KELLY K GIFFORD (NPI# 1558652495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558652495 |
| Entity Type | Individual |
| Full Name | KELLY K GIFFORD |
| Credential | RN |
| Practice Address |
303 Gervais Rd Franklin Furnace OH 45629-8742 |
| Mailing Address |
637 Joell Ln Wheelersburg OH 45694-1964 |
| Practice Telephone | 7402597002 |
| Mailing Telephone | 7404645263 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2017-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
392196 | OH | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | P.N. 142099 M IV | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO BOARD OF NURSING | 392196 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730523143 | Kelly Ann Gifford | Licensed Practical Nurse | 1117 N Glencove Rd, Syracuse, NY 13206-2302 | 2013-04-29 |
| Street Address |
303 GERVAIS RD |
| City | FRANKLIN FURNACE |
| State | OH |
| Zip Code | 45629-8742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783774 | Jennifer Cantrell | Counselor | 303 Gervais Rd, Franklin Furnace, OH 45629-8742 | 2020-06-03 |
| 1578185682 | Hannah Lee Shope | Counselor | 303 Gervais Rd, Franklin Furnace, OH 45629-8742 | 2020-05-12 |
| 1619501624 | Brayden Paul Gifford | Counselor | 303 Gervais Rd, Franklin Furnace, OH 45629-8742 | 2020-02-28 |
| 1811527237 | Clint Hatfield | Counselor | 303 Gervais Rd, Franklin Furnace, OH 45629-8742 | 2020-01-24 |
| 1710517404 | Alyx Jackson | Counselor | 303 Gervais Rd, Franklin Furnace, OH 45629-8742 | 2020-01-22 |
| 1083251508 | Haley Lynn Wheeler | Counselor | 303 Gervais Rd, Franklin Furnace, OH 45629-8742 | 2019-12-03 |
| 1790329225 | Michael Fredrick Adams | Counselor | 303 Gervais Rd, Franklin Furnace, OH 45629-8742 | 2019-10-28 |
| 1780239822 | Stacie Marie Owens | Case Manager/Care Coordinator | 303 Gervais Rd, Franklin Furnace, OH 45629-8742 | 2019-08-06 |
| 1619444320 | Erica Leigh Williams | Counselor | 303 Gervais Rd, Franklin Furnace, OH 45629-8742 | 2018-10-31 |
| 1053895391 | Courtney Mechell Benner | Counselor | 303 Gervais Rd, Franklin Furnace, OH 45629-8742 | 2018-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457688251 | Nancy Kay Gullett | Licensed Practical Nurse | 45 Arizona Ave, Franklin Furnace, OH 45629 | 2009-11-16 |
| 1538384672 | Alma Christina Shortridge | Licensed Practical Nurse | 55 Hyland Ave, Franklin Furnace, OH 45629 | 2007-04-16 |
| 1164575858 | Ramona F Lauer | Registered Nurse | 53 Meadow Dr, Franklin Furnace, OH 45629 | 2007-01-18 |
| 1700987658 | Selena Haney | Counselor | 4578 Gallia Pike, Franklin Furnace, OH 45629 | 2006-09-25 |
| 1356854475 | Sargina Engle | Counselor | 4578 Gallia Pike, Franklin Furnace, OH 45629 | 2017-11-11 |
| 1083136014 | Lindsay Johnson | Counselor | 4578 Gallia Pike, Franklin Furnace, OH 45629 | 2017-07-12 |
| 1568615425 | Brenda K Baldridge | Nurse Practitioner | 4578 Gallia Pike, Franklin Furnace, OH 45629 | 2008-10-23 |
| 1801807185 | Cindy Jo Newsom | Occupational Therapist | 4014 Big Pete Rd, Franklin Furnace, OH 45629-3200 | 2006-08-11 |
| 1417597626 | Therapy Plus Inc. | Occupational Therapy Assistant | 381 Camp St, Franklin Furnace, OH 45629-7503 | 2020-01-15 |
| 1972148716 | Rapid Response Transportation Services | Private Vehicle | 381 Camp St, Franklin Furnace, OH 45629-7503 | 2019-11-15 |
| Find all providers in zip 45629 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572858 | Jessica Metz | Registered Nurse | 4209 Glacier Ave Nw, Massillon, OH 44646-1429 | 2020-09-14 |
| 1265041792 | Joyce Ann Krivinskas | Registered Nurse | 4553 Harris Rd, Broadview Hts, OH 44147-2903 | 2020-07-30 |
| 1134754799 | Shannan Renee Billingsley | Registered Nurse | 6045 Waldway Ln, Cincinnati, OH 45224-2751 | 2020-03-04 |
| 1588136899 | Misty Dawn Buckley | Registered Nurse | 1570 S River Rd, Zanesville, OH 43701-7186 | 2018-12-27 |
| 1295210813 | Tyler Parsons | Registered Nurse | 303 E Cherry St, Georgetown, OH 45121-1338 | 2018-09-28 |
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1053803650 | Jacqueline Kay Schade | Registered Nurse | 41641 N Ridge Rd # 3, Elyria, OH 44035-1264 | 2018-05-31 |
| 1194220350 | Beverly Bettinger | Registered Nurse | 732s Main St, Toledo, OH 43605-2338 | 2018-03-28 |
| 1205366200 | Nakisha Bailey | Registered Nurse | 350 South Irwin Road, Swanton, OH 43558 | 2017-06-13 |
| 1164971438 | Clifford Alexander Payne | Registered Nurse | 5737 Brookside Rd, Independence, OH 44131-6012 | 2016-09-28 |
| Find all providers with the same taxonomy | ||||
| City | FRANKLIN FURNACE |
| Zip Code | 45629 |
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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.