KELLEY ELWELL (NPI# 1649785163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649785163 |
| Entity Type | Individual |
| Full Name | KELLEY ELWELL |
| Credential | FNP |
| Practice Address |
104 Porter Dr Middlebury VT 05753-8527 |
| Mailing Address |
Po Box 505 Warren VT 05674-0505 |
| Practice Telephone | 8023885682 |
| Mailing Telephone | 8027938242 |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
101.0134110 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
104 PORTER DR |
| City | MIDDLEBURY |
| State | VT |
| Zip Code | 05753-8527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457326142 | Gretchen M Gaida Michaels | Internal Medicine | 104 Porter Dr, Middlebury, VT 05753-8527 | 2006-02-17 |
| 1104118330 | Jodi Alana Brown | Obstetrics & Gynecology | 104 Porter Dr, Middlebury, VT 05753-8527 | 2011-05-05 |
| 1033340641 | Porter Hospital Inc | Family Medicine | 104 Porter Dr, Middlebury, VT 05753-8527 | 2009-07-30 |
| 1952464158 | Porter Hospital Inc | Internal Medicine | 104 Porter Dr, Middlebury, VT 05753-8527 | 2006-12-18 |
| 1053331389 | Porter Hospital Inc | Internal Medicine | 104 Porter Dr, Middlebury, VT 05753-8527 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760997233 | Julia M. Pipiras | Massage Therapist | 99 Maple St., Marble Works, Middlebury, VT 05753 | 2017-12-06 |
| 1487017117 | Hope W Martin | Counselor | 135 South Pleasant St., Middlebury, VT 05753 | 2016-03-31 |
| 1487052593 | Ania Mortier | Nurse Practitioner | 102 A Court St, Middlebury, VT 05753 | 2014-12-06 |
| 1427471655 | Nancy Spears | Counselor | 7 Seymour St Ste 4, Middlebury, VT 05753 | 2014-01-23 |
| 1679862676 | Daly Dental | Dentist | 152 Maple Street, Suite 201, Middlebury, VT 05753 | 2011-03-31 |
| 1033432695 | James G Daly D.d.s. | Dentist | 152 Maple St., Ste. 201, Middlebury, VT 05753 | 2010-03-10 |
| 1497986855 | Maxine Elizabeth Fidler | Acupuncturist | 31 Court Street, Middlebury, VT 05753 | 2009-08-04 |
| 1629289426 | Gary Francis Margolis | Psychologist | 302 Centeno House Route 30, Middlebury, VT 05753 | 2007-05-24 |
| 1578697884 | Elise Marie Mcclintock | Nurse Practitioner | 5110 Middlebury College, Middlebury, VT 05753 | 2007-03-16 |
| 1982735890 | Adam Brightman | Social Worker | 1740 Delong Road, Cornwall, VT 05753 | 2007-03-09 |
| Find all providers in zip 05753 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302517 | Renee Lynnette Hylkema | Nurse Practitioner | 402 Skyview Dr, Middlebury, IN 46540-9567 | 2020-10-06 |
| 1104312172 | Deborah Carol Nethercutt | Nurse Practitioner | 226 W Us Highway 20, Middlebury, IN 46540 | 2018-07-02 |
| 1487052593 | Ania Mortier | Nurse Practitioner | 102 A Court St, Middlebury, VT 05753 | 2014-12-06 |
| 1174939839 | Brian Pervis | Nurse Practitioner | 900 Straits Tpke Ste 205d, Middlebury, CT 06762-2800 | 2014-07-02 |
| 1295162063 | Kathleen Lombard | Nurse Practitioner | 44 Collins Dr Ste 202, Middlebury, VT 05753-8502 | 2013-10-10 |
| 1144209016 | Leslie Gerdinier Orelup | Nurse Practitioner | 44 Collins Dr, Suite 201, Middlebury, VT 05753-8528 | 2006-01-10 |
| 1548893506 | Theresa Ann Clark | Nurse Practitioner | 420 N Main St, Middlebury, IN 46540-8985 | 2020-02-18 |
| 1619451770 | Kate Shaper | Nurse Practitioner | 1330 Exchange St Ste 201, Middlebury, VT 05753-4464 | 2018-09-24 |
| 1750873345 | Gailya Nicole Go | Nurse Practitioner | 1155 N 1200 W, Middlebury, IN 46540-9372 | 2018-05-31 |
| 1295253490 | Julie Anne Paston | Nurse Practitioner | 1155 N 1200 W, Middlebury, IN 46540-9372 | 2017-09-07 |
| Find all providers in MIDDLEBURY | ||||
| City | MIDDLEBURY |
| Zip Code | 05753 |
Please comment or provide details below to improve the information on KELLEY ELWELL.
| 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.