MRS. KELLY WINTERS KELLEY (NPI# 1396091203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396091203 |
Entity Type | Individual |
Full Name | MRS. KELLY WINTERS KELLEY |
Other Name | MRS. KELLY KELLEY |
Credential | NP |
Practice Address |
1300 S Grand Ave Santa Ana CA 92705-4434 |
Mailing Address |
1000 W Carson St Torrance CA 90502-2004 |
Practice Telephone | 7148346838 |
Mailing Telephone | 3102223500 |
Enumeration Date | 2012-07-28 |
Last Update Date | 2018-04-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
796184 | CA | Nursing Service Providers |
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95007158 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811407430 | Kelly Lynn Kelley | Physical Therapist | 41088 Bayou Segnette Ave, Gonzales, LA 70737-8590 | 2017-10-10 |
1245696566 | Kelly Joy Kelley | Behavioral Analyst | 307 Queen Anne Rd, Harwich, MA 02645-2501 | 2016-01-04 |
1972882504 | Kelly Leann Kelley | Nurse Practitioner | 912 W College St, Pulaski, TN 38478-3630 | 2011-08-13 |
1518165307 | Kelly Rose Kelley | Physical Therapy Assistant | 707 E Prospect Ave, Norfolk, NE 68701-4388 | 2007-07-03 |
1194290825 | Kelly Kelley | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-10-09 |
1043723059 | Kelly Kelley I | Counselor | 48 Private Drive 339, South Point, OH 45680-8919 | 2017-11-13 |
1730544933 | Kelly Kelley | Occupational Therapist | 800 Saguaro Trl, San Juan College Ota Program, Farmington, NM 87401-9632 | 2015-12-15 |
1619362134 | Kelly Kelley | Social Worker | 104 S Front Ave, Prestonsburg, KY 41653 | 2015-04-01 |
1487876264 | Kelly D Kelley | Hearing Instrument Specialist | 3320 Pecan Valley Dr, Suite E., Temple, TX 76502-1569 | 2007-05-03 |
1811060924 | Kelly Young Kelley | Social Worker | 1300 N 12th St, Phoenix, AZ 85006-2848 | 2006-11-16 |
Street Address |
1300 S GRAND AVE |
City | SANTA ANA |
State | CA |
Zip Code | 92705-4434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184722316 | Jason Russel D'amico | Licensed Psychiatric Technician | 1300 S Grand Ave, Santa Ana, CA 92705-4434 | 2006-09-20 |
1013540053 | Gabriel A Ramirez | Case Manager/Care Coordinator | 1300 S Grand Ave, Santa Ana, CA 92705-4434 | 2020-02-18 |
1093350837 | Nicholas George Mamey | Social Worker | 1300 S Grand Ave, Santa Ana, CA 92705-4434 | 2019-11-15 |
1346890373 | Maidah Hsen | Community Health Worker | 1300 S Grand Ave, Santa Ana, CA 92705-4434 | 2019-09-11 |
1538720073 | Diego Ramirez | Community Health Worker | 1300 S Grand Ave, Santa Ana, CA 92705-4434 | 2019-06-25 |
1033674213 | Sarah Katz | Social Worker | 1300 S Grand Ave, Santa Ana, CA 92705-4434 | 2019-02-01 |
1760990428 | Adriana Pfeifer | Case Manager/Care Coordinator | 1300 S Grand Ave, Santa Ana, CA 92705-4434 | 2018-01-16 |
1124536883 | Damian Alonzo Loza | Case Manager/Care Coordinator | 1300 S Grand Ave, Santa Ana, CA 92705-4434 | 2018-01-16 |
1689182347 | Carlos Padilla | Case Manager/Care Coordinator | 1300 S Grand Ave, Santa Ana, CA 92705-4434 | 2018-01-16 |
1578000741 | Scoba Francis Rhodes Jr. | Social Worker | 1300 S Grand Ave, Bldg. B, Santa Ana, CA 92705-4434 | 2017-01-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
Find all providers in zip 92705 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972947653 | Nicole Yvette Esquer | Nurse Practitioner | 2514 W Adams St, Santa Ana, CA 92704-5547 | 2013-04-24 |
1205440377 | Claudia Alicia Rodriguez-zinn | Nurse Practitioner | 2650 S Bristol St Ste 101, Santa Ana, CA 92704-5751 | 2020-09-04 |
1316448533 | Camille Alexandria Ferrer | Nurse Practitioner | 2650 S Bristol St Ste 101, Santa Ana, CA 92704 | 2018-02-22 |
1164960324 | Vi Anh Ngoc Tran | Nurse Practitioner | 1725 W 17th St, Santa Ana, CA 92706 | 2017-02-08 |
1184089922 | Ashley Zaw | Nurse Practitioner | 2650 S Bristol St, Suites 101-103, Santa Ana, CA 92704-5751 | 2015-12-21 |
1114310372 | Michelle Thusinh Tran | Nurse Practitioner | 2650 S Bristol St, Suite 101, Santa Ana, CA 92704-5751 | 2015-03-12 |
1811317001 | Maydole Lopez Aldalur | Nurse Practitioner | 2650 S Bristol St, Ste 101, Santa Ana, CA 92704-5751 | 2014-04-26 |
1528488087 | Sarah Elizabeth Brodhead | Nurse Practitioner | 2650 S Bristol St Ste 101, Santa Ana, CA 92704-5751 | 2014-04-23 |
1245584069 | Gina Serrano | Nurse Practitioner | 801 N Tustin Ave Ste 205, Santa Ana, CA 92705-3600 | 2012-10-31 |
1831233584 | Kristine M. Mackey | Nurse Practitioner | 2650 S Bristol St, Ste. 101, Santa Ana, CA 92704-5751 | 2007-02-16 |
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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.