KELLY SCHROCK OSBORNE (NPI# 1629199815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629199815 |
| Entity Type | Individual |
| Full Name | KELLY SCHROCK OSBORNE |
| Credential | CPNP |
| Practice Address |
2632 Salem Church Rd Fredericksburg VA 22407-6484 |
| Practice Telephone | 5408993440 |
| Practice Fax Number | 5408993434 |
| Mailing Telephone | 5408993440 |
| Mailing Fax Number | 5408993434 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024164863 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010123666 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205214558 | Kelly Osborne | Technician | 2223 W 103, Cleveland, OH 44102 | 2015-05-07 |
| 1376792523 | Kelly Yvonne Osborne | Physician Assistant | 236 Township Road 1461, Greenwich, OH 44837-9505 | 2008-09-11 |
| 1699023432 | Kelly L Osborne | Nurse Practitioner | 22 Bramhall Street, Portland, ME 04102 | 2012-08-28 |
| 1780834721 | Kelly E Osborne | Physician Assistant | 1002 N Church St Ste 302, Greensboro, NC 27401-1449 | 2008-09-26 |
| Street Address |
2632 SALEM CHURCH RD |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22407-6484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033676150 | Ruth Christine Penny | Nurse Practitioner | 2632 Salem Church Rd, Fredericksburg, VA 22407-6484 | 2019-02-25 |
| 1104275312 | Blair Mcclintock Ryland | Pediatrics | 2632 Salem Church Rd, Fredericksburg, VA 22407 | 2016-06-08 |
| 1487074985 | Richard Erwin | Pediatrics | 2632 Salem Church Rd, Fredericksburg, VA 22407-6484 | 2014-04-23 |
| 1194168294 | Anke Blaine | Registered Nurse | 2632 Salem Church Rd, Fredericksburg, VA 22407-6484 | 2013-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120596 | Nutrition for You, LLC | 1129 Heatherstone Drive, Fredericksburg, VA 22407 | 2020-10-08 | |
| 1881241016 | Jessica Tran | Optometrist | 395-a Spotsylvania Towne Centre, Fredericksburg, VA 22407 | 2019-08-22 |
| 1376039065 | Virginia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 6010 Plank Rd, Fredericksburg, VA 22407 | 2018-07-05 |
| 1366935967 | Vip Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 5710 Lucas St, Fredericksburg, VA 22407 | 2018-06-08 |
| 1407348501 | Dina Maria Martinez Lombardy | Counselor | 6506 Forest Grove Dr, Fredericksburg, VA 22407 | 2018-06-04 |
| 1881192342 | Alyssa Testa | Specialist/Technologist | 5219 Mcmanus Dr, Fredericksburg, VA 22407 | 2018-01-30 |
| 1437675725 | Jacqueline D. Turner | Driver | 7112 Sharon Rd, Fredericksburg, VA 22407 | 2017-08-17 |
| 1689199556 | Audrey Daniel | Driver | 10701 Leavells Road, Fredericksburg, VA 22407 | 2017-08-11 |
| 1740722982 | T&d Optometry, LLC | Optometrist | 400 Spotsylvania Towne Centre, (spotsylvania Towne Centre--next To Jcpenney Optical), Fredericksburg, VA 22407 | 2016-11-04 |
| 1639521164 | Fredericksburg Eyecare LLC | Optometrist | 395a Towne Centre Blvd, Fredericksburg, VA 22407 | 2016-07-08 |
| Find all providers in zip 22407 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407903693 | Mark Allen Clark | Nurse Practitioner | 111 Park Hill Dr # A, Fredericksburg, VA 22401-3357 | 2007-01-03 |
| 1629688874 | Amanda Eve Pringle | Nurse Practitioner | 4550 Empire Ct, Fredericksburg, VA 22408-1939 | 2020-08-03 |
| 1326699307 | Ashley Mangus | Nurse Practitioner | 4532 Plank Rd, Fredericksburg, VA 22407-0139 | 2019-09-22 |
| 1033676150 | Ruth Christine Penny | Nurse Practitioner | 2632 Salem Church Rd, Fredericksburg, VA 22407-6484 | 2019-02-25 |
| 1962871137 | Heather Marie Fedak | Nurse Practitioner | 10600 Spotsylvania Ave, Fredericksburg, VA 22408-2637 | 2015-09-17 |
| 1518365881 | Jennifer Eaton | Nurse Practitioner | 10600 Spotsylvania Ave, Fredericksburg, VA 22408-2637 | 2014-12-18 |
| 1962844969 | Gabrielle Irene Le Sage | Nurse Practitioner | 4550 Empire Ct, Fredericksburg, VA 22408-1939 | 2013-07-19 |
| 1679847073 | Kathleen Beckman | Nurse Practitioner | 4550 Empire Ct, Fredericksburg, VA 22408-1939 | 2012-03-02 |
| 1114149648 | Jeanne M Burns | Nurse Practitioner | 20 Plantation Dr, Suite 105, Fredericksburg, VA 22406-7400 | 2007-05-03 |
| 1033233606 | Laura Powell | Nurse Practitioner | 331 Park Hill Dr, Fredericksburg, VA 22401-3375 | 2007-03-19 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22407 |
Please comment or provide details below to improve the information on KELLY SCHROCK OSBORNE.
| 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.