NICOLE KELLEY (NPI# 1669967329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669967329 |
| Entity Type | Individual |
| Full Name | NICOLE KELLEY |
| Credential | LMT |
| Practice Address |
5500 Main St Ste 106 Williamsville NY 14221-6753 |
| Mailing Address |
6614 Wick Rd Lockport NY 14094-9452 |
| Practice Telephone | 7166229970 |
| Mailing Telephone | 7166229970 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2020-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740647122 | Nicole Rose Kelley | Specialist | 63 Edgewood Ave, Walpole, MA 02081 | 2016-01-15 |
| 1942588140 | Nicole Latonya Kelley | Social Worker | 2801 S. Valley View Blvd, Suite #2, Las Vegas, NV 89102 | 2011-07-22 |
| 1285191817 | Nicole Kelley | Nurse Practitioner | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2019-03-01 |
| 1154840460 | Nicole Gail Kelley | Occupational Therapist | 112 N 3rd St, Leesville, LA 71446-4014 | 2017-09-18 |
| 1174049084 | Nicole Amanda Kelley | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115 | 2017-08-22 |
| 1659473437 | Nicole Angela Kelley | Social Worker | 112 Boeykens Pl, Suite 4a, Normal, IL 61761-2152 | 2006-09-02 |
| Street Address |
5500 MAIN ST STE 106 |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-6753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847508 | Pamela Frank | Massage Therapist | 8270 Wehrle Dr, Williamsville, NY 14221-7392 | 2020-09-30 |
| 1437763604 | Tanner Dumez | Massage Therapist | 950 Maple Rd, Williamsville, NY 14221-3329 | 2020-09-03 |
| 1851922983 | Colleen Krysten Maloney | Massage Therapist | 8111 Sheridan Dr, Williamsville, NY 14221-6025 | 2020-01-28 |
| 1306495239 | Laura Elisabeth Tufts | Massage Therapist | 5735 Main St, Williamsville, NY 14221-5566 | 2019-09-04 |
| 1568017952 | Margaux Claire Huart | Massage Therapist | 2318 Wehrle Dr, Williamsville, NY 14221-7021 | 2019-08-03 |
| 1447815147 | Samantha Louies Rocco | Massage Therapist | 5461 Main St, Williamsville, NY 14221-6701 | 2019-05-08 |
| 1134633795 | Stephanie Jacobs | Massage Therapist | 5195 Main St, Williamsville, NY 14221-5385 | 2017-11-18 |
| 1740721299 | Nyaya Kelkar | Massage Therapist | 2829 Wehrle Dr Ste 13, Williamsville, NY 14221-7387 | 2017-03-16 |
| 1285045039 | Karen Roth | Massage Therapist | 4193 Transit Rd, Williamsville, NY 14221-7206 | 2014-05-14 |
| 1124382700 | Susan M Sullivan | Massage Therapist | 8655 Main St, Williamsville, NY 14221-7501 | 2012-06-28 |
| Find all providers in WILLIAMSVILLE | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
Please comment or provide details below to improve the information on NICOLE KELLEY.
| 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.