt 127n, Van Wert, OH 45891 | 2009-09-30 |
| 1053552596 | Betty Jean Miller | Massage Therapist | 7079 Us. Rt. 127 N., Van Wert, OH 45891 | 2009-03-12 |
| 1578700399 | P & R Home Iv Service Inc | Pharmacy | 16937 Defiance Trail, Van Wert, OH 45891 | 2009-01-15 |
| 1619167236 | Scott David Shie | Urology | Van Wert Health Urology, 140 Fox Rd. Ste 105, Van Wert, OH 45891 | 2007-07-30 |
| 1386866283 | John Carl Cook Jr. | Dentist | 723 W Main St, Van Wert, OH 45891 | 2007-05-02 |
| 1396866620 | Orthopaedic Institute of Ohio, Inc. | Orthopaedic Surgery | 1180 Professional Drive, Van Wert, OH 45891 | 2007-04-03 |
| 1659400224 | Hearth & Home Assisted Living | Assisted Living Facility | 1118 Westwood Drive, Van Wert, OH 45891 | 2007-03-02 |
| Find all providers in zip 45891 | ||||
| Taxonomy Code | 363LX0106X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Occupational Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841659 | Levi Lloyd Fredritz | Nurse Practitioner | 75 Hospital Dr Ste 370, Athens, OH 45701-2867 | 2020-08-11 |
| 1396702742 | Jean Szorady | Nurse Practitioner | 3900 Ben Hur Ave, Willoughby, OH 44094 | 2006-04-28 |
| 1396200150 | John Pfeister | Nurse Practitioner | 3619 Park East Dr, Beachwood, OH 44122-4330 | 2019-02-06 |
| 1306334669 | Liang Lee Chao | Nurse Practitioner | 707 S Edwin C Moses Blvd, Dayton, OH 45417-3462 | 2018-04-23 |
| 1285147769 | Trisha Marie Kinstle | Nurse Practitioner | 269 Portland Way S, Galion, OH 44833-2312 | 2017-11-07 |
| 1174900468 | Cathy Mcgee | Nurse Practitioner | 401 Matthew St, Marietta, OH 45750-1635 | 2015-05-06 |
| 1982045688 | Susan M Jaros | Nurse Practitioner | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2013-07-10 |
| 1982789376 | William Jeffery Trees | Nurse Practitioner | 11129 Kenwood Rd, Cincinnati, OH 45242-1817 | 2006-10-26 |
| 1447201520 | Frances Jane Ford | Nurse Practitioner | 885 N Sandusky Ave, Upper Sandusky, OH 43351-1031 | 2006-05-13 |
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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.