DR. TARA LEIGH KELLY (NPI# 1558650416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558650416 |
| Entity Type | Individual |
| Full Name | DR. TARA LEIGH KELLY |
| Credential | M.D. |
| Practice Address |
350 E 17th St 20th Floor, Baird Hall New York NY 10003-3805 |
| Mailing Address |
18 Chestnut Dr Plainview NY 11803-1931 |
| Practice Telephone | 5169870064 |
| Mailing Telephone | 5169870064 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144623844 | Tara Marie Kelly | Speech-Language Pathologist | 520 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2014-10-08 |
| 1073809992 | Tara Kelly | Counselor | 309 S 7th St Ste A, Adel, IA 50003-1838 | 2011-06-20 |
| 1902411655 | Tara Kelly | Counselor | 548 S 17th St, Harrisburg, PA 17104-2223 | 2020-09-10 |
| 1487272449 | Tara Kelly | Social Worker | 591 Lakehurst Rd, Toms River, NJ 08755-8045 | 2020-07-07 |
| 1790135903 | Tara Lynn Kelly | Anesthesiology | 169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425-8905 | 2016-06-18 |
| 1770909855 | Tara K. Kelly | Specialist/Technologist | 1605 W Main St, Norristown, PA 19403-3229 | 2014-03-12 |
| 1346505930 | Tara Lynn Kelly | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2012-07-10 |
| 1326300070 | Tara Kelly | Specialist | 300 Garden City Plaza, Garden City, NY 11530 | 2012-06-08 |
| 1396995163 | Tara M Kelly | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2008-09-29 |
| 1376689547 | Tara Kelly | Nurse Practitioner | 3220 S Douglas Rd Ste B, Miramar, FL 33025-2734 | 2007-01-29 |
| Street Address |
350 E 17TH ST 20TH FLOOR, BAIRD HALL |
| City | NEW YORK |
| State | NY |
| Zip Code | 10003-3805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598750515 | Rachel J. Masch | Obstetrics & Gynecology | 350 E 17th St, 9th Floor - Baird, New York, NY 10003-3805 | 2005-09-15 |
| 1588291058 | Chinazor Iwuaba | Student in an Organized Health Care Education/Training Program | 350 E 17th St, New York, NY 10003-3805 | 2020-03-25 |
| 1528520145 | Derek Denhow Pan | Student in an Organized Health Care Education/Training Program | 350 E 17th St, New York, NY 10003-3805 | 2019-04-02 |
| 1306334388 | Mathew Birnbaum | Student in an Organized Health Care Education/Training Program | 350 E 17th St, New York, NY 10003-3805 | 2018-04-25 |
| 1538666029 | Kathryn Konicke | Student in an Organized Health Care Education/Training Program | 350 E 17th St, New York, NY 10003-3805 | 2018-04-10 |
| 1629573845 | Jonathan Aviv Golani | Student in an Organized Health Care Education/Training Program | 350 E 17th St, New York, NY 10003-3805 | 2018-03-28 |
| 1316446289 | Jenna Brooke Strauss | Physician Assistant | 350 E 17th St, New York, NY 10003-3805 | 2018-02-06 |
| 1609309558 | Frederick Rozenshteyn | Student in an Organized Health Care Education/Training Program | 350 E 17th St, Department of Medicine Baird Hall 20th Flr, New York, NY 10003-3805 | 2017-04-07 |
| 1831620178 | Puja Parikh | Student in an Organized Health Care Education/Training Program | 350 E 17th St, New York, NY 10003-3805 | 2017-03-27 |
| 1770014706 | Marianna Atiya | Student in an Organized Health Care Education/Training Program | 350 E 17th St, New York, NY 10003-3805 | 2017-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1518586999 | Sandra Zajac | Student in an Organized Health Care Education/Training Program | 350 E17th St, 15 Baird Hall R15bh52, New York, NY 10003 | 2020-04-15 |
| 1235767260 | Katharine Krushel | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Israel, First Avenue At 16th Street, 7th Floor, Bernstein Pavilion Department of Psychiatry, New York, NY 10003 | 2020-03-27 |
| 1942836861 | Suzanne Redlich | Social Worker | 340 East 17th Street, Silver L.s53, New York, NY 10003 | 2020-03-23 |
| 1245864271 | Maureen Kreider | Nurse Practitioner | 4 Irving Place, Con Edison Employee Wellness Center, New York, NY 10003 | 2020-02-28 |
| 1235780321 | Stacy Hibbert | Social Worker | 337 East Street, New York, NY 10003 | 2019-09-20 |
| 1841846862 | Miryam Alkayyali | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Isreal, First Avenue and 16th Street, New York, NY 10003 | 2019-08-15 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1154973105 | Bob P Silverstein | Social Worker | 300 Mercer St., #11e, Bob P. Silverstein, Lcsw, New York, NY 10003 | 2019-07-10 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
| 1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1558968537 | Yiyang Zhang | Student in an Organized Health Care Education/Training Program | 1000 10th Ave Fl 2, New York, NY 10019-1147 | 2020-10-03 |
| 1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
| 1285241018 | Grace A Forrester | Student in an Organized Health Care Education/Training Program | 517 W 121st St Apt 604s, New York, NY 10027-5901 | 2020-09-25 |
| 1235746199 | Christopher Alexis Perez Lizardo | Student in an Organized Health Care Education/Training Program | 515 W 59th St Apt 29b, New York, NY 10019-1042 | 2020-09-24 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
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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.