NANCY KELLY (NPI# 1669730362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669730362 |
| Entity Type | Individual |
| Full Name | NANCY KELLY |
| Practice Address |
422 N Prospect St Wheaton IL 60187-5839 |
| Mailing Address |
111 N County Farm Rd Wheaton IL 60187-3977 |
| Practice Telephone | 6306685850 |
| Practice Fax Number | 6306688022 |
| Mailing Telephone | 6306827400 |
| Mailing Fax Number | 6306905282 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326468190 | Nancy Kelly | Massage Therapist | 5771 Boyertown Pike, Birdsboro, PA 19508-8635 | 2014-04-21 |
| 1639322860 | Nancy A Kelly | Occupational Therapist | 68 Colonial Rd, Midland Park, NJ 07432-1218 | 2008-10-31 |
| 1992993158 | Nancy Beth Kelly | Licensed Practical Nurse | 1015 40th Ave, Vero Beach, FL 32960-4069 | 2007-10-11 |
| 1942835087 | Nancy Kelly | Registered Nurse | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2020-03-09 |
| 1841661980 | Nancy Kelly | Nurse Practitioner | 12360 Firestone Blvd, Norwalk, CA 90650-4324 | 2015-10-15 |
| 1821372434 | Nancy Marie Kelly | Pharmacist | 4 Old Clairton Rd, Pleasant Hills, PA 15236-3905 | 2011-09-30 |
| 1588973507 | Nancy Kelly | Speech-Language Pathologist | 228 Windham Center Rd, Windham, ME 04062-4862 | 2010-09-27 |
| 1427362987 | Nancy L Kelly | Counselor | 329 Bath Rd, Brunswick, ME 04011-2673 | 2010-07-27 |
| 1073830014 | Nancy Helen Kelly | Counselor | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2010-04-30 |
| 1558694778 | Nancy Kelly | Physical Therapist | 7233 Whipple Ave Nw, North Canton, OH 44720-7137 | 2009-09-08 |
| Street Address |
422 N PROSPECT ST |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-5839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689959900 | Ketan Mahendra Shah | Nurse Practitioner | 422 N Prospect St, Wheaton, IL 60187-5839 | 2011-10-18 |
| 1386061505 | Andrea Monroe | Counselor | 422 N Prospect St, Wheaton, IL 60187-5839 | 2014-03-26 |
| 1477811164 | Jim Doyle | Case Manager/Care Coordinator | 422 N Prospect St, Wheaton, IL 60187-5839 | 2012-05-01 |
| 1518231661 | Sandra Jo Mazurek | Case Manager/Care Coordinator | 422 N Prospect St, Wheaton, IL 60187-5839 | 2012-03-06 |
| 1669746848 | Thomas Brown | Case Manager/Care Coordinator | 422 N Prospect St, Wheaton, IL 60187-5839 | 2012-03-06 |
| 1598039133 | Lynn Thurman | Case Manager/Care Coordinator | 422 N Prospect St, Wheaton, IL 60187-5839 | 2012-02-29 |
| 1770857310 | Jennifer Lawson | Case Manager/Care Coordinator | 422 N Prospect St, Wheaton, IL 60187-5839 | 2012-02-29 |
| 1508130261 | Katherine Lenahan | Counselor | 422 N Prospect St, Wheaton, IL 60187-5839 | 2012-02-28 |
| 1710251483 | Jennifer Atten | Counselor | 422 N Prospect St, Wheaton, IL 60187-5839 | 2012-02-28 |
| 1548534142 | Betty Verhaeghe | Registered Nurse | 422 N Prospect St, Wheaton, IL 60187-5839 | 2012-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740553577 | James Rericka | Case Manager/Care Coordinator | 318 Wood St, Wheaton, IL 60187-5855 | 2012-02-09 |
| 1144450016 | Sarah Marie Young | Case Manager/Care Coordinator | 202 8th St N, Wheaton, MN 56296-1461 | 2009-07-24 |
| 1659986420 | Brenda Chavez | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-09-09 |
| 1134730229 | Nadia Huerta | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3988 | 2020-08-12 |
| 1811512742 | Kendra Walker | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-06-16 |
| 1225653389 | Momina Hussain | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-06-14 |
| 1558983163 | Veronica Williams | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-05-18 |
| 1437771508 | Deborah Lynn Sperlik | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-05-12 |
| 1316587983 | Blanca Urbina | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-01-13 |
| 1578102844 | Oksana Gorbencko | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2020-01-03 |
| Find all providers in WHEATON | ||||
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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.