LAURA KELLY (NPI# 1548430259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548430259 |
| Entity Type | Individual |
| Full Name | LAURA KELLY |
| Credential | RAS |
| Practice Address |
1735 Enterprise Dr Bldg 1 Fairfield CA 94533-6822 |
| Practice Telephone | 7074251799 |
| Practice Fax Number | 7074251081 |
| Mailing Telephone | 7074251799 |
| Mailing Fax Number | 7074251081 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RAS K0411150752 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRUG MEDICAL | 1093925018 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516012 | Laura Alexandra Kelly | Clinic/Center | 599 Knollwood Rd, White Plains, NY 10603-1918 | 2020-10-21 |
| 1487113148 | Laura B Kelly | Nurse Practitioner | 2300 Linda Dr, Conway, AR 72032-8999 | 2019-03-12 |
| 1275032385 | Laura Kelly | Nutritionist | 3131 Gosheff Ln, Gambrills, MD 21054-1936 | 2018-02-04 |
| 1912452988 | Laura Kelly | Counselor | 6258 N Artesian Ave, Apt 1, Chicago, IL 60659-2845 | 2016-08-19 |
| 1154770758 | Laura Kelly | Occupational Therapist | 355 N Wilmot Rd, Tucson, AZ 85711-2601 | 2016-06-06 |
| 1235518630 | Laura Kelly | Speech-Language Pathologist | 3329 Saint Georges Way, Loveland, OH 45140-1551 | 2015-05-19 |
| 1225313141 | Laura Kelly | Occupational Therapy Assistant | 94 Peddler Hill Rd, Monroe, NY 10950-2022 | 2011-10-12 |
| 1518287515 | Laura Elizabeth Kelly | Acupuncturist | 19616 Walnut Trl, Topanga, CA 90290-3120 | 2010-06-02 |
| 1548597263 | Laura E Kelly | Physical Therapist | 60 Lumber St, Hopkinton, MA 01748-2304 | 2009-11-17 |
| 1174723258 | Laura J Kelly | Speech-Language Pathologist | 39 Lake Shore Rd, Salem, NH 03079-1975 | 2007-07-18 |
| Street Address |
1735 ENTERPRISE DR BLDG 1 |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-6822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093925018 | Healthy Partnerships | Community/Behavioral Health | 1735 Enterprise Dr Bldg 1, Fairfield, CA 94533-6822 | 2007-05-22 |
| 1477857654 | Marie Geralyn Rogers | Counselor | 1735 Enterprise Dr Bldg 1, Fairfield, CA 94533-6822 | 2011-01-03 |
| 1285948018 | Healthypartnerships | Health Maintenance Organization | 1735 Enterprise Dr Bldg 1, Fairfield, CA 94533-6822 | 2010-08-04 |
| 1487981866 | Samuel Sirineu Galvao | Counselor | 1735 Enterprise Dr Bldg 1, Suite 105a, Fairfield, CA 94533-6822 | 2009-11-05 |
| 1225299696 | Cecilia Garibay | Counselor | 1735 Enterprise Dr Bldg 1, Suite 205d, Fairfield, CA 94533-6822 | 2008-06-18 |
| 1730350604 | Tiffany Turner | Counselor | 1735 Enterprise Dr Bldg 1, Fairfield, CA 94533-6822 | 2008-03-18 |
| 1588834204 | Maria Morgan | Counselor | 1735 Enterprise Dr Bldg 1, Fairfield, CA 94533-6822 | 2008-03-10 |
| 1780854406 | Lori Cairns | Counselor | 1735 Enterprise Dr Bldg 1, Fairfield, CA 94533-6822 | 2008-03-10 |
| 1073783726 | Raul E Vega | Counselor | 1735 Enterprise Dr Bldg 1, Fairfield, CA 94533-6822 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411386 | Darren Hailey | Counselor | 72 Villa Cir, Fairfield, CA 94533-2523 | 2020-03-04 |
| 1013567270 | Asia Robinson | Counselor | 1165 Dove Way, Fairfield, CA 94533-2542 | 2019-09-18 |
| 1689220477 | Carl Leonard Fessenden | Counselor | 1974 Winchester Pl, Fairfield, CA 94533-3618 | 2019-08-16 |
| 1598262677 | Jason Michael Levline | Counselor | 5266 Charlene Ave, Fairfield, OH 45014-1535 | 2018-04-06 |
| 1497285084 | Beth A. Bronfman | Counselor | 87 Fairfield Rd, Fairfield, NJ 07004-2546 | 2017-06-15 |
| 1588191290 | Kirk D. Condon | Counselor | 201 South 23rd, Fairfield, IA 52556 | 2017-05-12 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1730639329 | Jonathon Grogan | Counselor | 2480 Hilborn Rd, Fairfield, CA 94534-1856 | 2016-10-07 |
| 1295119196 | Sara Faye Jones | Counselor | 745 Ohio St Apt 2, Fairfield, CA 94533-6222 | 2015-07-10 |
| 1205242583 | Amy Lynn Davis | Counselor | 620 Julmar Cir, Fairfield, CA 94534-4214 | 2014-07-07 |
| Find all providers in FAIRFIELD | ||||
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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.