PATRICIA ANN KELLY (NPI# 1518974997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518974997 |
| Entity Type | Individual |
| Full Name | PATRICIA ANN KELLY |
| Other Name | PATRICIA ANN RAINES |
| Credential | M.D. |
| Practice Address |
530 Atkins Blvd Marianna AR 72360-2113 |
| Practice Telephone | 8702955225 |
| Mailing Telephone | 8702955225 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
E-0678 | AR | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | E-0678 | AR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 20968 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | DEA | BK4704082 | 01 |
| AR | 128410001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720575186 | Patricia Kelly | Physical Therapist | 128 Hampton Dr, Berkeley Heights, NJ 07922-2527 | 2018-04-20 |
| 1861842908 | Patricia Kelly | Registered Nurse | 9649 Covemeadow Dr, Dallas, TX 75238-1819 | 2016-06-20 |
| 1124498530 | Patricia Kelly | Registered Nurse | 65 Carman Rd, Scarsdale, NY 10583-6326 | 2015-09-28 |
| 1568729473 | Patricia Kelly | Social Worker | 6940 N Keating Ave, Lincolnwood, IL 60712-2408 | 2012-04-16 |
| 1366759532 | Patricia Kelly | Licensed Vocational Nurse | 27 Clinton Rd, Garden City, NY 11530-6338 | 2010-09-08 |
| 1306080676 | Patricia Ann Kelly | Licensed Practical Nurse | 114 Parsons Rd, Camillus, NY 13031-2144 | 2009-04-29 |
| 1194924530 | Patricia L Kelly | Psychiatry & Neurology | 2305 Matthew Ave Nw, Albuquerque, NM 87104-3214 | 2007-07-16 |
| 1023217098 | Patricia Marie Kelly | Specialist | 66 Oak Dr, Calverton, NY 11933-1100 | 2007-07-11 |
| 1659438976 | Patricia Elizabeth Kelly | Physician Assistant | 116 W Mitchell St, Petoskey, MI 49770-2324 | 2007-01-03 |
| 1568535045 | Patricia Kelly | Speech-Language Pathologist | 140 S Gilbert Rd, Gilbert, AZ 85296-1016 | 2006-11-15 |
| Street Address |
530 ATKINS BLVD |
| City | MARIANNA |
| State | AR |
| Zip Code | 72360-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679581532 | Lee County Cooperative Clinic | Clinic/Center | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2006-08-04 |
| 1447863147 | Brittany Mitchell | Dentist | 530 Atkins Blvd, Marianna, AR 72360-2198 | 2020-08-24 |
| 1033765490 | Keisha A. Fox | Nurse Practitioner | 530 Atkins Blvd, Marianna, AR 72360-2198 | 2019-08-12 |
| 1174981104 | Marlo S. Williams | Nurse Practitioner | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2016-02-04 |
| 1558767178 | Vanessa Jefferson | Nurse Practitioner | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2014-11-10 |
| 1235465303 | Yee L Yang | Dentist | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2009-10-26 |
| 1700034998 | Lee County Cooperative Clinic | Clinic/Center | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2008-09-03 |
| 1245491380 | Harry Andre Michel | Family Medicine | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2008-06-20 |
| 1346430980 | Linda F Collins | Family Medicine | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2007-07-30 |
| 1134257967 | Jacquolyn Jo Early | Nurse Practitioner | 530 Atkins Blvd, Marianna, AR 72360-2198 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255843306 | Hannah Michelle Byrd | Occupational Therapy Assistant | 3326 Hwy 1 South, Forrest City, AR 72360 | 2017-10-30 |
| 1114237369 | Don W. Ball, M.d. P,a. | General Practice | 154 Mulberry Street, Marianna, AR 72360 | 2010-10-20 |
| 1528234101 | Counseling Consultants | Clinic/Center | 199 Hwy 243, Marianna, AR 72360 | 2008-05-05 |
| 1467658435 | Requisha Denee Brooks | Home Health Aide | 218 E. Mlk Apt 1, Marianna, AR 72360 | 2007-06-26 |
| 1740310481 | Abe Lovelace | Social Worker | 63 N Carolina St, Marianna, AR 72360 | 2007-03-06 |
| 1932254653 | Alisia Skinner | Physical Therapy Assistant | 700 West Chestnut, Marianna, AR 72360 | 2007-01-24 |
| 1063577682 | James Wilson Jr. | Lodging | 1679 Highway 243 South, Marianna, AR 72360 | 2006-12-26 |
| 1073693701 | Marianna Family Medicine Clinic Pllc | Family Medicine | 29 West Tennessee Street, Marianna, AR 72360 | 2006-10-17 |
| 1467469718 | Jonathan Simmons | Optometrist | 219 W. Chestnut, Marianna, AR 72360 | 2006-08-01 |
| 1093093247 | Valentine C Emechete | Dentist | 530 West Atkins Blvd, Mrianna, AR 72360 | 2011-07-21 |
| Find all providers in zip 72360 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225184930 | Marianna Medical Associates Inc | Family Medicine | 4349 Lafayette St, Marianna, FL 32446-2915 | 2007-01-26 |
| 1073693701 | Marianna Family Medicine Clinic Pllc | Family Medicine | 29 West Tennessee Street, Marianna, AR 72360 | 2006-10-17 |
| 1699720367 | Mark R Akerson | Family Medicine | 4284 Kelson Ave, Marianna, FL 32446-2948 | 2006-05-23 |
| 1295713659 | Richard C Goff | Family Medicine | 3031 6th St, Marianna, FL 32446-1930 | 2006-01-05 |
| 1124013925 | Susan Wanda Balke | Family Medicine | 171 Cherry St, Marianna, AR 72360-1938 | 2005-09-18 |
| 1245599828 | Marianna Family Care Center, LLC | Family Medicine | 2928 Daniels St, Marianna, FL 32446-2912 | 2012-05-16 |
| 1376777029 | Richard C. Goff, M.d. | Family Medicine | 3031 6th St, Marianna, FL 32446-1930 | 2009-05-11 |
| 1245491380 | Harry Andre Michel | Family Medicine | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2008-06-20 |
| 1598930679 | Panhandle Family Care Associates Inc | Family Medicine | 4284 Kelson Ave, Marianna, FL 32446-2948 | 2008-04-29 |
| 1346430980 | Linda F Collins | Family Medicine | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2007-07-30 |
| Find all providers in MARIANNA | ||||
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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.