KELLY SMERLING (NPI# 1497144612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497144612 |
| Entity Type | Individual |
| Full Name | KELLY SMERLING |
| Practice Address |
6900 Alden Dr Fe Warren Afb WY 82005-3906 |
| Mailing Address |
115 Montalto Dr 15a Cheyenne WY 82007-6519 |
| Practice Telephone | 3077735661 |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
19497 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6900 ALDEN DR |
| City | FE WARREN AFB |
| State | WY |
| Zip Code | 82005-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457990863 | Vivian Colette Tran | Pharmacist | 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 | 2020-01-02 |
| 1275096737 | Richard K Newman | Student in an Organized Health Care Education/Training Program | 6900 Alden Dr, Fe Warren Afb, WY 82005-2945 | 2019-04-11 |
| 1952806069 | Jodi Lynn Keithley | Dietitian, Registered | 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 | 2018-03-29 |
| 1437675949 | Thomas Charles Ingersoll Jr. | Physician Assistant | 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 | 2017-08-16 |
| 1730619446 | Lauren Joann Redlinger | Family Medicine | 6900 Alden Dr, Fe Warren Afb, WY 82005-2945 | 2017-06-14 |
| 1427421312 | Rebecca Dawn Ishola | Registered Nurse | 6900 Alden Dr, Fe Warren Afb, WY 82005-2945 | 2015-11-02 |
| 1679953640 | Mary Frances Macleod | Pediatrics | 6900 Alden Dr, Fe Warren Afb, WY 82005 | 2015-06-04 |
| 1578979688 | 90th Medical Group-united States Air Force | Military/U.S. Coast Guard Pharmacy | 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 | 2014-07-09 |
| 1407289069 | James Henry Barry Jr. | Pediatrics | 6900 Alden Dr, Fe Warren Afb, WY 82005-2945 | 2013-08-18 |
| 1801183579 | Ryan Patrick Voth | Psychiatry & Neurology | 6900 Alden Dr, Attn: 90 Mdos/sgoz Flight Med, Fe Warren Afb, WY 82005-3906 | 2011-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250597 | Brittany Corrin Souder | Military Health Care Provider | 1600 Aldene Drive, Fe Warren Afb, WY 82005 | 2020-06-23 |
| 1093368110 | Aaron Michael Keating | Student in an Organized Health Care Education/Training Program | Mental Health Clinic, 90th Omrs, Fe Warren Clinic, Fe Warren Afb, WY 82005 | 2019-07-17 |
| 1477643823 | Paul Hoon Kim | Dentist | 90 Mdos, 6900 Alden Dr, F.e. Warren Afb, WY 82005 | 2006-10-14 |
| 1568495315 | Joseph Myles Simpson, Jr. | Dentist | F E Warren Air Force Base Dental Clinic, 6900 Alden Drive, Cheyenne, WY 82005 | 2006-07-07 |
| 1306864632 | Lisa Sung Eun Lee | Pharmacist | 6900 Alden Drive, Fe Warren Afb, WY 82005 | 2006-07-17 |
| 1992957252 | Perala Enterprises, LLC | Eyewear Supplier (Equipment, not the service) | 6207 Missile Dr, Building 722, Ft Warren Afb, WY 82005-2407 | 2008-10-17 |
| 1972157808 | James Turvy | Dentist | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-2945 | 2019-07-29 |
| 1245478676 | Denise E Campbell | Nutritionist | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-3906 | 2009-01-22 |
| 1255837332 | Robert Usher Wright Jr. | General Practice | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-3906 | 2018-04-05 |
| 1396018982 | Ryan Christopher Reynolds | Pharmacist | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-3906 | 2012-02-14 |
| Find all providers in zip 82005 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649642034 | Christa J Kovachevich | Nurse Practitioner | 1307 Crook Ave, Cheyenne, WY 82001-5412 | 2015-10-23 |
| 1255713194 | Venessa Yoosook | Nurse Practitioner | 940 E 3rd St Ste 102, Casper, WY 82601-3200 | 2015-06-28 |
| 1730730771 | Tamara S Walker | Nurse Practitioner | 1180 College Dr, Rock Springs, WY 82901-5863 | 2019-09-20 |
| 1265087993 | Pony Express Pediatrics, LLC | Nurse Practitioner | 1307 Crook Ave, Cheyenne, WY 82001-5412 | 2019-08-08 |
| 1184123556 | Aven Garms Glazer | Nurse Practitioner | 14 Great Plains Road, Arapahoe, WY 82510 | 2018-02-12 |
| 1306238654 | Patricia Lea Shue | Nurse Practitioner | 1016 W Spruce St Unit A, Rawlins, WY 82301-5371 | 2015-02-24 |
| 1942546015 | Rachel Anne Helms | Nurse Practitioner | 1300 W 4th St, Gillette, WY 82716-3330 | 2012-12-18 |
| 1881830636 | Collin D. Prince | Nurse Practitioner | 4116 Laramie St, Cheyenne, WY 82001-1969 | 2008-12-29 |
| 1972785731 | Jennifer L Guernsey | Nurse Practitioner | 2301 House Ave, 405, Cheyenne, WY 82001-3176 | 2007-12-03 |
| 1538365895 | Holly Ann Hink II | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2007-06-25 |
| Find all providers with the same taxonomy | ||||
| City | FE WARREN AFB |
| Zip Code | 82005 |
Please comment or provide details below to improve the information on KELLY SMERLING.
| 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.