AMY M GORECKI-KELLEY (NPI# 1639651300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639651300 |
Entity Type | Individual |
Full Name | AMY M GORECKI-KELLEY |
Credential | CRNP |
Practice Address |
420 North Sixth Street Gadsden Gadsden AL 35901 |
Mailing Address |
1500 1st Ave N Unit 3 Birmingham AL 35203-1866 |
Practice Telephone | 2565469907 |
Mailing Telephone | 2055455097 |
Enumeration Date | 2018-08-30 |
Last Update Date | 2020-05-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-105884 | AL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 244297 | 05 |
Street Address |
420 NORTH SIXTH STREET GADSDEN |
City | GADSDEN |
State | AL |
Zip Code | 35901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972112878 | Rachel Hyatt | Counselor | 423 North 5th St, Gadsden, AL 35901 | 2020-07-27 |
1659881829 | Fuller Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 412 S 3rd St Ste A, Gadsden, AL 35901 | 2017-10-02 |
1861901308 | Dana Calhoun | Counselor | 215 Walnut St Ste 2, Gadsden, AL 35901 | 2017-09-27 |
1104271857 | Prohealth Hospice-gadsden, LLC | Hospice Care, Community Based | 1115b Rainbow Drive, Gadsden, AL 35901 | 2016-05-02 |
1568801678 | Roseland Developmental Homes, LLC | Community/Behavioral Health | 404 Jacksonville Street, Gadsden, AL 35901 | 2013-06-21 |
1770875460 | Aniska Professional and Educational Services | Clinic/Center | 130 Aniska Drive, Gadsden, AL 35901 | 2011-05-12 |
1700186772 | Sam P. Spina | Hearing Instrument Specialist | 510 S. 3rd Street, Gadsden, AL 35901 | 2010-10-25 |
1588982573 | John Robert Walker | Anesthesiology | 200 Broad St Ste 300, Gadsden, AL 35901 | 2010-05-14 |
1316278880 | Partners Medical Clinic LLC | Family Medicine | 431 South 5th Street, Gadsden, AL 35901 | 2010-01-24 |
1043489495 | J Randolph Hawkins Dmd Pa | Dentist | 948 Forrest Ave, Gadsden, AL 35901 | 2008-02-29 |
Find all providers in zip 35901 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922628932 | Lindsey Dupree | Nurse Practitioner | 827 Forrest Ave, Gadsden, AL 35901-3610 | 2020-04-20 |
1104459197 | Debbie Lowe | Nurse Practitioner | 1405 Rainbow Dr Ste A, Gadsden, AL 35901-5445 | 2020-02-18 |
1811532278 | Tanesha Washington | Nurse Practitioner | 246 Gay Rd, Gadsden, SC 29052-9693 | 2019-11-08 |
1083150452 | Sharon Beck | Nurse Practitioner | 366 E Meighan Blvd, Gadsden, AL 35903-1049 | 2017-01-10 |
1720499403 | Rana Davis | Nurse Practitioner | 525 S 3rd St Ste D, Gadsden, AL 35901-5306 | 2014-05-15 |
1992140545 | Kristy Bray | Nurse Practitioner | 1007 Goodyear Avenue, Gadsden, AL 35903 | 2013-05-08 |
1316287030 | Jennifer Lynne Blackerby | Nurse Practitioner | 213 S 5th St, Suite 110, Gadsden, AL 35901-4217 | 2013-02-15 |
1467639427 | Kendall Skelton Welder | Nurse Practitioner | 829 Riverbend Drive, Gadsden, AL 35901 | 2008-01-22 |
1124641220 | Teresa Conard | Nurse Practitioner | 431 S 5th St, Gadsden, AL 35901-5101 | 2020-05-22 |
1194359786 | Megan Allison Lang | Nurse Practitioner | 829 Riverbend Dr, Gadsden, AL 35901-2556 | 2020-02-24 |
Find all providers in GADSDEN |
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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.