CAROLYN ANN KELLY (NPI# 1407197072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407197072 |
| Entity Type | Individual |
| Full Name | CAROLYN ANN KELLY |
| Other Name | CAROLYN WATERBURY |
| Credential | FNP |
| Practice Address |
11 Osborne St Danbury CT 06810-5918 |
| Mailing Address |
111 Osborne St Danbury CT 06810-6000 |
| Practice Telephone | 2037397131 |
| Practice Fax Number | 2037391554 |
| Mailing Telephone | 9179686543 |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2017-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F337508-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
005298 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619264041 | Carolyn Kelly | Podiatrist | 396 Remington Blvd Ste 370, Bolingbrook, IL 60440-4302 | 2011-07-06 |
| 1639283286 | Carolyn Downey Kelly | Nurse Practitioner | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 | 2006-08-19 |
| 1649739350 | Carolyn Kelly | Counselor | 3445 S Sheridan Rd, Tulsa, OK 74145-1105 | 2019-03-13 |
| 1316399421 | Carolyn Kelly | Social Worker | 676 N Saint Clair St, Suite 2140, Chicago, IL 60611-2927 | 2016-07-13 |
| 1639503345 | Carolyn V Kelly | Physical Therapist | 4700 Gilbert Ave, Suite 51, Western Springs, IL 60558-1753 | 2013-08-29 |
| 1376981209 | Carolyn Marion Kelly | Registered Nurse | 1711 Holmes Dr Sw, Conyers, GA 30094-4725 | 2013-06-13 |
| 1912174913 | Carolyn Kelly | Nurse Practitioner | 801 6th St S, St Petersburg, FL 33701-4816 | 2008-05-09 |
| 1740328863 | Carolyn Kelly | Physical Therapist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-02-01 |
| 1427062264 | Carolyn Jean Kelly | Internal Medicine | 3350 La Jolla Village Dr, Mail Code 111h, San Diego, CA 92161-0002 | 2006-07-28 |
| 1164463741 | Carolyn S Kelly | Counselor | 107 Thomason Blvd, Goose Creek, SC 29445-2945 | 2006-06-08 |
| Street Address |
11 OSBORNE ST |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-5918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750751657 | Kristin Leigh Fruechtenicht | Counselor | 11 Osborne St, Apartment #3, Danbury, CT 06810-5918 | 2015-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1578937736 | Roseni D Pease | Nurse Practitioner | 11 Osborne Street, Danbury, CT 06810 | 2015-11-25 |
| 1700128659 | Larissa Camano-selca | Nurse Practitioner | 1202 Eaton Ct, Danbury, CT 06811-4052 | 2013-03-19 |
| 1396030383 | Swapna Mathew Varghese | Nurse Practitioner | 13 French St, Danbury, CT 06810-5306 | 2011-06-17 |
| 1750617817 | Amy Smith | Nurse Practitioner | 100 Reserve Rd Ste A4, Danbury, CT 06810-5267 | 2009-10-26 |
| 1831331602 | Tara Marie Ackerly | Nurse Practitioner | 41 Germantown Rd Ste B05, Anticoagulation Center, Danbury, CT 06810-4087 | 2009-03-25 |
| 1558550517 | Marianne Treantafilos | Nurse Practitioner | 30 Milestone Rd., Danbury, CT 06810 | 2007-10-16 |
| 1417175845 | Jennifer S Handau | Nurse Practitioner | 72 Hospital Avenue, Danbury, CT 06810 | 2007-04-23 |
| 1225638950 | Maureen Lore | Nurse Practitioner | 27 Hospital Ave, Danbury, CT 06810-5954 | 2020-10-30 |
| 1861018897 | Sterling Johnston Nicholson Iv | Nurse Practitioner | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2020-06-25 |
| Find all providers in DANBURY | ||||
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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.