KELLY OMALLEY (NPI# 1639587702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639587702 |
| Entity Type | Individual |
| Full Name | KELLY OMALLEY |
| Credential | NP |
| Practice Address |
1205 Broadway Lorain OH 44052-3409 |
| Mailing Address |
2717 Joseph St Avon OH 44011-1911 |
| Practice Telephone | 4402041655 |
| Practice Fax Number | 4402330194 |
| Mailing Telephone | 2168321137 |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN302372 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1205 BROADWAY |
| City | LORAIN |
| State | OH |
| Zip Code | 44052-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841238417 | Lorain County Health & Dentistry | Oral & Maxillofacial Surgery | 1205 Broadway, Lorain, OH 44052-3409 | 2006-06-03 |
| 1881052272 | Jasmina Saric | Dentist | 1205 Broadway, Lorain, OH 44052-3409 | 2016-02-01 |
| 1043680986 | Alison Knight | Dietitian, Registered | 1205 Broadway, Lorain, OH 44052-3409 | 2015-10-05 |
| 1861861171 | Abby Myers | Advanced Practice Midwife | 1205 Broadway, Lorain, OH 44052-3409 | 2015-09-16 |
| 1932520418 | Tracy Hardy | Nurse Practitioner | 1205 Broadway, Lorain, OH 44052-3409 | 2013-12-30 |
| 1376979351 | Lorain County Health & Dentistry | Clinical Nurse Specialist | 1205 Broadway, Lorain, OH 44052-3409 | 2013-09-23 |
| 1558624023 | Christopher Robert Pardee | Dentist | 1205 Broadway, Lorain, OH 44052-3409 | 2012-06-20 |
| 1215194527 | Lorain County Health & Dentistry | Clinic/Center | 1205 Broadway, Lorain, OH 44052-3409 | 2008-05-22 |
| 1407024870 | Lorain County Health & Dentistry | Dentist | 1205 Broadway, Lorain, OH 44052-3409 | 2008-02-19 |
| 1124111851 | Joyce A. Ramsue-thompson | Optometrist | 1205 Broadway, Lorain, OH 44052-3409 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205302106 | Aurora | Home Health | 600 Broadway Ave, Lorain, OH 44052 | 2018-10-17 |
| 1790298180 | Vanessa Marie Butsko | Speech-Language Pathologist | 1051 E. St., Lorain, OH 44052 | 2017-11-08 |
| 1720504079 | Horizon Science Academy Lorain | Local Education Agency (LEA) | 760 Tower Blvd, Lorain, OH 44052 | 2017-08-18 |
| 1497285654 | Alan Golowenski | Counselor | 305 W. 20th St, Lorain, OH 44052 | 2017-06-19 |
| 1699178046 | Lizbeth Citak | Registered Nurse | 446 Florida Avenue, Lorain, OH 44052 | 2014-09-30 |
| 1497945729 | Edward Jean Suggs | Home Health Aide | 427 West 20th St, Lorain, OH 44052 | 2007-08-01 |
| 1508063090 | Niyati Pankaj Sheth | Internal Medicine | 221 W 21st Street Suite 1, Infectious Disease Physicians, Lorain, OH 44052 | 2007-06-28 |
| 1437363132 | Laurie Ann Wilson | Licensed Practical Nurse | 740 Hamilton Ave Apt 2, Lorain, OH 44052 | 2007-05-10 |
| 1942424445 | Mary Jane Harvey | Licensed Practical Nurse | 1608 Euclid Ave, Lorain, OH 44052 | 2007-04-13 |
| 1093837890 | Anna Renea Kizina | Registered Nurse | 323 Concord Drive, Lorain, OH 44052 | 2007-04-04 |
| Find all providers in zip 44052 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525924 | Kurt Joseph Schreiber | Nurse Practitioner | 4356 Jenee Dr, Lorain, OH 44053-4410 | 2020-07-07 |
| 1285273938 | Carol Lynn Nagel | Nurse Practitioner | 3600 Kolbe Road Suite 127, Lorain, OH 44053-1694 | 2019-12-29 |
| 1235618372 | Audra Zayas | Nurse Practitioner | 4340 Leavitt Rd, Lorain, OH 44053-2386 | 2018-08-09 |
| 1235665803 | Amber Hollingsworth | Nurse Practitioner | 4292 Santina Way, Lorain, OH 44053-2194 | 2017-05-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1831569078 | Lisa D Kisaberth | Nurse Practitioner | 4340 Leavitt Rd Ste D, Lorain, OH 44053-2386 | 2015-09-30 |
| 1831568658 | Kelli M. Pittak | Nurse Practitioner | 3600 Kolbe Rd Ste 106, Lorain, OH 44053-1652 | 2015-09-22 |
| 1952651721 | Dewanda Porter | Nurse Practitioner | 3288 Oberlin Ave # Oh005, Lorain, OH 44053-2752 | 2012-09-19 |
| 1124303946 | Ann Lise Scarbrough | Nurse Practitioner | 3288 Oberlin Ave, Lorain, OH 44053-2752 | 2011-10-12 |
| 1578103586 | Kirsten Ingrid Marshall | Nurse Practitioner | 5700 Cooper Foster Park Rd W, Lorain, OH 44053-4152 | 2020-01-08 |
| Find all providers in LORAIN | ||||
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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.