SANDRA MACKAY KELLY (NPI# 1669410494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669410494 |
| Entity Type | Individual |
| Full Name | SANDRA MACKAY KELLY |
| Credential | NP |
| Practice Address |
41 Montvale Ave Stoneham MA 02180-2445 |
| Practice Telephone | 7812245877 |
| Practice Fax Number | 7812245817 |
| Mailing Telephone | 7812245877 |
| Mailing Fax Number | 7812245817 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2013-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
124263 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417175225 | Sandra Rae Kelly | Dietitian, Registered | 10006 Maple Cir, Bloomington, MN 55431-2870 | 2007-04-24 |
| 1629591284 | Sandra L Kelly | Dental Hygienist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2017-07-25 |
| 1396103016 | Sandra Kay Kelly | Nurse Practitioner | 300 North Ave, Battle Creek, MI 49017-3307 | 2016-02-09 |
| 1447699095 | Sandra C Kelly | Specialist | 40 W Mosholu Pkwy S, Bronx, NY 10468-1150 | 2013-06-17 |
| 1679843254 | Sandra Lynne-walker Kelly | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2012-01-12 |
| 1699052415 | Sandra Kelly | Physician Assistant | 320 Franklin Ave, Franklin Square, NY 11010 | 2011-11-08 |
| 1073753877 | Sandra L Kelly | Social Worker | 400 Amity St, Amherst, MA 01002-2241 | 2009-03-06 |
| 1275666406 | Sandra C Kelly | Social Worker | 775 Park Ave, Suite 1110, Huntington, NY 11743-3976 | 2007-03-14 |
| Street Address |
41 MONTVALE AVE |
| City | STONEHAM |
| State | MA |
| Zip Code | 02180-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538159082 | Ann H Purdy | Social Worker | 41 Montvale Ave, Hallmark Health Hematology & Oncology Clinic, Stoneham, MA 02180-2445 | 2005-10-26 |
| 1932713724 | Alyson Fazio | Nurse Practitioner | 41 Montvale Ave, Stoneham, MA 02180-2445 | 2020-08-31 |
| 1548618465 | Suzanne Roberts | Nurse Practitioner | 41 Montvale Ave, Comprehensive Breast Center, Stoneham, MA 02180-2445 | 2016-06-01 |
| 1699172437 | Naomi I Yager | Nurse Practitioner | 41 Montvale Ave, Stoneham, MA 02180-2445 | 2014-11-21 |
| 1386051795 | Meghan Jewett | Nurse Practitioner | 41 Montvale Ave, Stoneham, MA 02180-2445 | 2014-07-17 |
| 1063844454 | Lauren Spendley | Nurse Practitioner | 41 Montvale Ave, Stoneham, MA 02180-2445 | 2013-08-07 |
| 1750686994 | Eileen Svendsen | Nurse Practitioner | 41 Montvale Ave, Hematology & Oncology Center, Stoneham, MA 02180-2445 | 2011-01-19 |
| 1881909687 | Imaging Consultants Inc | Clinic/Center | 41 Montvale Ave, Stoneham, MA 02180-2445 | 2010-08-17 |
| 1730401811 | Salvatore Nardello | Surgery | 41 Montvale Ave, Stoneham, MA 02180-2445 | 2010-02-17 |
| 1164752044 | Kevin J Mckeon | Pharmacist | 41 Montvale Ave, Hallmark Health Cancer Center Pharmacy, Stoneham, MA 02180-2445 | 2009-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073092839 | Ann M Campbell | Social Worker | 490 William St, Stoneham, MA 02180 | 2018-08-12 |
| 1669997243 | Melissa Meskell, Lmhc | Clinic/Center | 38 Montvale Avenue Suite 327, Stoneham, MA 02180 | 2017-08-04 |
| 1033593306 | Melissa Zeitlin | Counselor | 178 North St, Stoneham, MA 02180 | 2015-07-16 |
| 1053708370 | Michael Stangler | Dentist | 2 Main St Ste 225, Stoneham, MA 02180 | 2015-04-24 |
| 1699086397 | Kimberly Y Chin | Acupuncturist | 105 Marble Street, Apt 7, Stoneham, MA 02180 | 2010-06-28 |
| 1538305446 | John Nyaga Njine | Registered Nurse | 5 Glen Rd, Apt 110, Stoneham, MA 02180 | 2008-12-23 |
| 1427189000 | Stoneham Public Schools | Local Education Agency (LEA) | 149 Franklin St., Stoneham, MA 02180 | 2007-03-08 |
| 1487715181 | Bernard J Augot, Jr. | Acupuncturist | Acupuncture Health Care Ctr., 370 Main Street, Stoneham, MA 02180 | 2006-12-13 |
| 1730257684 | Advantage Sports Medicine & Physical Therapy,inc. | Physical Therapist | 245 North Street, Stoneham, MA 02180 | 2006-11-30 |
| 1851465538 | Town of Stoneham | Public Health or Welfare | 35 Central Street, Stoneham, MA 02180 | 2006-11-17 |
| Find all providers in zip 02180 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902100324 | Jill Elizabeth Decologero | Nurse Practitioner | 3 Woodland Rd Ste 322, Stoneham, MA 02180-1713 | 2010-12-28 |
| 1871064170 | Linda V Pham | Nurse Practitioner | 92 Montvale Ave Ste 3000, Stoneham, MA 02180-3658 | 2018-12-12 |
| 1356617047 | Jessica Ann Lynch | Nurse Practitioner | 88 Montvale Ave, Stoneham, MA 02180-3643 | 2012-03-27 |
| 1316195647 | Mandy Jean Ladner | Nurse Practitioner | 3 Woodland Rd, Suite 216, Stoneham, MA 02180-1711 | 2008-08-28 |
| 1407837230 | Larah Bartlett-jacques | Nurse Practitioner | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2005-11-09 |
| 1447241757 | Carolyn L Fallica | Nurse Practitioner | 41 Montvale Ave, Hallmark Health Hematology & Oncology Center, Stoneham, MA 02180-2445 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576121 | Alexander I Hoffman | Nurse Practitioner | 54 Southbourne Rd, Jamaica Plain, MA 02130-4633 | 2020-10-26 |
| 1104423482 | Paola Buchanan | Nurse Practitioner | 351 Engamore Ln Apt T3, Norwood, MA 02062-2505 | 2020-10-08 |
| 1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
| 1902411341 | Anne Marie Marie Dicredico | Nurse Practitioner | 916 Sherwood Forest Ln Unit 916, Saugus, MA 01906-1973 | 2020-09-12 |
| 1407460322 | Devi Sivanandan | Nurse Practitioner | 18 Dale St Unit 5c, Andover, MA 01810-5663 | 2020-09-08 |
| 1447863600 | Diana Stephanie Freiberger | Nurse Practitioner | 965 West St, Walpole, MA 02081-1200 | 2020-08-27 |
| 1063023216 | Christine Cibotti | Nurse Practitioner | 8 Forty Acres Dr, Wayland, MA 01778-2702 | 2020-08-12 |
| 1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
| 1295344547 | Janelle Sherry Romain | Nurse Practitioner | 91 Codman Hill Ave, Dorchester, MA 02124-4636 | 2020-07-23 |
| 1245848852 | Patrice Nicholas | Nurse Practitioner | 14 Shipway Pl, Charlestown, MA 02129-4301 | 2020-07-20 |
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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.