MISS KELLI KAYE WILSON (NPI# 1639489727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639489727 |
| Entity Type | Individual |
| Full Name | MISS KELLI KAYE WILSON |
| Credential | PA-C |
| Practice Address |
700 S Tustin St Orange CA 92866-3425 |
| Practice Telephone | 7149224100 |
| Mailing Telephone | 7149224100 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA21159 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA21159 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215069356 | Kelli Wilson | Counselor | 221 Ridgecrest Dr, Calera, OK 74730-2510 | 2007-03-12 |
| 1497383145 | Kelli Wilson | Behavior Technician | 15 Corporate Pl S Ste 333, Piscataway, NJ 08854-6108 | 2020-03-30 |
| 1114484052 | Kelli Wilson | Counselor | 400 Franklin Ave Ste 240, Phoenixville, PA 19460-5137 | 2019-02-27 |
| 1710306097 | Kelli Anne Wilson | Counselor | 2101 E 1st St, Santa Ana, CA 92705-4007 | 2014-04-15 |
| 1114359494 | Kelli Corine Wilson | Midwife | 7950 Martin Loop, Fort Benning, GA 31905-5648 | 2013-08-08 |
| 1104092782 | Kelli Jayne Wilson | Physical Therapist | 5302 Janelle Dr, Killeen, TX 76549-5666 | 2008-05-05 |
| 1508906645 | Kelli Rae Lee Wilson | Dietitian, Registered | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2007-02-07 |
| Street Address |
700 S TUSTIN ST |
| City | ORANGE |
| State | CA |
| Zip Code | 92866-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912976408 | Planned Parenthood of Orange/san Bernardino Counties | Clinic/Center | 700 S Tustin St, Orange, CA 92866-3425 | 2006-03-16 |
| 1104466127 | Lynne Lindberg | Social Worker | 700 S Tustin St, Orange, CA 92866-3425 | 2020-01-07 |
| 1073173506 | Natalie Bui | Registered Nurse | 700 S Tustin St, Orange, CA 92866-3425 | 2019-06-17 |
| 1508426099 | Sahar Naz Nourani | Registered Nurse | 700 S Tustin St, Orange, CA 92866-3425 | 2019-06-17 |
| 1235622077 | Carla Hirashima | Nurse Practitioner | 700 S Tustin St, Orange, CA 92866-3425 | 2018-06-06 |
| 1013459262 | Daisy Mendoza-flores | Registered Nurse | 700 S Tustin St, Orange, CA 92866-3425 | 2016-11-04 |
| 1942742192 | Denise Flores Garcia | Registered Nurse | 700 S Tustin St, Orange, CA 92866-3425 | 2016-11-04 |
| 1629524095 | Rebecca Darlene Lesinski | Registered Nurse | 700 S Tustin St, Orange, CA 92866-3425 | 2016-08-26 |
| 1992251409 | Danielle Annette Gribben | Registered Nurse | 700 S Tustin St, Orange, CA 92866-3425 | 2016-08-26 |
| 1407209513 | Lyna Kim Nguyen | Registered Nurse | 700 S Tustin St, Orange, CA 92866-3425 | 2016-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1477114122 | Beverley P Brownell | Nurse Practitioner | 1215 E. Chapman Avenue, Orange, CA 92866 | 2019-06-24 |
| 1528539442 | Brian Chau | Pharmacist | 1538 E. Chapman Ave, Orange, CA 92866 | 2018-12-17 |
| 1891214599 | Nancy Lee Mcdonald | Registered Nurse | 700 Sout Tustin, Orange, CA 92866 | 2017-09-13 |
| 1962932541 | Hao Phu Nguyen | Counselor | 401 S. Tustin Street, Building D, Orange, CA 92866 | 2017-06-15 |
| 1932567377 | Lori Lynn Hughes | Psychologist | 734 E. Chapman Ave., Suite 734, Orange, CA 92866 | 2016-01-30 |
| 1417291360 | Lori Ann Bartczak | Speech-Language Pathologist | 393 S. Tustin St., Orange, CA 92866 | 2012-11-15 |
| 1497046064 | Pacific Shore Surgery Center | Clinic/Center | 302 W. Laveta Ave, Suite 100, Orange, CA 92866 | 2011-04-29 |
| 1871805127 | Spring Medley Peavy | Nurse Practitioner | 1040 E. Chapman Ave, Orange, CA 92866 | 2010-07-01 |
| 1790956084 | Kevin Robert Franks | Dentist | 532 E Chapman Ave, Orange, CA 92866 | 2008-03-14 |
| Find all providers in zip 92866 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609301506 | Tina Khosravi | Physician Assistant | 705 W La Veta Ave Ste 109, Orange, CA 92868-4447 | 2017-04-27 |
| 1831560721 | Kimberly Gin Hankamolkit | Physician Assistant | 200 S Manchester Ave Ste 210, Orange, CA 92868-3211 | 2015-10-17 |
| 1194846691 | Namneet K Dhaliwal | Physician Assistant | 1100 E Stewart Dr, Orange, CA 92868 | 2007-04-02 |
| 1740309608 | M. Barbara Klyde | Physician Assistant | 2391 N River Trail Rd, Orange, CA 92865-2036 | 2007-03-29 |
| 1750467346 | Joan Stoykovich | Physician Assistant | 1215 E Chapman Ave, Suite 4, Orange, CA 92866-2237 | 2006-10-27 |
| 1841222916 | Marcel M Motz | Physician Assistant | 1100 West Stewart Dr, Orange, CA 92868-3849 | 2006-07-07 |
| 1548263015 | Amir M Seifi | Physician Assistant | 280 S Main St Ste 200, Orange, CA 92868-3852 | 2005-05-27 |
| 1588297600 | Serena Marilyn Mclean | Physician Assistant | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2020-02-17 |
| 1891331385 | Lacee Oliver | Physician Assistant | 2592 N Santiago Blvd, Orange, CA 92867-1862 | 2019-11-20 |
| 1518454396 | Yuchao Jin | Physician Assistant | 1140 W La Veta Ave Ste 610, Orange, CA 92868 | 2018-04-17 |
| Find all providers in ORANGE | ||||
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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.