SEAN KELLY (NPI# 1700205952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700205952 |
| Entity Type | Individual |
| Full Name | SEAN KELLY |
| Credential | D.O. |
| Practice Address |
653-1 W 8th St Box # L15 Jacksonville FL 32209-6511 |
| Practice Telephone | 5084988596 |
| Mailing Telephone | 5084988596 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326659202 | Sean Michael Kelly | Counselor | 1407 Dellwood Dr, Louisville, KY 40216-4070 | 2020-08-13 |
| 1811510894 | Sean Kelly | Registered Nurse | 530 Virginia Dr, Lake Worth, FL 33461-5751 | 2020-05-25 |
| 1396275327 | Sean Brett Kelly | Dentist | 13590b North Meridian Street, 101, Carmel, IN 46032-1409 | 2017-06-13 |
| 1073058582 | Sean Kelly | Physician Assistant | Cmr 411 Box 2507, Apo, AE 09112-0026 | 2016-12-20 |
| 1326499088 | Sean Kelly | Internal Medicine | 2401 Laura Cir, Papillion, NE 68046-4216 | 2016-06-23 |
| 1013367069 | Sean Kelly | Psychologist | 2527 W Colorado Ave Ste 208, Colorado Springs, CO 80904-3075 | 2016-06-20 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1346660735 | Sean Kelly | Occupational Therapist | 556 Bay Rd, South Easton, MA 02375-1415 | 2014-04-24 |
| 1063851509 | Sean Michael Kelly | Internal Medicine | 606 Beech St, Township of Washington, NJ 07676-4332 | 2013-06-18 |
| 1154663607 | Sean Patrick Kelly | Orthopaedic Surgery | 55 Fruit St # 125n-260, Boston, MA 02114 | 2013-03-22 |
| Street Address |
653-1 W 8TH ST BOX # L15 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437148822 | Ma Ingyinn | Pediatrics | 653-1 W 8th St, Department of Pediatric University of Florida, Jacksonville, FL 32209-6511 | 2005-10-18 |
| 1457989246 | Majid Rezaei | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Jacksonville, FL 32209-6511 | 2020-03-29 |
| 1679100671 | Emily Morgan Graf | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Jacksonville, FL 32209-6511 | 2020-03-27 |
| 1871120899 | Reshmi Mathew | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Jacksonville, FL 32209-6511 | 2020-03-27 |
| 1467089813 | Yixin Zhang | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Jacksonville, FL 32209-6511 | 2020-03-25 |
| 1699301523 | Brendan Mcgowan | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Jacksonville, FL 32209-6511 | 2020-03-23 |
| 1093341000 | Tina Tran | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Jacksonville, FL 32209-6511 | 2020-03-21 |
| 1255966040 | Eric Michael Ress | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Jacksonville, FL 32209-6511 | 2020-03-11 |
| 1689168759 | Carolina Elizabeth Garcia Rodriguez | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Jacksonville, FL 32209-6511 | 2018-06-21 |
| 1295231801 | Panumart Manatpon | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Jacksonville, FL 32209-6511 | 2018-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| Find all providers in zip 32209 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860711 | Lee Thomas Hagenbaumer | Student in an Organized Health Care Education/Training Program | 10100 Baymeadows Rd Apt 802, Jacksonville, FL 32256-7196 | 2020-10-27 |
| 1508463456 | Juana Maria Hodac | Student in an Organized Health Care Education/Training Program | 8680 Baymeadows Rd E Apt 1018, Jacksonville, FL 32256-3994 | 2020-10-05 |
| 1366053043 | Amanda Brunner | Student in an Organized Health Care Education/Training Program | 404 Henry Rd Sw, Jacksonville, AL 36265-3338 | 2020-08-14 |
| 1528679206 | Deandrea Joice Stowe | Student in an Organized Health Care Education/Training Program | 519 Ladiga St Se, Jacksonville, AL 36265-2691 | 2020-08-14 |
| 1558970558 | Imran Ahmed Mridha | Student in an Organized Health Care Education/Training Program | 7932 Southside Blvd Apt 2409, Jacksonville, FL 32256-7958 | 2020-07-24 |
| 1750908588 | Irissel Rodriguez | Student in an Organized Health Care Education/Training Program | 2800 University Blvd S Apt 282, Jacksonville, FL 32216-2587 | 2020-06-27 |
| 1629692413 | Diana Piotrowski | Student in an Organized Health Care Education/Training Program | 100 Magnolia St Apt 6105, Jacksonville, FL 32204-2256 | 2020-06-08 |
| 1922622778 | Ryan D'armond Navarre | Student in an Organized Health Care Education/Training Program | 100 Magnolia St Apt 6213, Jacksonville, FL 32204-2257 | 2020-06-07 |
| 1063036937 | Karen Rebecca Clement | Student in an Organized Health Care Education/Training Program | 4929 Skyway Dr Apt 5212, Jacksonville, FL 32246-0047 | 2020-06-05 |
| 1134743107 | Christine Lalime | Student in an Organized Health Care Education/Training Program | 220 Riverside Ave Unit 203, Jacksonville, FL 32202-4947 | 2020-06-04 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
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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.