DR. DENISE CHRISTINE KELLEY (NPI# 1568469765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568469765 |
| Entity Type | Individual |
| Full Name | DR. DENISE CHRISTINE KELLEY |
| Other Name | DR. DENISE CHRISTINE TUTTLE |
| Credential | MD |
| Practice Address |
100 Mullins Dr Ste A1 Lebanon OR 97355-2868 |
| Practice Telephone | 5414516920 |
| Practice Fax Number | 5414516924 |
| Mailing Telephone | 5414516920 |
| Mailing Fax Number | 5414516924 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2017-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD072853L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487829537 | Denise E Kelley | Counselor | 3679 State St, Ste G, Hermitage, PA 16148 | 2008-04-29 |
| 1013964956 | Denise Michelle Kelley | Physical Therapist | 569 Searls Ave, Nevada City, CA 95959-3063 | 2006-05-27 |
| 1376503698 | Denise Lorraine Kelley | Counselor | 31 Floyd Dr, Asheville, NC 28803-9677 | 2006-03-23 |
| 1730187535 | Denise I. Kelley | Nurse Anesthetist, Certified Registered | 13737 Noel Road, Ste 1400, Dallas, TX 75240-2004 | 2005-07-14 |
| 1093141798 | Denise Christine Kelley | Nurse Practitioner | 950 Winter St, Suite 2200/3800, Waltham, MA 02451-1227 | 2013-09-25 |
| Street Address |
100 MULLINS DR STE A1 |
| City | LEBANON |
| State | OR |
| Zip Code | 97355-2868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750911525 | Reeta Fay Hill | Registered Nurse | 100 Mullins Dr Ste A1, Lebanon, OR 97355-2868 | 2020-01-21 |
| 1851937007 | Monica Jean Paden | Technician | 100 Mullins Dr Ste A1, Lebanon, OR 97355-2868 | 2019-11-22 |
| 1477016855 | Lori Newport | Technician | 100 Mullins Dr Ste A1, Lebanon, OR 97355-2868 | 2019-04-11 |
| 1982170742 | Kathryn C Finley | Student in an Organized Health Care Education/Training Program | 100 Mullins Dr Ste A1, Lebanon, OR 97355-2868 | 2018-10-19 |
| 1437634573 | Martha E La Rosa Snyder Chavez | Physician Assistant | 100 Mullins Dr Ste A1, Lebanon, OR 97355-2868 | 2018-09-25 |
| 1649607102 | Theo Ray Orchard IIi | Physician Assistant | 100 Mullins Dr Ste A1, Lebanon, OR 97355-2868 | 2013-09-30 |
| 1093997710 | Benton County | Clinic/Center | 100 Mullins Dr Ste A1, Lebanon, OR 97355-2868 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
| 1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
| 1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
| 1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
| 1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
| 1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
| Find all providers in zip 97355 | ||||
| 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 |
|---|---|---|---|---|
| 1134604606 | Stayton Family Practice Inc | Family Medicine | 41 E Ash St, Lebanon, OR 97355-3317 | 2018-10-01 |
| 1033693031 | Heather Heck | Family Medicine | 1701 Cornwal Road, Lebanon, PA 17042-7480 | 2018-09-17 |
| 1982113148 | A1 Health Care Clinic | Family Medicine | 703 East Main Street, # 8, Lebanon, KY 40444 | 2017-09-20 |
| 1952830127 | Juliana Zamora Cubillos | Family Medicine | 120 Hospital Dr Ste 100, Lebanon, MO 65536-9227 | 2017-06-09 |
| 1245781954 | Mountain States Health Alliance | Family Medicine | 58 Carroll St Suite 3, Dept of Russell County Medical Center, Lebanon, VA 24266 | 2016-10-18 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1407288210 | Healthsource of Ohio, Inc. | Family Medicine | 1231 Columbus Ave, Unit A 1, Lebanon, OH 45036-8195 | 2013-08-02 |
| 1598108763 | Docare,llc | Family Medicine | 680 E Grant St, Lebanon, OR 97355-4432 | 2013-04-08 |
| Find all providers in LEBANON | ||||
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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.