EVELYN KELLY (NPI# 1497927685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497927685 |
| Entity Type | Individual |
| Full Name | EVELYN KELLY |
| Credential | AUD |
| Practice Address |
1250 Hancock St Quincy MA 02169-4339 |
| Practice Telephone | 6177740750 |
| Practice Fax Number | 6177740758 |
| Mailing Telephone | 6177740750 |
| Mailing Fax Number | 6177740758 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2009-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 863 | MA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | FALLON COMMUNITY HEALTH PLAN | 1497927685 | 01 |
| MA | AENTA | 9924352 | 01 |
| MA | NEIGHBORHOOD HEALTH PLAN | 1497927685 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457627770 | Evelyn Patricia Kelly | Registered Nurse | 3711 21st Ave, Long Island City, NY 11105-1838 | 2012-03-30 |
| Street Address |
1250 HANCOCK ST |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-4339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683276 | Mirza Baig | Internal Medicine | 1250 Hancock St, Quincy, MA 02169-4339 | 2005-07-18 |
| 1881241925 | Laura Jarvi | Nurse Practitioner | 1250 Hancock St, Quincy, MA 02169-4339 | 2019-08-22 |
| 1700320686 | Jillian Fiori | Speech-Language Pathologist | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-12-12 |
| 1740734623 | Megan Flicker | Registered Nurse | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-08-09 |
| 1790135556 | Jennie Krasker | Obstetrics & Gynecology | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-06-13 |
| 1104206861 | Juan Qu | Optometrist | 1250 Hancock St, Quincy, MA 02169 | 2015-06-08 |
| 1568877447 | Dermcare Experts LLC | Dermatology | 1250 Hancock St, Suite 505s, Quincy, MA 02169-4339 | 2014-06-30 |
| 1104266154 | Aviva S. Wilcox | Psychologist | 1250 Hancock St, Harvard Vanguard Medical Associates - Behavioral Health, Quincy, MA 02169-4339 | 2013-07-03 |
| 1659636496 | William Eugene Fitzgerald | Counselor | 1250 Hancock St, Quincy, MA 02169-4339 | 2012-07-09 |
| 1467713602 | Erica Thrower | Counselor | 1250 Hancock St, Quincy, MA 02169-4339 | 2012-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790043982 | Quincy Audiology, LLC | Audiologist | 1622 Vermont St, Quincy, IL 62301-3156 | 2012-04-25 |
| 1437448081 | Brian J Kim | Audiologist | 1107 College Ave Ste 2, Quincy, IL 62301-2600 | 2011-04-05 |
| 1942488069 | Kevin Sean Ballard | Audiologist | 731 Maine St, Quincy, IL 62301-4012 | 2008-01-31 |
| 1104005834 | Cailyn Elizabeth Kelly | Audiologist | 500 Congress St Ste 2j, Quincy, MA 02169-0960 | 2007-10-30 |
| 1699804757 | Moss Hearing Aids, Incorporated | Audiologist | 114 N 6th St, Quincy, IL 62301-2904 | 2007-03-05 |
| 1235155938 | Kristen Marie Dolan | Audiologist | 68 E Central Ave # 1b, Quincy, CA 95971-9718 | 2006-07-14 |
| 1205453859 | Hannah Lee Mahon | Audiologist | 731 Maine St, Quincy, IL 62301-4012 | 2020-06-30 |
| 1376996769 | Amanda Jean Wand | Audiologist | 731 Maine St, Quincy, IL 62301-4012 | 2016-07-20 |
| 1497106389 | Valeria Duque | Audiologist | 500 Congress St, Suite 2j, Quincy, MA 02169-0908 | 2016-06-22 |
| 1548679624 | Mayflower Audiology, LLC | Audiologist | 1515 Hancock St, Quincy, MA 02169-5243 | 2014-08-04 |
| Find all providers in QUINCY | ||||
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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.