MRS. KELLY WINTERS KELLEY


Address: 1300 S Grand Ave, Santa Ana, CA 92705-4434
Phone: 7148346838

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).

Provider Overview

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

Taxonomy

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

Other Providers KELLY KELLEY

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

Office Location

Street Address 1300 S GRAND AVE
City SANTA ANA
State CA
Zip Code 92705-4434

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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Competitor

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City SANTA ANA
Zip Code 92705

Improve Information

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Dataset Information

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.

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