KELLY MARIE MEAD (NPI# 1467653477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467653477 |
| Entity Type | Individual |
| Full Name | KELLY MARIE MEAD |
| Credential | M.S. |
| Practice Address |
13123 E 16th Ave # B130 Aurora CO 80045-7106 |
| Practice Telephone | 7193385047 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2014-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC.0011766 | CO | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
8933A | NC | Behavioral Health & Social Service Providers |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | LPP.0001308 | CO | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275607855 | Kelly L Mead | Physician Assistant | 113 Elm St Ste 304, Enfield, CT 06082 | 2006-11-17 |
| 1982135539 | Kelly C Mead | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Dhmc Department of Orthopaedic Surgery, Lebanon, NH 03756-1000 | 2017-03-24 |
| 1578917910 | Kelly Ellen Mead | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2016-04-22 |
| Street Address |
13123 E 16TH AVE # B130 |
| City | AURORA |
| State | CO |
| Zip Code | 80045-7106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090643 | Hillary Erin Sinn | Dance Therapist | 13123 E 16th Ave # B130, Aurora, CO 80045-7106 | 2020-07-07 |
| 1194202770 | Sarah Michelle Kennedy | Psychologist | 13123 E 16th Ave # B130, Aurora, CO 80045-7106 | 2018-07-25 |
| 1477040814 | Amy M Retherford | Social Worker | 13123 E 16th Ave # B130, Aurora, CO 80045-7106 | 2018-04-20 |
| 1255845137 | Theresa Hedenskog | Social Worker | 13123 E 16th Ave # B130, Aurora, CO 80045-7106 | 2017-11-30 |
| 1902286271 | Lauren Mowrey | Social Worker | 13123 E 16th Ave # B130, Aurora, CO 80045 | 2015-06-02 |
| 1124394887 | Aviva Kristen Olsavsky | Psychiatry & Neurology | 13123 E 16th Ave # B130, Aurora, CO 80045 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104636 | Anastasia Canfield | Counselor | 12341 E Cornell Ave # 18, Aurora, CO 80014-3323 | 2020-11-07 |
| 1578192555 | Erin L Graves | Counselor | 13791 E Rice Pl Ste 115, Aurora, CO 80015-1079 | 2020-04-02 |
| 1538705330 | Johnathan Dunn | Counselor | 140 S. Lincoln Ave., Aurora, IL 60505 | 2019-11-27 |
| 1356985071 | Richard Yeager | Counselor | 2851 S Parker Rd Ste 1040, Aurora, CO 80014-2723 | 2019-11-06 |
| 1679128326 | Heather Hartleroad | Counselor | 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 | 2019-08-08 |
| 1477037729 | Melanie J Hart | Counselor | 23548 E Ottawa Pl, Aurora, CO 80016-4242 | 2018-09-22 |
| 1679056063 | Elisabeth Anne Kaplan | Counselor | 1329 N Lake St, Aurora, IL 60506-2409 | 2018-09-11 |
| 1679056477 | Natasha Ann Jackson | Counselor | 2899 S Xanadu Way, Aurora, CO 80014-3448 | 2018-09-08 |
| 1649771148 | Zachary N. Meers | Counselor | 4255 Westbrook Dr Ste 206, Aurora, IL 60504-8125 | 2018-02-21 |
| 1205349701 | Nicole Mahan | Counselor | 2067 Stephen St, Aurora, IL 60502-7173 | 2017-11-07 |
| Find all providers in AURORA | ||||
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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.