CAROLYN KELLY (NPI# 1649739350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649739350 |
| Entity Type | Individual |
| Full Name | CAROLYN KELLY |
| Practice Address |
3445 S Sheridan Rd Tulsa OK 74145-1105 |
| Practice Telephone | 9186103366 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
437 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| 1-IND | 1-IND | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407197072 | Carolyn Ann Kelly | Nurse Practitioner | 11 Osborne St, Danbury, CT 06810-5918 | 2013-03-07 |
| 1619264041 | Carolyn Kelly | Podiatrist | 396 Remington Blvd Ste 370, Bolingbrook, IL 60440-4302 | 2011-07-06 |
| 1639283286 | Carolyn Downey Kelly | Nurse Practitioner | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 | 2006-08-19 |
| 1316399421 | Carolyn Kelly | Social Worker | 676 N Saint Clair St, Suite 2140, Chicago, IL 60611-2927 | 2016-07-13 |
| 1639503345 | Carolyn V Kelly | Physical Therapist | 4700 Gilbert Ave, Suite 51, Western Springs, IL 60558-1753 | 2013-08-29 |
| 1376981209 | Carolyn Marion Kelly | Registered Nurse | 1711 Holmes Dr Sw, Conyers, GA 30094-4725 | 2013-06-13 |
| 1912174913 | Carolyn Kelly | Nurse Practitioner | 801 6th St S, St Petersburg, FL 33701-4816 | 2008-05-09 |
| 1740328863 | Carolyn Kelly | Physical Therapist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-02-01 |
| 1427062264 | Carolyn Jean Kelly | Internal Medicine | 3350 La Jolla Village Dr, Mail Code 111h, San Diego, CA 92161-0002 | 2006-07-28 |
| 1164463741 | Carolyn S Kelly | Counselor | 107 Thomason Blvd, Goose Creek, SC 29445-2945 | 2006-06-08 |
| Street Address |
3445 S SHERIDAN RD |
| City | TULSA |
| State | OK |
| Zip Code | 74145-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073921615 | Ann Jamieson | Counselor | 3445 S Sheridan Rd, Tulsa, OK 74145-1105 | 2014-07-28 |
| 1932700473 | Maric Healthcare LLC | Clinic/Center | 3445 S Sheridan Rd, Tulsa, OK 74145-1105 | 2020-11-02 |
| 1134741234 | Marcia Lynn Pinkston | Counselor | 3445 S Sheridan Rd, Tulsa, OK 74145-1105 | 2020-05-12 |
| 1598319535 | Shiloh Hope Honorine Price | Case Manager/Care Coordinator | 3445 S Sheridan Rd, Tulsa, OK 74145-1105 | 2019-07-29 |
| 1063076305 | Jennifer Griffith | Case Manager/Care Coordinator | 3445 S Sheridan Rd, Tulsa, OK 74145-1105 | 2019-04-23 |
| 1205396207 | Janice Elizabeth Ruge | Case Manager/Care Coordinator | 3445 S Sheridan Rd, Tulsa, OK 74145-1105 | 2019-03-25 |
| 1063971018 | Tommy Ray Davis | Case Manager/Care Coordinator | 3445 S Sheridan Rd, Tulsa, OK 74145-1105 | 2019-03-19 |
| 1689133274 | Harold Edmond Smith | Social Worker | 3445 S Sheridan Rd, Tulsa, OK 74145-1105 | 2019-03-14 |
| 1710445473 | Megan Mcnett | Case Manager/Care Coordinator | 3445 S Sheridan Rd, Tulsa, OK 74145-1105 | 2019-03-12 |
| 1255896494 | Betty Benton | Case Manager/Care Coordinator | 3445 S Sheridan Rd, Tulsa, OK 74145-1105 | 2019-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
| Find all providers in zip 74145 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060444 | John Christopher Lewis | Counselor | 6302 N Garrison Ave, Tulsa, OK 74126-1512 | 2020-07-06 |
| 1487273223 | Maxwell Brown Enterprise, LLC | Counselor | 250 E Apache St, Tulsa, OK 74106-3702 | 2020-04-12 |
| 1023652385 | Kristin Alaine Mackey | Counselor | 4815 S Sheridan Rd Ste 106, Tulsa, OK 74145-5715 | 2019-10-30 |
| 1780236885 | Weather Haag | Counselor | 808 N Maplewood Ave, Tulsa, OK 74115-6710 | 2019-07-10 |
| 1811549025 | Rianna Rizzo | Counselor | 1619 E 66th St, Tulsa, OK 74136-0726 | 2019-07-09 |
| 1285198515 | Elizabeth Ann Hebert | Counselor | 6016 S 66th East Ave, Tulsa, OK 74145-9210 | 2019-01-31 |
| 1700352473 | Kimberley Dawn Harmon | Counselor | 3239 S 140th East Ave, Tulsa, OK 74134-4269 | 2018-10-19 |
| 1215410840 | De Nesha Do'nai Bell | Counselor | 3916 E 31st St, Tulsa, OK 74135-1509 | 2018-09-10 |
| 1114405594 | Go2therapy LLC | Counselor | 6931 E 31st Street, Unit 31, Tulsa, OK 74129 | 2018-07-30 |
| 1659807188 | Lauren Amanda Hall | Counselor | 5001 S 28th West Ave, Tulsa, OK 74107-7637 | 2017-05-03 |
| Find all providers in TULSA | ||||
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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.