KELLY PALMER (NPI# 1437607439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437607439 |
| Entity Type | Individual |
| Full Name | KELLY PALMER |
| Practice Address |
2743 Orange St Riverside CA 92501-2538 |
| Practice Telephone | 9517889515 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821559568 | Kelly Noelle Palmer | Registered Nurse | 106 Jamie Ln, East Falmouth, MA 02536-5175 | 2019-03-26 |
| 1518421551 | Kelly Ann Palmer | Social Worker | 727 8th St, Baraboo, WI 53913-1794 | 2019-01-23 |
| 1174027668 | Kelly Palmer | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-01-e316a, Temple, TX 76508-0001 | 2018-03-20 |
| 1568976348 | Kelly Palmer | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2017-12-01 |
| 1851792584 | Kelly Laurel Palmer | Registered Nurse | 11600 W 2nd Pl, Lakewood, CO 80228 | 2014-09-12 |
| 1770906026 | Kelly Jean Palmer | Dental Assistant | 12711 Se Mill Plain Blvd, Vancouver, WA 98684-6053 | 2014-01-22 |
| 1982988564 | Kelly Palmer | Occupational Therapist | 5001 Statesman Dr, Irving, TX 75063-2414 | 2011-09-30 |
| 1053612663 | Kelly Lynn Palmer | Counselor | 504 E 24th St, Tishomingo, OK 73460-3214 | 2010-11-12 |
| 1881926483 | Kelly M Palmer | Occupational Therapy Assistant | 3400 Anderson Rd Ste C, Greenville, SC 29611-7651 | 2010-02-06 |
| 1922245745 | Kelly Lynn Palmer | Occupational Therapist | 134 Grandview Ave, Waterbury, CT 06708-2507 | 2009-01-15 |
| Street Address |
2743 ORANGE ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598864357 | Whiteside Manor, Inc. | Substance Abuse Rehabilitation Facility | 2743 Orange St, Riverside, CA 92501-2538 | 2006-09-21 |
| 1053968925 | Jessikah Ibarra | Licensed Vocational Nurse | 2743 Orange St, Riverside, CA 92501-2538 | 2019-08-24 |
| 1982250056 | James Mccrea | Counselor | 2743 Orange St, Riverside, CA 92501-2503 | 2019-08-14 |
| 1386206480 | Autumn Raymond | Licensed Vocational Nurse | 2743 Orange St, Riverside, CA 92501-2538 | 2019-06-28 |
| 1154895795 | Winfield Tuttle | Counselor | 2743 Orange St, Riverside, CA 92501-2503 | 2019-01-16 |
| 1114495967 | Ernesto Castro | Licensed Vocational Nurse | 2743 Orange St, Riverside, CA 92501-2503 | 2018-11-09 |
| 1477035723 | Scott Mabus | Counselor | 2743 Orange St, Riverside, CA 92501-2538 | 2018-09-04 |
| 1205312907 | John H Williams | Counselor | 2743 Orange St, Riverside, CA 92501 | 2018-07-16 |
| 1164938189 | Roger Mesa Sr. | Counselor | 2743 Orange St, Riverside, CA 92501-2538 | 2017-12-28 |
| 1568909737 | Harry Depass | Counselor | 2743 Orange St, Riverside, CA 92501-2538 | 2017-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794252 | Promising Outlook | Substance Abuse Rehabilitation Facility | 4136 10th St, Riverside, CA 92501-3110 | 2019-11-15 |
| 1508372186 | Whiteside Manor, Inc. | Substance Abuse Rehabilitation Facility | 2759 Orange St, Riverside, CA 92501-2538 | 2017-12-19 |
| 1487177374 | Everlast Recovery Centers Inc | Substance Abuse Rehabilitation Facility | 6560 Sandy Ln, Riverside, CA 92505-2028 | 2017-07-21 |
| 1841664885 | Jacqueline Garcia | Substance Abuse Rehabilitation Facility | 10371 Hole Ave, Riverside, CA 92505-1747 | 2015-11-13 |
| 1952706319 | House On The Corner LLC The | Substance Abuse Rehabilitation Facility | 2709 Orange St, Riverside, CA 92501-2538 | 2014-10-28 |
| 1578962114 | Bluestone Recovery, Inc. | Substance Abuse Rehabilitation Facility | 1660 Chicago Ave Ste M11, Riverside, CA 92507-2033 | 2014-08-20 |
| 1053724716 | 10 Acre Ranch | Substance Abuse Rehabilitation Facility | 8605 Janet Ave, Riverside, CA 92503-9212 | 2014-06-10 |
| 1598002123 | Big Bear Recovery Center | Substance Abuse Rehabilitation Facility | 16891 Alita Dr, Riverside, CA 92504-6209 | 2013-01-16 |
| 1376714048 | Mfi Recovery Center | Substance Abuse Rehabilitation Facility | 9999 County Farm Rd, Riverside, CA 92503-3506 | 2008-03-20 |
| 1285802165 | Pavisch Treatment Centers, LLC | Substance Abuse Rehabilitation Facility | 4241 Glenwood Dr, Riverside, CA 92501-3027 | 2008-02-13 |
| Find all providers in RIVERSIDE | ||||
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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.