MRS. STACY LYNNE KELLY (NPI# 1619514742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619514742 |
Entity Type | Individual |
Full Name | MRS. STACY LYNNE KELLY |
Credential | NP |
Practice Address |
1145 Bower Hill Rd Ste 105 Pittsburgh PA 15243-1346 |
Mailing Address |
42 Highland Dr Mc Donald PA 15057-2820 |
Practice Telephone | 4125726194 |
Mailing Telephone | 7242550858 |
Enumeration Date | 2019-12-09 |
Last Update Date | 2019-12-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP020956 | PA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952769655 | Stacy Kelly | Student in an Organized Health Care Education/Training Program | 321 Woodmere Blvd, Woodmere, NY 11598-2035 | 2016-02-09 |
1205056835 | Stacy R Kelly | Specialist/Technologist, Other | 595 Chapel Hills Dr, Suite 300, Colorado Springs, CO 80920-1022 | 2007-04-26 |
Street Address |
1145 BOWER HILL RD STE 105 |
City | PITTSBURGH |
State | PA |
Zip Code | 15243-1346 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275884694 | Maria M Martin | Counselor | 37 Mc Murray Rd, Suite 209, Pittsburgh, PA 15243 | 2012-09-25 |
1023306883 | Christina R Lieb | Physical Therapist | 1145 Bower Hill Road #101, Mt Lebanon, PA 15243 | 2011-07-14 |
1023114493 | Dennis Anthony Perry | Dentist | 1082 Bower Hill Road, Pittsburgh, PA 15243 | 2006-09-15 |
1730158643 | Rene Vernon Straka | Nurse Anesthetist, Certified Registered | 117 Elatan Drive, Pittsburgh, PA 15243 | 2006-03-14 |
1922002385 | Robert Earl Flanigan | Internal Medicine | 1050 Bower Hill Road, Ste 305, Pittsburgh, PA 15243 | 2005-06-13 |
1124575782 | Ashley Louise Ashaolu | Anesthesiology | 1000 Bower Hill Rd, Pittsburgh, PA 15243 | 2016-09-01 |
1871962654 | Emily Beth Mertiff | Nurse Practitioner | 1050 Bower Hill Road, Suite 202, Pittsburgh, PA 15243 | 2015-09-22 |
1114305273 | Ariel Hofman | Pediatrics | 1000 Bower Hill Rd, Pittsburgh, PA 15243 | 2015-05-09 |
1326436528 | Megan Stanik | Pharmacist | 1121 Bower Hill Rd, Pittsburgh, PA 15243 | 2014-12-23 |
1154667657 | Edward Walter Jew Jr. | Surgery | 100 Adams Ave, Apt - 224, Pittsburgh, PA 15243 | 2013-01-02 |
Find all providers in zip 15243 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134729775 | Jacqueline A Ouma | Nurse Practitioner | 4530 Clairton Blvd, Pittsburgh, PA 15236-2112 | 2020-10-30 |
1124627138 | Ashley G Dillard | Nurse Practitioner | 5447 Stanton Ave, Pittsburgh, PA 15206-2518 | 2020-10-21 |
1063019974 | Lynne Ann Cipriani | Nurse Practitioner | 28 Stancey Rd, Pittsburgh, PA 15220-1724 | 2020-10-04 |
1538766589 | Abbigail Marie Linton | Nurse Practitioner | 4800 Friendship Ave Ste 322, Pittsburgh, PA 15224-1722 | 2020-10-02 |
1225643596 | Olusola Awokoya | Nurse Practitioner | 670 Lougeay Rd, Pittsburgh, PA 15235-4507 | 2020-09-13 |
1124631379 | William Allen Penney | Nurse Practitioner | 1542 Rutherford Ave, Pittsburgh, PA 15216-3364 | 2020-08-27 |
1235740457 | Teika Takedai | Nurse Practitioner | 106 Morrison Dr, Pittsburgh, PA 15216-1100 | 2020-08-11 |
1770194128 | Kimberly Alonso | Nurse Practitioner | 3347 Brownsville Rd # 2, Pittsburgh, PA 15227-2722 | 2020-08-10 |
1740890631 | Lindsay Johnston | Nurse Practitioner | 134 Kentzel Rd, Pittsburgh, PA 15237-2816 | 2020-08-05 |
1700496098 | Dana Pfoff | Nurse Practitioner | 1532 Ingomar Heights Rd, Pittsburgh, PA 15237-1607 | 2020-08-03 |
Find all providers in PITTSBURGH |
City | PITTSBURGH |
Zip Code | 15243 |
Please comment or provide details below to improve the information on MRS. STACY LYNNE KELLY.
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.