KELLEY ANN FLETCHER (NPI# 1588123038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588123038 |
Entity Type | Individual |
Full Name | KELLEY ANN FLETCHER |
Practice Address |
1135 Gregg Hwy Nw Aiken SC 29801-6341 |
Practice Telephone | 8036417700 |
Mailing Telephone | 8036417700 |
Enumeration Date | 2019-03-14 |
Last Update Date | 2019-03-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184836546 | Kelley Michelle Fletcher | Physical Therapist | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2007-05-05 |
Street Address |
1135 GREGG HWY NW |
City | AIKEN |
State | SC |
Zip Code | 29801-6341 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659426823 | Kenneth M Field | Social Worker | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2007-01-25 |
1073122990 | Joshua Caleb Sandler | Social Worker | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2020-07-27 |
1376152686 | Jayshreee Lee | Counselor | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2020-07-23 |
1023632536 | Darby A Royal | Counselor | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2020-05-31 |
1205459781 | Moesha Ikia Kendrick | Counselor | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2020-05-19 |
1265068571 | Bethany Tschappat | Counselor | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2020-03-18 |
1225660475 | Elisha Michelle Johnson | Counselor | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2020-02-05 |
1922647213 | Derald Nick Adams | Counselor | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2020-01-03 |
1528601028 | Laura Ann Johnson | Counselor | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2019-10-28 |
1578105128 | Shanika Grant | Specialist | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2019-10-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003457557 | Edwin Knight | Technician | 458 Wheat Rd, Aiken, SC 29801 | 2019-10-07 |
1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
1457820433 | Catherine Reddish | Home Health | 245 Hancock Rd Reddish Health Care Agency, Aiken, SC 29801 | 2018-11-19 |
1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
1932649654 | Vageo Inc | Clinic/Center | 227 Chesterfiled St S, Aiken, SC 29801 | 2017-02-28 |
1629472550 | Andrea Ellis | Nurse Practitioner | 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 | 2014-10-21 |
1699177782 | Joyce Walker Pompey | Registered Nurse | 471 University Parkway, Box 11, Aiken, SC 29801 | 2014-09-19 |
1578973251 | Rehab Without Walls, Inc. | Clinic/Center | 104 Florence St. Sw, Suite A, Aiken, SC 29801 | 2014-05-02 |
1609297571 | Katherine Delucas Duke | Counselor | 1135 Gregg Highway, Aiken, SC 29801 | 2013-12-19 |
1811328149 | Lynda Renee Green | Speech-Language Pathologist | 100 Bears Rock Rd., Aiken, SC 29801 | 2013-12-12 |
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Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508492315 | Ethel B Denmark | Peer Specialist | 211 Paige Point Rd., Sheldon, SC 29941 | 2020-03-13 |
1801426457 | Victor Dean Colvard | Peer Specialist | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-01-23 |
1023651957 | Sean Anthony Maxwell | Peer Specialist | 178 Highway 321 Bypass N., Winnsboro, SC 29180 | 2019-10-23 |
1205314234 | Lisa Marie Allen | Peer Specialist | 205 Piedmont Blvd # 100, Rock Hill, SC 29732-1836 | 2018-08-01 |
1740887637 | Erin Dulik | Peer Specialist | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-10-05 |
1588272777 | Napoleon Gregory | Peer Specialist | 130 Hudson St, Chester, SC 29706-1524 | 2020-07-14 |
1366079626 | Angela B. Ball | Peer Specialist | 2715 Colonial Dr, Columbia, SC 29203-6818 | 2020-03-26 |
1790310852 | Ines D Figueroa | Peer Specialist | 719 Okatie Hwy # 170, Okatie, SC 29909-3963 | 2020-03-10 |
1013556372 | David Ramsey | Peer Specialist | 1068 S Lake Dr, Lexington, SC 29073-3720 | 2020-01-03 |
1770121394 | Michael Wade Crouch | Peer Specialist | 309 E Main St, Pickens, SC 29671-2319 | 2019-12-13 |
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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.