KELLI SOARES (NPI# 1477944635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477944635 |
| Entity Type | Individual |
| Full Name | KELLI SOARES |
| Practice Address |
615 Hope Rd Eatontown NJ 07724-1277 |
| Mailing Address |
615 Hope Rd 5a Visiting Physican Services Eatontown NJ 07724 |
| Practice Telephone | 7325711000 |
| Mailing Telephone | 7325711000 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2016-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00548600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
615 HOPE RD |
| City | EATONTOWN |
| State | NJ |
| Zip Code | 07724-1277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205812005 | Saad A Saad | Surgery | 615 Hope Rd, Bld 1 A, Eatontown, NJ 07724-1277 | 2005-12-22 |
| 1497261440 | Katie Blossfeld | Social Worker | 615 Hope Rd, Eatontown, NJ 07724-1277 | 2017-12-28 |
| 1174064489 | Ashley Shanahan | Counselor | 615 Hope Rd, Eatontown, NJ 07724-1277 | 2017-03-20 |
| 1760923684 | Alternatives Inc. | Community/Behavioral Health | 615 Hope Rd, Bldg 2, Eatontown, NJ 07724-1277 | 2017-03-10 |
| 1033657085 | Heather Koenigsfest | Counselor | 615 Hope Rd, Building 3a, Eatontown, NJ 07724-1277 | 2017-02-09 |
| 1407201627 | Geralda Vilus | Nurse Practitioner | 615 Hope Rd, 5a, Eatontown, NJ 07724-1277 | 2016-04-25 |
| 1558723148 | Clearwaters Health and Wellness | Registered Nurse | 615 Hope Rd, Building 5b, Eatontown, NJ 07724-1277 | 2016-03-23 |
| 1396100020 | Joanne Peterson | Nurse Practitioner | 615 Hope Rd, Building 5a, Eatontown, NJ 07724-1277 | 2015-12-23 |
| 1871978577 | Princeton Healthcare System | Psychiatric Hospital | 615 Hope Rd, Eatontown, NJ 07724-1277 | 2015-07-23 |
| 1144617887 | Matthew Benedict Ona | Registered Nurse | 615 Hope Rd, Bldg 5 Visiting Physician Services, Eatontown, NJ 07724-1277 | 2015-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
| 1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
| 1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
| 1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
| Find all providers in zip 07724 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325944 | Consultrx | Nurse Practitioner | 10a Main St, Eatontown, NJ 07724-3413 | 2020-10-30 |
| 1033657259 | Nimmy Treeza | Nurse Practitioner | 7 Meridian Rd, Eatontown, NJ 07724-2242 | 2017-02-08 |
| 1396100020 | Joanne Peterson | Nurse Practitioner | 615 Hope Rd, Building 5a, Eatontown, NJ 07724-1277 | 2015-12-23 |
| 1144635517 | Kimberly Tallia | Nurse Practitioner | 142 Route 35, Suite 103, Eatontown, NJ 07724-1876 | 2014-06-24 |
| 1265879241 | Cheryl Ann Leiningen | Nurse Practitioner | 615 Hope Rd Ste 5, Eatontown, NJ 07724-1273 | 2013-05-30 |
| 1992076640 | Kelly W Murakata | Nurse Practitioner | 10a Main St, Eatontown, NJ 07724-3413 | 2012-01-25 |
| 1447586763 | Susan Ann Pepe | Nurse Practitioner | 615 Hope Rd, Building 5, Eatontown, NJ 07724-1277 | 2009-10-21 |
| 1972753176 | Evelyn Olufunmilayo Akanbi | Nurse Practitioner | 615 Hope Rd, Visiting Physician, Building 5, Eatontown, NJ 07724-1277 | 2008-09-24 |
| 1497913669 | Marian K Paull | Nurse Practitioner | 615 Hope Rd, Bldg 5, Eatontown, NJ 07724-1277 | 2008-05-23 |
| 1467640557 | Brenda Rummel | Nurse Practitioner | 615 Hope Rd, Building 5, Eatontown, NJ 07724-1277 | 2007-10-15 |
| Find all providers in EATONTOWN | ||||
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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.