TAMARA ANN KELLEY (NPI# 1477011997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477011997 |
| Entity Type | Individual |
| Full Name | TAMARA ANN KELLEY |
| Credential | LASAC |
| Practice Address |
1055 Ruth St Ste 8a Prescott AZ 86301-1740 |
| Mailing Address |
17156 E Fairway Dr Mayer AZ 86333-4159 |
| Practice Telephone | 9283792727 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LASAC-15207 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477835874 | Tamara Jo Kelley | Registered Nurse | 3418 Mayapple Ln Apt 11, Jackson, MI 49201-7286 | 2011-09-13 |
| 1851456354 | Tamara Kelley | Family Medicine | 31150 Temecula Pkwy, Ste 101, Temecula, CA 92592-2916 | 2006-12-26 |
| Street Address |
1055 RUTH ST STE 8A |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316013253 | Sally Ann Mead | Social Worker | 1055 Ruth St Ste 8a, Prescott, AZ 86301-1740 | 2006-11-24 |
| 1235604141 | Moina M Bey | Counselor | 1055 Ruth St Ste 8a, Prescott, AZ 86301-1740 | 2018-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300299 | Roundsville Drug and Alcohol Treatment of Arizona | Counselor | 610 N Bagby Dr, Prescott, AZ 86301-2588 | 2020-09-11 |
| 1619588209 | Teri Sebastian | Counselor | 240 S Montezuma St Ste 201e, Prescott, AZ 86303-4712 | 2020-08-16 |
| 1588287858 | Grace & Peace Counseling, LLC | Counselor | 240 S Montezuma St Ste 106, Prescott, AZ 86303-4712 | 2020-05-21 |
| 1619527850 | Taylor Counseling Services Taylor Tlc | Counselor | 1000 Ainsworth Dr Ste B215, Prescott, AZ 86305-3411 | 2019-09-19 |
| 1023527801 | William James Bilbray | Counselor | 702 W Hillside Ave, Prescott, AZ 86301-1913 | 2017-09-25 |
| 1831583269 | Renee Podraza | Counselor | 843 Miller Valley Rd Ste 203, Prescott, AZ 86301-1821 | 2015-03-24 |
| 1013314988 | Mary Jo Fleming | Counselor | 919 12th Place Ste 13, Recovery In The Pines, Prescott, AZ 86301 | 2014-11-20 |
| 1891056461 | Greta Blankman Stromberg | Counselor | 1320 W Gurley St, Prescott, AZ 86305-2854 | 2012-05-30 |
| 1982970034 | Henry Dayton Turberville | Counselor | 214 N. Arizona Ave., Prescott, AZ 86301 | 2012-03-22 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| Find all providers in PRESCOTT | ||||
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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.