KELLEY BROOKE CORL (NPI# 1699374371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699374371 |
| Entity Type | Individual |
| Full Name | KELLEY BROOKE CORL |
| Practice Address |
872 S Pheasant Dr Gilbert AZ 85296-0440 |
| Practice Telephone | 2089645265 |
| Mailing Telephone | 2089645265 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RNP248594 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
872 S PHEASANT DR |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-0440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154948800 | Christina Marie Heiken | Nurse Practitioner | 4001 E Baseline Rd Ste 101, Gilbert, AZ 85234-2736 | 2020-06-29 |
| 1841753027 | Ellison Amy Edwards | Nurse Practitioner | 262 E Frances Ln, Gilbert, AZ 85295-1975 | 2019-04-13 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1891233896 | Gabbrielle Rene Knabe | Nurse Practitioner | 3336 East Chandler Heights Road Ste 132, Sundance Medical Associates, Gilbert, AZ 85298 | 2017-02-09 |
| 1669825469 | Brittney Schneider | Nurse Practitioner | 2005 E Brigadier Dr, Gilbert, AZ 85298-9728 | 2016-07-15 |
| 1700110434 | Joanna L Heck | Nurse Practitioner | 1900 N. Higley Road Banner Gateway Medical Center, Gilbert, AZ 85234 | 2009-09-29 |
| 1063662914 | Kathryn Ann Waldo | Nurse Practitioner | 4915 E Baseline Rd Ste 119, Gilbert, AZ 85234-2969 | 2008-09-29 |
| 1952376923 | Kristen A. Branche | Nurse Practitioner | 3530 S Val Vista Drive, Suite 101, Gilbert, AZ 85297-7309 | 2006-02-22 |
| 1700888153 | Kellea Turley-danuser | Nurse Practitioner | 3815 S Val Vista Dr, Suite 101, Gilbert, AZ 85297-7308 | 2005-08-15 |
| 1396369401 | Emily A Spano | Nurse Practitioner | 81 W Guadalupe Rd Ste 111, Gilbert, AZ 85233-3321 | 2020-06-04 |
| Find all providers in GILBERT | ||||
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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.