KELLY PATTERSON (NPI# 1447775887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447775887 |
Entity Type | Individual |
Full Name | KELLY PATTERSON |
Credential | PA-S |
Practice Address |
77 W Forest Ave Ste 301 Flagstaff AZ 86001-1483 |
Mailing Address |
661 Cypress Way Twin Falls ID 83301-6885 |
Practice Telephone | 9287732280 |
Mailing Telephone | 4355129597 |
Enumeration Date | 2017-08-07 |
Last Update Date | 2017-08-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 14079288 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497221444 | Kelly Patterson | Home Health Aide | 14901 Ne 7th Ct, Miami, FL 33161-2225 | 2018-10-17 |
1174858799 | Kelly J Patterson | Physical Therapy Assistant | 1100 Pennyroyal Ln, Celina, OH 45822-3134 | 2009-10-15 |
1851432645 | Kelly Drake Patterson | Speech-Language Pathologist | 1504 Highland Dr, Cedar Park, TX 78613-6827 | 2007-02-12 |
1235795238 | Kelly Patterson | Counselor | 22 Saint John St, Monticello, NY 12701-2118 | 2019-05-15 |
1881058055 | Kelly Elizabeth Patterson | Pediatrics | 500 University Dr, Hershey, PA 17033-2360 | 2016-04-13 |
1710340393 | Kelly Patterson | Nurse Practitioner | 2195 Harrodsburg Rd, Suite 125, Lexington, KY 40504-3504 | 2016-04-01 |
1487037032 | Kelly Elise Patterson | Nurse Practitioner | 2401 Gillham Rd, Provider Enrollment, Kansas City, MO 64108-4619 | 2015-07-01 |
1841681723 | Kelly Patterson | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2015-02-12 |
1235429069 | Kelly Mcnamara Patterson | Family Medicine | 2821 Daggett Ave Ste 100, Klamath Falls, OR 97601-1106 | 2011-04-13 |
1376589093 | Kelly Butler Patterson | Emergency Medicine | 2018 W Clinch Ave, Knoxville, TN 37916-2301 | 2006-06-21 |
Street Address |
77 W FOREST AVE STE 301 |
City | FLAGSTAFF |
State | AZ |
Zip Code | 86001-1483 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316985823 | Jennifer Renee Dephillips | Physician Assistant | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2006-06-04 |
1073070603 | Daryl Finch | Specialist/Technologist | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2019-03-01 |
1790284131 | Sean Easton | Physician Assistant | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2018-02-11 |
1861839219 | Julie A Degeyter | Physical Therapist | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2013-05-24 |
1639433048 | Ross Jones | Orthopaedic Surgery | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001 | 2012-06-29 |
1508123175 | Brianna Nicole Patti | Orthopaedic Surgery | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2012-04-19 |
1609190115 | Marshall Meier | Physical Medicine & Rehabilitation | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2010-03-26 |
1457589061 | Jennifer Marie Almendarez | Specialist | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2009-06-23 |
1518193382 | Derek Christopher Bontrager | Specialist/Technologist, Other | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2009-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
Find all providers in zip 86001 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790051274 | Lisa Grimaldi | Physician Assistant | 1110 E Routt 66, Suite 100, Flagstaff, AZ 86001 | 2012-03-28 |
1740426790 | Jessica K Newton | Physician Assistant | 1100 N San Francisco St Ste E, Flagstaff, AZ 86001-3260 | 2008-12-22 |
1538323779 | Gregory Alexander Cox | Physician Assistant | 709 W Birch Ave, Flagstaff, AZ 86001-4417 | 2008-07-16 |
1427232792 | Matthew Henry Pielecha | Physician Assistant | 1515 E Cedar Ave Ste A-3, Flagstaff, AZ 86004-1630 | 2007-12-21 |
1205053279 | Jennifer M Morris, Pa-c, Plc | Physician Assistant | 121 W Gneiss Trl, Flagstaff, AZ 86001-8382 | 2007-04-19 |
1366472961 | Jennifer A Walker | Physician Assistant | 1485 N Turquoise Dr Ste 200, Flagstaff, AZ 86001-2000 | 2006-07-03 |
1316985823 | Jennifer Renee Dephillips | Physician Assistant | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2006-06-04 |
1174121081 | Clayton Eugene Gould | Physician Assistant | 1515 E Cedar Ave Ste A-3, Flagstaff, AZ 86004-1630 | 2020-10-13 |
1013568088 | Jerry Charles Vega | Physician Assistant | 1515 E Cedar Ave Ste A-3, Flagstaff, AZ 86004-1630 | 2019-09-21 |
1326500471 | Kathryn Michelle Earhart | Physician Assistant | 1485 N Turquoise Dr, Flagstaff, AZ 86001-1398 | 2019-04-05 |
Find all providers in FLAGSTAFF |
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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.