KELLY MILES PETROVICS (NPI# 1689287070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689287070 |
| Entity Type | Individual |
| Full Name | KELLY MILES PETROVICS |
| Credential | CRNP |
| Practice Address |
1001 Brocks Gap Pkwy Ste 101 Hoover AL 35244-4028 |
| Mailing Address |
985 9th Ave Sw Bessemer AL 35022-4500 |
| Practice Telephone | 2054211032 |
| Practice Fax Number | 2054211040 |
| Mailing Telephone | 2054817312 |
| Mailing Fax Number | 2054817593 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-158612 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164895058 | Kelly Petrovics | Counselor | 108 W Market St, Bloomington, IL 61701-3918 | 2015-11-02 |
| Street Address |
1001 BROCKS GAP PKWY STE 101 |
| City | HOOVER |
| State | AL |
| Zip Code | 35244-4028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691991 | Husam Jebril | Pharmacist | 5445 Park Side Road, Hoover, AL 35244 | 2020-08-27 |
| 1588272546 | Tyana Thomas | Behavior Technician | 1820 Southpark Dr, Hoover, Al 35244, Hoover, AL 35244 | 2020-07-16 |
| 1912520115 | Magic City Physical Therapy | Home Health | 1217 Willow Leaf Circle, Birmingham, AL 35244 | 2020-05-21 |
| 1851941660 | Carehere LLC | Family Medicine | Carehere Clinic- Mercedes Hoover, 130 Riverchase Parkway East, Hoover, AL 35244 | 2019-09-13 |
| 1033690888 | Danielle Waldrep Rich | Speech-Language Pathologist | 605 Russet Lake Drive, Hoover, AL 35244 | 2018-08-28 |
| 1699253559 | Lauren M Martinez | Social Worker | 2524 Valleydale Rd. Suite 100, Birmingham, AL 35244 | 2018-08-02 |
| 1982110284 | Regenerative Medical Institute for Pain & Neuropathy, LLC | Plastic Surgery | 1849 Data Dr Ste 1, Hoover, AL 35244 | 2017-12-21 |
| 1891217014 | Kristen Michelle Woods | Counselor | 3825 Lorna Rd Ste 240, Birmingham, AL 35244 | 2017-07-10 |
| 1255868170 | Home Sweet Home Senior Care | Home Health | 1 Chase Corporate Drive, Suite 400, Birmingham, AL 35244 | 2017-05-23 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| Find all providers in zip 35244 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528608536 | Jamie R Smith | Nurse Practitioner | 3829 Lorna Rd Ste 312, Hoover, AL 35244-7058 | 2020-01-08 |
| 1891203873 | Bryan Wimbish | Nurse Practitioner | 1031 Brocks Gap Pkwy Ste 185, Hoover, AL 35244-4078 | 2018-01-12 |
| 1013434695 | Richard Francis Gebhardt | Nurse Practitioner | 1924 Highway 31 S, Hoover, AL 35244-1141 | 2017-08-24 |
| 1669850178 | Courtney L Hoeppner | Nurse Practitioner | 5330 Stadium Trace Pkwy Ste 150, Hoover, AL 35244-4528 | 2015-05-16 |
| 1912396938 | Ashton Wilbanks | Nurse Practitioner | 5594 Park Side Cir, Hoover, AL 35244-5123 | 2015-01-14 |
| 1497182000 | Caroline Muriuki | Nurse Practitioner | 5569 Grove Blvd Ste 121, Hoover, AL 35226-4610 | 2013-09-27 |
| 1710233184 | Brandi Carbonie | Nurse Practitioner | 2547 John Hawkins Pkwy Ste 103, Hoover, AL 35244-3554 | 2012-08-03 |
| 1932137940 | Lee Mcphail Nail | Nurse Practitioner | 1957 Hoover Ct, Suite 218, Hoover, AL 35226-3622 | 2006-06-29 |
| 1689627994 | Ramona Leigh Roach-davis | Nurse Practitioner | 3081 Lorna Rd Ste 101, Hoover, AL 35216-4509 | 2006-05-18 |
| 1932166634 | Melissa Lynn Sentell | Nurse Practitioner | 2120 Data Dr, Hoover, AL 35244-1203 | 2006-04-27 |
| Find all providers in HOOVER | ||||
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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.