MRS. KELLY COLE WOOD (NPI# 1649703109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649703109 |
| Entity Type | Individual |
| Full Name | MRS. KELLY COLE WOOD |
| Credential | MSN, FNP |
| Practice Address |
2995 Reidville Rd Ste 210 Spartanburg SC 29301-5631 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645873000 |
| Practice Fax Number | 8645873019 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2020-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20804 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP4574 | 05 | |
| SC | MEDICARE PIN | SCA7546084 | 01 |
| SC | MEDICARE PIN | SCA754J577 | 01 |
| SC | MEDICARE PIN | SCA7546067 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982231916 | Kelly Wood | Social Worker | 305 Wilson Ave, Glassboro, NJ 08028-8350 | 2020-03-27 |
| 1558744854 | Kelly Wood | Case Manager/Care Coordinator | 1138 6th Ave, Lake Odessa, MI 48849-1059 | 2015-07-04 |
| 1750640801 | Kelly Marie Wood | Physical Therapy Assistant | 933 3 Mile Rd Nw Ste 110, Grand Rapids, MI 49544-1673 | 2012-05-10 |
| 1710280888 | Kelly Michelle Wood | Skilled Nursing Facility | 8528 Killeen Run, Fort Wayne, IN 46835-9657 | 2010-12-13 |
| 1821245747 | Kelly L Wood | Chiropractor | 518 W Platte Ave, Colorado Springs, CO 80905-1334 | 2008-08-21 |
| 1619193869 | Kelly Ann Wood | Family Medicine | 521 N Borders Ave Ste C, Marissa Medical Clinic, Marissa, IL 62257-1195 | 2007-04-17 |
| 1710043492 | Kelly Natasha Wood | Internal Medicine | 1265 Highway 54 W Ste 302, Fayetteville, GA 30214 | 2006-12-28 |
| 1235207929 | Kelly Sue Wood | Occupational Therapy Assistant | 1942 Old Dekalb Rd, Canton, NY 13617 | 2006-12-01 |
| 1851478069 | Kelly Copps Wood | Dentist | 7679 N Longview Dr, Glendale, WI 53209-1863 | 2006-11-01 |
| 1952706723 | Kelly Wood | Dietitian, Registered | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2014-10-23 |
| Street Address |
2995 REIDVILLE RD STE 210 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29301-5631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932152139 | Eric D Norton | Family Medicine | 2995 Reidville Rd Ste 210, Spartanburg, SC 29301-5631 | 2006-05-18 |
| 1801365994 | Spartanburg Medical Center | Family Medicine | 2995 Reidville Rd Ste 210, Spartanburg, SC 29301-5631 | 2018-11-19 |
| 1679080055 | Tamara Christine Cook | Nurse Practitioner | 2995 Reidville Rd Ste 210, Spartanburg, SC 29301-5631 | 2018-01-06 |
| 1013357284 | Amanda Boniface Rogers | Nurse Practitioner | 2995 Reidville Rd Ste 210, Spartanburg, SC 29301-5631 | 2013-07-02 |
| 1861786345 | Jessica Leigh Reynolds | Internal Medicine | 2995 Reidville Rd Ste 210, Spartanburg, SC 29301-5631 | 2011-06-02 |
| 1316955784 | Mary Black Health System, LLC | Durable Medical Equipment & Medical Supplies | 2995 Reidville Rd Ste 210, Spartanburg, SC 29301-5631 | 2006-08-03 |
| 1730133596 | Charles Lawrence Glace | Family Medicine | 2995 Reidville Rd Ste 210, Spartanburg, SC 29301-5631 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1841757192 | Paladina Health, LLC | Family Medicine | Paladina Health Smith Drug, 9098 Fairforest Road, Spartanburg, SC 29301 | 2019-02-22 |
| 1073021143 | Yamira Valentin-fuentes | Chiropractor | 210 Westgate Mall Dr, Suite 6, Spartanburg, SC 29301 | 2018-01-11 |
| 1124426382 | Shellie Smith | Social Worker | 101 Washington Place, Spartanburg, SC 29301 | 2014-12-19 |
| 1356751770 | Lindsey Marie Dillon | Counselor | 250 Dewey Ave., Spartanburg, SC 29301 | 2014-05-07 |
| 1568892461 | Lauren Campbell Heiser | Physical Therapist | 2660 Reidville Rd # 6&7, Spartanburg, SC 29301 | 2013-11-14 |
| 1871843227 | Amy L Roberts | Occupational Therapist | 355 Oak Grove Rd., Spartanburg, SC 29301 | 2012-09-13 |
| 1023384419 | Elizabeth B. Gurley | Pharmacist | 211 West Blackstock Rd, Spartanburg, SC 29301 | 2012-03-29 |
| 1649564063 | Brooke Webster Fuentes | Physician Assistant | 300 E Blackstock Road, Suite E, Spartanburg, SC 29301 | 2011-06-02 |
| 1487943023 | Margaret Elizabeth Wilson | Counselor | 100 Ezell St., Spartanburg, SC 29301 | 2011-04-05 |
| Find all providers in zip 29301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231625 | Trisha Slaughter | Nurse Practitioner | 610 Adelaide Dr, Spartanburg, SC 29301-3231 | 2020-06-30 |
| 1891323457 | Jonathan Douglas Tester | Nurse Practitioner | 220 Police Club Rd, Spartanburg, SC 29303-3402 | 2020-03-30 |
| 1215455944 | Jasmine Marie Gregory | Nurse Practitioner | 300 E Blackstock Rd Ste E, Spartanburg, SC 29301-3787 | 2017-09-01 |
| 1730600396 | Stephanie Cannon | Nurse Practitioner | 100 E Wood St Ste 202, Spartanburg, SC 29303-3058 | 2017-07-03 |
| 1538698030 | Deborah Temples Anderson | Nurse Practitioner | 11 Doctors Park Dr Ste 220, Spartanburg, SC 29307-1008 | 2017-06-08 |
| 1285181990 | Faustina Baafour Evans | Nurse Practitioner | 1855 E Main St Ste 21a, Spartanburg, SC 29307-2327 | 2016-09-10 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
| 1992170807 | Jaime Bright | Nurse Practitioner | 301 E Wood St, Spartanburg, SC 29303-3020 | 2015-12-02 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29301 |
Please comment or provide details below to improve the information on MRS. KELLY COLE WOOD.
| 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.