MRS. HEIDI ANN KELLY (NPI# 1699839803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699839803 |
| Entity Type | Individual |
| Full Name | MRS. HEIDI ANN KELLY |
| Practice Address |
9040 Reid St Tacoma WA 98431-1100 |
| Mailing Address |
1418 Beech Ave Steilacoom WA 98388-3818 |
| Practice Telephone | 2539684382 |
| Mailing Telephone | 2532675665 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639709975 | Heidi Kelly | Pharmacist | 1401 S Gilmer Ave, Lanett, AL 36863-2942 | 2020-01-24 |
| 1134532567 | Heidi Lea Kelly | Registered Nurse | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2014-06-03 |
| 1902104110 | Heidi Ann Kelly | Social Worker | 8320 Madison Ave, Indianapolis, IN 46227-6066 | 2011-03-11 |
| 1386874238 | Heidi Marie Kelly | Occupational Therapist | 1 Va Center, Augusta, ME 04330 | 2009-07-24 |
| 1720225584 | Heidi Castro Kelly | Marriage & Family Therapist | 975 Flynn Rd, Camarillo, CA 93012-8704 | 2009-01-15 |
| Street Address |
9040 REID ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881671170 | Roger K Yabu | Pharmacist | 9040 Reid St, Tacoma, WA 98431-1100 | 2005-12-28 |
| 1407241763 | Sofiya Nukalo | Student in an Organized Health Care Education/Training Program | 9040 Reid St, Madigan Army Medical Center, Tacoma, WA 98431-1100 | 2015-04-03 |
| 1588993968 | Wendy Robin Cruz | Pharmacist | 9040 Reid St, Tacoma, WA 98431-1100 | 2009-12-15 |
| 1841428646 | Eileen Owen-williams | Nurse Practitioner | 9040 Reid St, Tacoma, WA 98431-1100 | 2009-06-30 |
| 1598992927 | Deborah R Judkins | Counselor | 9040 Reid St, Tacoma, WA 98431-1100 | 2009-06-11 |
| 1407001837 | Michael Cleary | Social Worker | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-11-26 |
| 1255586889 | Brent C Olson | Physician Assistant | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-11-24 |
| 1467604892 | Martha A Smith | Dietitian, Registered | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-10-16 |
| 1285899849 | Christina Marieke Long | Pediatrics | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-07-23 |
| 1225292758 | Madigan Army Medical Center | Military Hospital | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619448826 | Edward Alvon Murray Jr. | Registered Nurse | Bldg 9025 5th St, Tacoma, WA 98431-0001 | 2018-12-16 |
| 1629594601 | Kelly Mcintire | Registered Nurse | 3701 Pacific Ave Ste 200, Tacoma, WA 98418-7838 | 2017-08-21 |
| 1588193684 | Flora Lansburgh | Registered Nurse | 3701 Pacific Ave, Tacoma, WA 98418-7838 | 2017-06-12 |
| 1760911200 | Taleema Love | Registered Nurse | 3629 South D Street Ms1100, Tacoma, WA 98418-6813 | 2017-06-08 |
| 1285161570 | Stephanie Henigin | Registered Nurse | 3629 S D St # Ms 1100, Tacoma, WA 98418-6813 | 2017-05-17 |
| 1649608902 | Mary Jo Warren | Registered Nurse | 1616 E 67th St, Tacoma, WA 98404-4254 | 2013-10-24 |
| 1992988588 | Christina Lauren Merrill | Registered Nurse | Aphn Mamc Mchj-pv-c/ Cpt Merrill, Bldg. 9912-b (omamc) E. Johnson St., Tacoma, WA 98431-1100 | 2007-12-06 |
| 1841267416 | Denise Ruby | Registered Nurse | 9912b East Johnson Street, Tacoma, WA 98431-0001 | 2006-03-02 |
| 1164498309 | Michele Renee Forbes | Registered Nurse | Madigan Army Medical Center Mchj-pv/c, 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2006-02-27 |
| 1174136360 | Shanell Teona Brown | Registered Nurse | 3629 S D St, Tacoma, WA 98418-6813 | 2020-08-26 |
| Find all providers in TACOMA | ||||
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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.