KELLY O'CONNELL


Address: 1204 W Main St, 5th Floor, Charlottesville, VA 22903-2824
Phone: 8003622203

KELLY O'CONNELL (NPI# 1508312612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508312612
Entity Type Individual
Full Name KELLY O'CONNELL
Credential PNP
Practice Address 1204 W Main St
5th Floor
Charlottesville
VA 22903-2824
Mailing Address Po Box 9007
Charlottesville
VA 22906-9007
Practice Telephone 8003622203
Practice Fax Number 4342435204
Enumeration Date 2016-08-29
Last Update Date 2016-08-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
0024173788 VA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY O'CONNELL

NPI Name Taxonomy Address Enumeration
1952645103 Kelly O'connell Registered Nurse 3937 Solano Ave, Napa, CA 94558-2262 2012-11-11
1043848039 Kelly Doris O'connell Dietitian, Registered 35 Miles St, Damariscotta, ME 04543-4047 2020-03-27
1619504727 Kelly O'connell Student in an Organized Health Care Education/Training Program 3100 N Tenaya Way, Graduate Medical Education, Las Vegas, NV 89128-0431 2020-03-26
1376097048 Kelly O'connell Physical Therapist 22 Tompkins St, Waterbury, CT 06708-1458 2016-08-10
1861884546 Kelly Anne O'connell Registered Nurse 10 Shurs Ln Ste 203, Philadelphia, PA 19127-2123 2015-03-04
1932459559 Kelly Lynne O'connell Physician Assistant 75 Francis St, Boston, MA 02115-6110 2012-09-11
1639428873 Kelly O'connell Social Worker 96 South St, Ware, MA 01082-1616 2012-09-04

Office Location

Street Address 1204 W MAIN ST
5TH FLOOR
City CHARLOTTESVILLE
State VA
Zip Code 22903-2824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811980287 Ann Lenox Kellams Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2005-08-31
1982210357 Olivia Oriana Obertello Dietitian, Registered 1204 W Main St, Charlottesville, VA 22903-2824 2020-09-21
1417563180 Caitlin E Anderson Psychologist 1204 W Main St, Charlottesville, VA 22903-2824 2020-09-18
1821611286 Mackenzie Trapp Genetic Counselor, MS 1204 W Main St, Charlottesville, VA 22903-2824 2020-05-20
1740836287 Sarah Burnett Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2019-08-12
1609439207 Meredith Jordan Student in an Organized Health Care Education/Training Program 1204 W Main St, Charlottesville, VA 22903-2824 2019-04-18
1376007328 Kaitlyn Geib Nurse Practitioner 1204 W Main St, Charlottesville, VA 22903-2824 2019-01-24
1275017147 Haley F. Stephens Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2018-09-18
1114414919 Shelley Towner Genetic Counselor, MS 1204 W Main St, Charlottesville, VA 22903-2824 2018-04-17
1891291944 Elina Bank Dietitian, Registered 1204 W Main St, Charlottesville, VA 22903 2018-04-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326671009 Ticynn Symone London Specialist/Technologist 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 2020-02-20
1043853542 Elaine Mccall Dietitian, Registered 1335 Jefferson Park Ave, Charlottesville, VA 22903 2019-10-28
1205480753 Sean Robert Bennett Clinic/Center 433 Ednam Drive, Charlottesville, VA 22903 2019-08-01
1922562818 Lynn Owen Taggart Student in an Organized Health Care Education/Training Program 300 Grassmere Rd, Charlottesville, VA 22903 2019-01-25
1831636166 Sarah Michelle Richin Social Worker 709 A West Main St, Charlottesville, VA 22903 2017-01-25
1962868851 Kelly Stewart Maurer Counselor 3101 Fontaine Avenue, Charlottesville, VA 22903 2016-01-07
1831592039 Bearley Dental PC Dentist 901 Preston Ave, Suite 200, Charlottesville, VA 22903 2014-10-01
1730437823 Frances Eva Demmerle Neuromusculoskeletal Medicine & OMM 1149 Rose Hill Dr., Charlottesville, VA 22903 2012-08-21
1801142229 University of Virginia General Acute Care Hospital 1925 Beechcrest Court, Charlottesville, VA 22903 2012-08-03
1407123516 Laura P. Handler Counselor 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 2011-11-18
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811471139 Jessica Tabor Cline Nurse Practitioner 900a Rio East Ct, Charlottesville, VA 22901-8040 2018-09-21
1801396767 Marissa Terry Nurse Practitioner 1300 Jefferson Park Ave Fl4, Charlottesville, VA 22908-2824 2018-02-17
1518091776 Sarah E. Roberts Nurse Practitioner 900 Rio East Ct Ste A, Charlottesville, VA 22901-8040 2007-03-16
1396393419 Marta Moore Nurse Practitioner 1215 Lee St, Charlottesville, VA 22908-0816 2019-09-02
1376007328 Kaitlyn Geib Nurse Practitioner 1204 W Main St, Charlottesville, VA 22903-2824 2019-01-24
1801373675 Stephanie Kidney Nurse Practitioner 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2018-07-25
1912410713 Kathryn Lynn Shepley Nurse Practitioner 400 Brandon Ave, Charlottesville, VA 22903-3310 2017-11-15
1467962860 Elizabeth Taylor Salajegheh Nurse Practitioner 1215 Lee St, Charlottesville, VA 22908-0816 2017-10-11
1356896591 Alison W. Sturgill Nurse Practitioner 1204 W Main St, Charlottesville, VA 22903-2824 2016-08-17
1528433018 Karri M. Bishop Nurse Practitioner 1204 W Main St, Charlottesville, VA 22908-2824 2015-12-09
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Competitor

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City CHARLOTTESVILLE
Zip Code 22903

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Dataset Information

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.

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