KELLI ANN KLIES (NPI# 1578118162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578118162 |
| Entity Type | Individual |
| Full Name | KELLI ANN KLIES |
| Credential | RN |
| Practice Address |
10 N Main St Bristol CT 06010-8122 |
| Practice Telephone | 8887933500 |
| Mailing Telephone | 8887933500 |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
89446 | CT | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 50 Woodlawn Dr, Torrington, CT 067903035 | 8608063755 |
| Street Address |
10 N MAIN ST |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-8122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815782 | Khushboo Surti | Nurse Practitioner | 10 N Main St, Bristol, CT 06010-8122 | 2020-09-09 |
| 1124638481 | Shannon Rebecca Walsh | Social Worker | 10 N Main St, Bristol, CT 06010-8122 | 2020-08-03 |
| 1396381448 | Wheeler Clinic Inc. | Clinic/Center | 10 N Main St, Bristol, CT 06010-8122 | 2019-11-25 |
| 1538700042 | Helen Margaret Nutt | Nurse Practitioner | 10 N Main St, Bristol, CT 06010-8122 | 2019-10-06 |
| 1750850467 | Julio Angel Sanchez | Registered Nurse | 10 N Main St, Bristol, CT 06010-8122 | 2018-11-26 |
| 1841773959 | Lisa Marie Roth | Case Manager/Care Coordinator | 10 N Main St, Bristol, CT 06010-8122 | 2018-09-13 |
| 1144709585 | Adilsa R Encarnacao | Social Worker | 10 N Main St, Bristol, CT 06010-8122 | 2018-08-07 |
| 1114415007 | Germaine Michele Andrews | Registered Nurse | 10 N Main St, Bristol, CT 06010-8122 | 2018-04-25 |
| 1548760119 | Wheeler Clinic Inc. | Clinic/Center | 10 N Main St, Bristol, CT 06010-8122 | 2018-02-20 |
| 1821509084 | Tashana Abigail Davis | Registered Nurse | 10 N Main St, Bristol, CT 06010-8122 | 2017-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952597981 | Amy Sharon Hollen | Registered Nurse | 396 Williams Ln, Bristol, TN 37620-8738 | 2007-09-24 |
| 1598257198 | Paul David Ostroski | Registered Nurse | 10 N. Main Street, Bristol, CT 06010 | 2018-05-31 |
| 1568432524 | Angela Rose Bracewell | Registered Nurse | 12832 Nw Central Ave, Bristol, FL 32321 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154957256 | Julie Mcneil | Registered Nurse | 112 Quarry Rd Ste 280, Trumbull, CT 06611-4877 | 2020-03-20 |
| 1578879284 | Dawn Andrade | Registered Nurse | 97 Tomlinson Rd, Seymour, CT 06483-2255 | 2010-08-19 |
| 1497886287 | Merice Jean Henriques-bryan | Registered Nurse | 208 King Philip Dr, West Hartford, CT 06117-1408 | 2007-03-07 |
| 1871623371 | Laura Miller | Registered Nurse | 17 Diana Dr, Bloomfield, CT 06002-3306 | 2007-03-06 |
| 1679603021 | Nancy Marcano | Registered Nurse | 67 Robbins Ave, Newington, CT 06111-3836 | 2007-03-06 |
| 1730219163 | Rocio Del Carmen Garcia | Registered Nurse | 36 Willowbrook Rd, West Hartford, CT 06107-1638 | 2007-03-06 |
| 1457960254 | Tina Loarte-rodriguez | Registered Nurse | 91 Northwest Dr, Plainville, CT 06062-1534 | 2020-07-28 |
| 1881234516 | Janine Russell | Registered Nurse | 221 Main St Fl 3, Hartford, CT 06106-1890 | 2020-01-10 |
| 1154964138 | Bianca M Kizis | Registered Nurse | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2019-10-23 |
| 1124669437 | Alison Howard | Registered Nurse | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
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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.