KELLY L OSBORNE (NPI# 1699023432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699023432 |
| Entity Type | Individual |
| Full Name | KELLY L OSBORNE |
| Other Name | KELLY L MADORE |
| Credential | FNP |
| Practice Address |
22 Bramhall Street Portland ME 04102 |
| Mailing Address |
301c Us Route 1 Scarborough ME 04074-9701 |
| Practice Telephone | 2076625610 |
| Practice Fax Number | 2076623790 |
| Mailing Telephone | 2073968600 |
| Mailing Fax Number | 2073968632 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2015-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP121071 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205214558 | Kelly Osborne | Technician | 2223 W 103, Cleveland, OH 44102 | 2015-05-07 |
| 1376792523 | Kelly Yvonne Osborne | Physician Assistant | 236 Township Road 1461, Greenwich, OH 44837-9505 | 2008-09-11 |
| 1629199815 | Kelly Schrock Osborne | Nurse Practitioner | 2632 Salem Church Rd, Fredericksburg, VA 22407-6484 | 2007-04-03 |
| 1780834721 | Kelly E Osborne | Physician Assistant | 1002 N Church St Ste 302, Greensboro, NC 27401-1449 | 2008-09-26 |
| Street Address |
22 BRAMHALL STREET |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003893108 | Lori A Niland | Physician Assistant | 22 Bramhall Street, Portland, ME 04102 | 2005-12-29 |
| 1295359966 | Christopher Ryan Win Hun Lee | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Psa #5323a, Portland, ME 04102 | 2020-05-29 |
| 1699234658 | Colbey Ryan Bowen | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Department of Pediatrics, Portland, ME 04102 | 2019-03-18 |
| 1154826998 | James Joseph Leonetti | Pharmacist | 22 Bramhall Street, Portland, ME 04102 | 2018-03-26 |
| 1518497890 | Pardis Koleini | Dentist | 22 Bramhall Street, Maine Medical Center, Portland, ME 04102 | 2017-06-19 |
| 1588196042 | David Yang | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Maine Medical Center, Portland, ME 04102-5432 | 2017-04-03 |
| 1649702119 | Katherine Sharp | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Maine Medical Center, Portland, ME 04102 | 2017-04-03 |
| 1902338361 | William J Devan | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Maine Medical Center, Portland, ME 04102 | 2017-04-03 |
| 1871943597 | Margaret Tekla Doan Soroka | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Maine Medical Center, Portland, ME 04102 | 2016-06-14 |
| 1457715690 | Benjamin Noah Starobin | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Maine Medical Center, Portland, ME 04102-3134 | 2016-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822794 | Danielle Langer | Nurse Practitioner | 35 Ridgeview Rd, Portland, CT 06480-4014 | 2020-08-23 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
| 1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
| 1407401474 | Abby Christine Vopal | Nurse Practitioner | 66 Bramhall St Fl 1, Portland, ME 04102-3355 | 2019-08-07 |
| 1770145294 | Cynthia Marie Martinez | Nurse Practitioner | 1145 Austin St, Portland, TX 78374-2013 | 2019-07-04 |
| 1528532306 | Matthew James Keelin | Nurse Practitioner | 6801 Ne Cornfoot Rd, Portland, OR 97218-2743 | 2019-01-15 |
| 1659847580 | Colleen Jeanette Scott | Nurse Practitioner | 650 Nw Irving St, Portland, OR 97209-1272 | 2018-10-18 |
| Find all providers in PORTLAND | ||||
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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.