JEREMY GLEN KELLEMS (NPI# 1558709584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558709584 |
| Entity Type | Individual |
| Full Name | JEREMY GLEN KELLEMS |
| Credential | NP |
| Practice Address |
3600 Mountain Rd Glen Allen VA 23060-1930 |
| Mailing Address |
13700 N Gayton Rd Richmond VA 23233-7017 |
| Practice Telephone | 8046728725 |
| Mailing Telephone | 8044324133 |
| Mailing Fax Number | 8042139783 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0001209239 | VA | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0017141048 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024170856 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3600 MOUNTAIN RD |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23060-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225089519 | Ggnsc Glen Allen Manor LLC | Skilled Nursing Facility | 3600 Mountain Rd, Glen Allen, VA 23060-1930 | 2006-05-12 |
| 1396289179 | Gl Virginia Elizabeth House, LLC | Skilled Nursing Facility | 3600 Mountain Rd, Glen Allen, VA 23060-1930 | 2016-12-13 |
| 1699145938 | Whitney Jade Powell Mooney | Speech-Language Pathologist | 3600 Mountain Rd, Glen Allen, VA 23060-1930 | 2015-09-29 |
| 1982716593 | Mid Atlantic Rehabilitation Specialists, Plc | Physical Medicine & Rehabilitation | 3600 Mountain Rd, Glen Allen, VA 23060-1930 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469715 | Romy Sharieff | Midwife | 10433 Mountain Glen Pkwy, Glen Allen, VA 23060 | 2020-02-13 |
| 1366934549 | Guillermo Del Campo | Optometrist | 4114 Innslake Drive, Glen Allen, VA 23060 | 2018-06-04 |
| 1871013771 | Wecare Medical Transportation Inc. | Driver | 10524 Boscastle Rd, Glen Allen, VA 23060 | 2017-06-21 |
| 1265889570 | Darchelle Braxton Dmd PC | Dentist | 4300 Pouncey Tract Road Suite I, Glen Allen, VA 23060 | 2016-05-17 |
| 1952714842 | Gaynier Orthodontics PC | Clinic/Center | 4701 Cox Rx Ste 285, C/o Ct Corporation, Glen Allen, VA 23060 | 2014-06-09 |
| 1538507819 | Rca Laboratory Services, LLC | Clinical Medical Laboratory | 4060 Innslake Dr, Glen Allen, VA 23060 | 2013-06-10 |
| 1922352772 | Samantha S Stone | Physical Therapist | 4101 Cox Rd Ste 100, Glen Allen, VA 23060 | 2012-11-01 |
| 1609123660 | Stephanie Rene Matsko | Optometrist | 4114 Innslake Dr., Glen Allen, VA 23060 | 2012-08-09 |
| 1851661367 | Lateaka Sheri Vinson | Speech-Language Pathologist | 2250 Old Brick Rd, Suite 2229, Glen Allen, VA 23060 | 2012-01-01 |
| 1568774271 | Cynthia A Koza | Optometrist | 4600 Cox Road, Suite 120, Glen Allen, VA 23060 | 2010-07-10 |
| Find all providers in zip 23060 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422163 | Kusum Bhetwal | Nurse Practitioner | 12804 Westin Estates Drive, Glen Allen, VA 23059 | 2020-09-23 |
| 1023667649 | Leah Blatzer | Nurse Practitioner | 4510 Marshall Run Cir Apt 204, Glen Allen, VA 23059-5863 | 2019-09-06 |
| 1699245936 | Kellems Geriatric Healthcare | Nurse Practitioner | 8715 Brays Fork Dr, Glen Allen, VA 23060-3693 | 2018-11-29 |
| 1790268415 | Kimberly Green-murray | Nurse Practitioner | 4803 Shellbark Ct, Glen Allen, VA 23059-7631 | 2018-09-09 |
| 1417444779 | Chantika K Ashe | Nurse Practitioner | 4911 Dunncroft Ct, Glen Allen, VA 23060-3660 | 2018-04-21 |
| 1457858300 | Kelly R Anderson | Nurse Practitioner | 10120 W Broad St Ste F, Glen Allen, VA 23060-6709 | 2018-04-08 |
| 1558870428 | Seeba N George | Nurse Practitioner | 11417 Willow Gate Dr, Glen Allen, VA 23060-6128 | 2017-09-23 |
| 1669839932 | Erin Lind | Nurse Practitioner | 10900 Nuckols Rd Ste 110, Glen Allen, VA 23060-9246 | 2016-01-18 |
| 1275852998 | Sheree Epps | Nurse Practitioner | 9705 Jebstone Ct, Glen Allen, VA 23059-4576 | 2010-05-19 |
| 1871796490 | Donna Marie Brown | Nurse Practitioner | 4212 Park Place Ct, Glen Allen, VA 23060-3314 | 2007-06-10 |
| Find all providers in GLEN ALLEN | ||||
| City | GLEN ALLEN |
| Zip Code | 23060 |
Please comment or provide details below to improve the information on JEREMY GLEN KELLEMS.
| 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.