CHRISTINE KELLEY (NPI# 1578529889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578529889 |
| Entity Type | Individual |
| Full Name | CHRISTINE KELLEY |
| Credential | P.A. |
| Practice Address |
3833 Coon Rapids Blvd Nw Suite 100 Coon Rapids MN 55433-2643 |
| Practice Telephone | 7634278320 |
| Practice Fax Number | 7633024338 |
| Mailing Telephone | 7634278320 |
| Mailing Fax Number | 7633024338 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2011-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9809 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 355480500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720512312 | Christine Kelley | Counselor | 201 Cedar St, Oneida, NY 13421-2111 | 2017-04-20 |
| 1184003303 | Christine Marie Kelley | Nurse Anesthetist, Certified Registered | 1500 East Medical Center Drive, 1h247 University Hospital, Ann Arbor, MI 48109-5048 | 2015-05-20 |
| 1861748196 | Christine Kelley | Counselor | 50 Aldrin Rd, Plymouth, MA 02360-4827 | 2012-07-24 |
| 1538435813 | Christine M Kelley | Pharmacist | 8540 1st Ave Nw, Seattle, WA 98117-3059 | 2012-03-30 |
| 1710114251 | Christine Lorriane Alexander Kelley | Audiologist | 45 Round Hill Rd, Northampton, MA 01060-2123 | 2009-06-11 |
| 1790919843 | Christine Kelley | Social Worker | 514 E William St Ste A, Ann Arbor, MI 48104-2446 | 2009-05-05 |
| 1316103096 | Christine Kelley | Occupational Therapy Assistant | 10695 W 17th Ave, Lakewood, CO 80215-2700 | 2008-08-01 |
| 1235316654 | Christine M Kelley | Occupational Therapist | 320 Main St, West Newbury, MA 01985-1420 | 2008-01-28 |
| Street Address |
3833 COON RAPIDS BLVD NW SUITE 100 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700319977 | Kelly Jo Mcmartin | Counselor | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2017-04-05 |
| 1114465135 | Sarah Karyn Myer | Nurse Practitioner | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2017-02-09 |
| 1750823753 | Mary A Reynolds | Counselor | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2016-11-08 |
| 1366994527 | Tanya Marie Svenddal | Counselor | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2016-11-03 |
| 1710330691 | Tyler Zillmer | Counselor | 3833 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2643 | 2016-07-15 |
| 1568818557 | Stephanie Fish | Marriage & Family Therapist | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2016-05-09 |
| 1396102364 | Alice I Congdon | Counselor | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2016-01-21 |
| 1780017442 | Generations Foot and Ankle Clinic | Podiatrist | 3833 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2643 | 2013-08-16 |
| 1134406200 | Christine Zwicky | Physician Assistant | 3833 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2643 | 2011-11-03 |
| 1538325345 | Lyla Veen | Psychiatry & Neurology | 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2697 | 2008-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1619442290 | Mh 101 At Cretex | Physician Assistant | 8600 Evergreen Blvd Nw, Coon Rapids, MN 55433-6036 | 2018-10-10 |
| 1528332301 | Cole Jeffrey Weiske | Physician Assistant | 3111 124th Ave Nw Ste 200, Coon Rapids, MN 55433-4573 | 2012-02-27 |
| 1003189507 | Ashlee Ann Taylor | Physician Assistant | 13190 Orchid St Nw, Coon Rapids, MN 55448-1083 | 2012-02-14 |
| 1164737417 | Nicholas James Pruett | Physician Assistant | 11850 Blackfoot St Nw Ste 490, Coon Rapids, MN 55433-2773 | 2010-08-11 |
| 1003094111 | Gretchen Olsen Zachel | Physician Assistant | 1879 128th Ave Nw, Coon Rapids, MN 55448-7003 | 2008-01-31 |
| 1356535926 | Kristine Elizabeth Michael | Physician Assistant | 3833 Coon Rapids Blvd, Suite 100, Coon Rapids, MN 55433-2697 | 2007-08-28 |
| 1194797894 | Minuteclinic Diagnostic Pa | Physician Assistant | 2017 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4121 | 2006-02-06 |
| 1851924302 | Jenna Michele Borgstrom | Physician Assistant | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2020-02-12 |
| 1326509753 | Amanda Marie Wald | Physician Assistant | 3833 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433-2697 | 2019-03-28 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on CHRISTINE KELLEY.
| 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.