KELLY FISHER (NPI# 1700258803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700258803 |
| Entity Type | Individual |
| Full Name | KELLY FISHER |
| Practice Address |
855 N Orange Grove Blvd Pasadena CA 91103-3333 |
| Practice Telephone | 6267963453 |
| Mailing Telephone | 6267963453 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |
| Gender Code | F |
| 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 |
|---|---|---|---|---|
| 1730793068 | Kelly Marie Fisher | Social Worker | 5704 Curnie Dr, Hamilton, OH 45013-9067 | 2020-09-03 |
| 1457612970 | Kelly T Fisher | Counselor | 216 Trojan Way, 216 Trojan Way, Henderson, NV 89074-0125 | 2012-05-31 |
| 1770046005 | Kelly Ann Fisher | Nurse Practitioner | 7950 Kipling St Ste 201, Arvada, CO 80005-3926 | 2019-04-12 |
| 1710443668 | Kelly Rose Fisher | Behavior Technician | 5302 S Florida Ave Ste 202, Lakeland, FL 33813-4910 | 2019-02-15 |
| 1295236891 | Kelly Fisher | Speech-Language Pathologist | 8318 Jones Maltsberger Rd Ste 121, San Antonio, TX 78216-6552 | 2018-02-28 |
| 1487184545 | Kelly Fisher | Speech-Language Pathologist | 920 S 2nd St, Mount Vernon, WA 98273-4205 | 2017-06-12 |
| 1740630466 | Kelly Fisher | Optometrist | 1673 Market St, Weston, FL 33326-3663 | 2016-06-14 |
| 1093036808 | Kelly Teresa Fisher | Social Worker | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2010-06-15 |
| 1457587008 | Kelly K Fisher | Physician Assistant | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2009-06-09 |
| 1427293356 | Kelly C Fisher | Speech-Language Pathologist | 301 N Clark St, Cape Girardeau, MO 63701-5105 | 2008-12-05 |
| Street Address |
855 N ORANGE GROVE BLVD |
| City | PASADENA |
| State | CA |
| Zip Code | 91103-3333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386711646 | Eva Turner | Psychologist | 855 N Orange Grove Blvd, Pasadena, CA 91103-3333 | 2006-11-29 |
| 1801307749 | Austin Perry | Counselor | 855 N Orange Grove Blvd, Pasadena, CA 91103 | 2017-10-18 |
| 1730639071 | Terri Mccall | Case Manager/Care Coordinator | 855 N Orange Grove Blvd, Pasadena, CA 91103-3333 | 2016-10-11 |
| 1225587173 | Aura Romo | Student in an Organized Health Care Education/Training Program | 855 N Orange Grove Blvd, Pasadena, CA 91103-3333 | 2016-10-03 |
| 1023460870 | Cherrie Phillips | Counselor | 855 N Orange Grove Blvd, Pasadena, CA 91103-3333 | 2016-07-05 |
| 1023465754 | Aline Jekmeian | Marriage & Family Therapist | 855 N Orange Grove Blvd, Pasadena, CA 91103-3333 | 2016-05-23 |
| 1689046781 | Andria Saenz | Student in an Organized Health Care Education/Training Program | 855 N Orange Grove Blvd, Pasadena, CA 91103-3333 | 2015-10-28 |
| 1568834661 | Maria Calderon | Student in an Organized Health Care Education/Training Program | 855 N Orange Grove Blvd, Pasadena, CA 91103-3333 | 2015-10-28 |
| 1164807699 | Ivette Rodriguez | Counselor | 855 N Orange Grove Blvd, Pasadena, CA 91103-3333 | 2015-07-27 |
| 1972988624 | Marlene Lyvone Willis-akins | Marriage & Family Therapist | 855 N Orange Grove Blvd, Pasadena, CA 91103-3333 | 2015-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1760906085 | Roberto Sotelo Jr. | Licensed Vocational Nurse | 867 North Fair Oaks Ave., Pasadena, CA 91103 | 2017-07-28 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1437671807 | Yolanda Centeno | Marriage & Family Therapist | 867 Fairoaks., Pasadena, CA 91103 | 2017-07-07 |
| 1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
| 1922537372 | Chaznii Bradford | Licensed Vocational Nurse | 867 N. Fair Oaks, Pasadena, CA 91103 | 2017-06-08 |
| 1629505425 | Wassim Ammary | Pharmacist | 1855 South Fair Oaks Ave, Pasadena, CA 91103 | 2017-05-11 |
| 1679005920 | Grace Caroline Seto | Marriage & Family Therapist | 236 W. Mountain St, Suite 202d, Pasadena, CA 91103 | 2017-03-28 |
| 1225575293 | Catherine Lynn Gray | Psychologist | 30 North Raymond Avenue, Suite 403, Pasadena, CA 91103 | 2017-01-27 |
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| 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 |
|---|---|---|---|---|
| 1245837558 | Carol Luree Eckerl | Student in an Organized Health Care Education/Training Program | 673 Cedar Dr, Pasadena, MD 21122-4450 | 2020-10-08 |
| 1902420227 | Scott Robert Henderson | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Me, 98 S. Los Robles Avenue, Pasadena, CA 91101-9110 | 2020-06-02 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1659906469 | Danielle Elisa Cook | Student in an Organized Health Care Education/Training Program | 1370 Old Water Oak Point Rd, Pasadena, MD 21122-2300 | 2020-03-12 |
| 1750933511 | Andrew Long | Student in an Organized Health Care Education/Training Program | 1632 Concordia Dr, Pasadena, MD 21122-6008 | 2019-07-11 |
| 1336791375 | Jianyin Li | Student in an Organized Health Care Education/Training Program | 100 W Wanut Street Suite 375, Pasadena, CA 91124-0001 | 2019-07-10 |
| 1669034039 | Mai Nojima | Student in an Organized Health Care Education/Training Program | 98 S Los Robles Ave, Pasadena, CA 91101-2433 | 2019-07-05 |
| 1912569997 | Katelyn Marie George | Student in an Organized Health Care Education/Training Program | 8028 Ritchie Hwy Ste 120, Pasadena, MD 21122-1069 | 2019-07-01 |
| 1427534767 | Susanna Sackitey | Student in an Organized Health Care Education/Training Program | 280 S Euclid Ave Apt 102, Pasadena, CA 91101-2760 | 2018-07-18 |
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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.