DEIRDRE KELLY


Address: 36 Feagles Rd, Warwick, NY 10990-2200
Phone: 3475285391

DEIRDRE KELLY (NPI# 1659744563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659744563
Entity Type Individual
Full Name DEIRDRE KELLY
Practice Address 36 Feagles Rd
Warwick
NY 10990-2200
Practice Telephone 3475285391
Mailing Telephone 3475285391
Enumeration Date 2015-11-02
Last Update Date 2015-11-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LC0200X Nurse Practitioner
Specialization: Critical Care Medicine
F430955-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 36 FEAGLES RD
City WARWICK
State NY
Zip Code 10990-2200

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1154726859 Marie T Mars Licensed Practical Nurse 40 Marian Ct, Warwick, NY 10990 2014-10-24
1417383282 Lawrence M Kamhi Md PC Anesthesiology 121 Village Green Court, Warwick, NY 10990 2013-09-24
1427491398 Dynamic Therapy Inc Early Intervention Provider Agency 47 Homestead Village Drive, Warwick, NY 10990 2013-04-10
1033498381 Needelia Davis Registered Nurse 15 Blue Spruce Trl, Warwick, NY 10990 2011-08-04
1255644803 Joelle Rodriguez Optometrist 36 Ronald Reagan Blvd., Warwick, NY 10990 2010-07-23
1891027900 Delna M Joseph Licensed Practical Nurse 20 Grand Street, Warwick, NY 10990 2010-02-01
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Taxonomy Information

Taxonomy Code 363LC0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1356941751 Marie B Campbell Nurse Practitioner 127 North St, Batavia, NY 14020-1631 2020-10-27
1912505595 Jennifer Ann Holtzbach Nurse Practitioner 475 Seaview Ave, Staten Island, NY 10305-3436 2020-10-15
1124638655 Christopher James Dowd Nurse Practitioner 565 Abbott Rd, Buffalo, NY 14220-2039 2020-08-10
1881238160 Joseph Kenneth Waugh Nurse Practitioner 1 Gustave L Levy Pl, New York, NY 10029-6504 2019-10-30
1235648858 Kathryn D Alder Nurse Practitioner 260 Township Blvd Ste 20, Camillus, NY 13031-1678 2017-09-26
1285009464 Epic Medical Associates LLC Nurse Practitioner 145 Orinoco Dr, Suite 614, Brightwaters, NY 11718-3024 2015-12-14
1710351150 Elizabeth U Eckardt Nurse Practitioner 155 Crystal Run Rd, Middletown, NY 10941-4028 2015-11-23
1386078970 Raciel Lee Nurse Practitioner 45 Reade Pl, Poughkeepsie, NY 12601-3947 2013-08-30
1558795617 Mutita Plabprasit Honsberger Nurse Practitioner 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 2013-08-26
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Competitor

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City WARWICK
Zip Code 10990

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Dataset Information

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.

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