MS. KELLY ANN DEAN (NPI# 1629421938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629421938 |
| Entity Type | Individual |
| Full Name | MS. KELLY ANN DEAN |
| Credential | NC LMBT #12708 |
| Practice Address |
8384 Six Forks Rd Ste 203 Raleigh NC 27615-5089 |
| Practice Telephone | 9193956180 |
| Mailing Telephone | 9193956180 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 12708 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871781948 | Kelly A Dean | Registered Nurse | 170 Madison St, Mastic, NY 11950-4605 | 2007-10-13 |
| 1780240093 | Kelly Ruth Dean | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-05-13 |
| 1447741830 | Kelly R Dean | Case Manager/Care Coordinator | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2018-05-22 |
| 1942716139 | Kelly Ann Dean | Peer Specialist | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2017-12-25 |
| 1821524661 | Kelly Marie Dean | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2017-05-11 |
| 1093094856 | Kelly S Dean | Physical Therapist | 113 Ne 92nd Ave, Vancouver, WA 98664-2541 | 2011-08-11 |
| 1356651764 | Kelly Dean | Social Worker | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2010-10-19 |
| 1023141322 | Kelly L Dean | Social Worker | 456 Waverly Ave, Patchogue, NY 11772-1586 | 2007-03-14 |
| Street Address |
8384 SIX FORKS RD STE 203 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-5089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770120362 | Lilia O Reed | Massage Therapist | 8384 Six Forks Rd Ste 203, Raleigh, NC 27615-5089 | 2019-12-03 |
| 1184191389 | Linda M Zukowski | Massage Therapist | 8384 Six Forks Rd Ste 203, Raleigh, NC 27615-5089 | 2018-10-26 |
| 1376058545 | Vismay Hyoungwan Kim | Acupuncturist | 8384 Six Forks Rd Ste 203, Raleigh, NC 27615-5089 | 2017-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780438 | Maurice Lemont Suggs | Massage Therapist | 2700 Cluskey Way Apt 303, Raleigh, NC 27615-8067 | 2020-11-08 |
| 1366041766 | Jonathan P Godwin | Massage Therapist | 4104 Cross Creek Ct Apt D, Raleigh, NC 27607-6549 | 2020-10-19 |
| 1205443413 | Christopher Hunter | Massage Therapist | 6153 Beale Loop, Raleigh, NC 27616-3483 | 2020-09-30 |
| 1275140410 | Wine Ngon | Massage Therapist | 4149 Lake Lynn Dr Apt 107, Raleigh, NC 27613-3453 | 2020-09-30 |
| 1861007460 | Bonita Head | Massage Therapist | 7916 Mandrel Way, Raleigh, NC 27616-9503 | 2020-09-10 |
| 1417561408 | Joshua Sawtelle Larimar | Massage Therapist | 11017 Astor Hill Dr, Raleigh, NC 27613-5669 | 2020-09-07 |
| 1811501109 | Marissa Yvonne Touhey | Massage Therapist | 737 Royal Anne Ln Apt 101, Raleigh, NC 27615-7823 | 2020-09-03 |
| 1467066969 | Anthony Tomlinson Jr. | Massage Therapist | 8404 Six Forks Rd Ste 104, Raleigh, NC 27615-3073 | 2020-09-02 |
| 1740894591 | Renee Demarest | Massage Therapist | 2025 Queen Charlotte Pl, Raleigh, NC 27610-9637 | 2020-08-31 |
| 1306495783 | Natoya Moreno | Massage Therapist | 3008 Anderson Dr Ste 105, Raleigh, NC 27609-7744 | 2019-09-09 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on MS. KELLY ANN DEAN.
| 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.