KELLY HOGAN (NPI# 1578161097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578161097 |
| Entity Type | Individual |
| Full Name | KELLY HOGAN |
| Practice Address |
632 Blue Hill Ave Dorchester MA 02121-3213 |
| Mailing Address |
5 Stock St Apt 2 Dorchester MA 02122-2672 |
| Practice Telephone | 6178253400 |
| Mailing Telephone | 6179431169 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN2341139 | MA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992930325 | Kelly Brook Hogan | Social Worker | 5355 Delmar, Saint Louis, MO 63112 | 2009-05-29 |
| 1780117598 | Kelly Hogan | Massage Therapist | 2000 N State St, Bellingham, WA 98225-4218 | 2017-04-07 |
| 1356719504 | Kelly Hogan | Physical Therapist | 135 S Milford Rd, Milford, MI 48381-2758 | 2015-09-04 |
| 1760899694 | Kelly Hogan | Dietitian, Registered | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2014-07-11 |
| 1801964580 | Kelly Hogan | Counselor | 640 Holly Ave, Winston-salem, NC 27101 | 2006-12-01 |
| Street Address |
632 BLUE HILL AVE |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02121-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407834658 | Sarah Rachel Desmond | Nurse Practitioner | 632 Blue Hill Ave, Harvard Street Neighborhood Health Center, Dorchester, MA 02121-3213 | 2006-01-07 |
| 1760089858 | Harvard Street Neighborhood Health Center | Registered Nurse | 632 Blue Hill Ave, Dorchester, MA 02121-3293 | 2020-10-02 |
| 1063028165 | Michael Cortez | Social Worker | 632 Blue Hill Ave, Dorchester, MA 02121-3293 | 2020-09-23 |
| 1811506397 | Stella Athanasopoulos | Nurse Practitioner | 632 Blue Hill Ave, Dorchester, MA 02121-3293 | 2020-07-30 |
| 1801438809 | Erica Jean-pierre | Internal Medicine | 632 Blue Hill Ave, Dorchester, MA 02121-3213 | 2019-10-10 |
| 1013477207 | Karla I Noonan | Nurse Practitioner | 632 Blue Hill Ave, Dorchester, MA 02121-3213 | 2019-03-22 |
| 1003375841 | Jesse Busa | Nutritionist | 632 Blue Hill Ave, Dorchester, MA 02121-3293 | 2019-03-19 |
| 1205311024 | Chioma Okoye | Pharmacist | 632 Blue Hill Ave, Dorchester, MA 02121-3213 | 2018-09-27 |
| 1295265015 | Fadi Amer Farah | Dentist | 632 Blue Hill Ave, Dorchester, MA 02121 | 2017-06-14 |
| 1700322518 | Rahmo Said | Dental Hygienist | 632 Blue Hill Ave, Dorchester, MA 02121-3213 | 2017-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417502071 | Zion Ventures Inc. | Registered Nurse | 22 Oldfields Road, Apt 1, Boston, MA 02121 | 2019-08-09 |
| 1245758275 | Danna Caliz | Social Worker | 321 Bluehill Ave, Boston, MA 02121 | 2017-08-30 |
| 1619490331 | Rashane Doyle | Developmental Therapist | 39 Mclellan St, Boston, MA 02121 | 2017-07-25 |
| 1134652175 | Sage Family Dental | Dentist | 114 Washington Street, Dorchester, MA 02121 | 2017-04-06 |
| 1619415353 | Khisha Gillham | Registered Nurse | 356 Seaver St, Boston, MA 02121 | 2017-02-02 |
| 1396283149 | Spaulding | Rehabilitation Unit | 356 Sever St, Boston, MA 02121 | 2017-02-01 |
| 1811431935 | Jennifer Latoya Corbin | Social Worker | 321 Blue Hill Avenue, Dorchester, MA 02121 | 2016-12-08 |
| 1932597499 | Sheila Brown | Nurse Practitioner | 218 Humboldt Avenue, Boston, MA 02121 | 2015-01-06 |
| 1629498605 | Liana Marie Williams | Behavioral Analyst | 434 Warren St., Roxbury, MA 02121 | 2014-04-17 |
| 1932547353 | Chandra C Williams | Counselor | 504 Dudley Street, Roxbury, MA 02121 | 2013-06-07 |
| Find all providers in zip 02121 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699033613 | Ramona Lane | Registered Nurse | 36 Elm Hill Ave, #3, Dorchester, MA 02121-1716 | 2012-04-27 |
| 1124664107 | Annmary Quilty | Registered Nurse | 250 Mount Vernon St, Dorchester, MA 02125-3120 | 2019-11-25 |
| 1235775792 | Yahaira I Soto | Registered Nurse | 398 Neponset Ave, Dorchester, MA 02122-3150 | 2019-11-20 |
| 1427608249 | Claire Aldous | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2019-09-13 |
| 1376019380 | Venice Inez Rice-bell | Registered Nurse | 637 Washington St, Dorchester, MA 02124-3510 | 2018-10-17 |
| 1174018956 | Eileen Ridge | Registered Nurse | 105 Victory Rd, Dorchester, MA 02122-3518 | 2018-06-25 |
| 1427593250 | Jose Viana | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2017-01-03 |
| 1487010716 | Rolanda Barros | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2015-12-31 |
| 1700250560 | Jessie Hedderman | Registered Nurse | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2015-11-17 |
| 1831563782 | Katherine Rita Salgado-lorenzo | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2015-11-16 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02121 |
Please comment or provide details below to improve the information on KELLY HOGAN.
| 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.