MISS REBECCA L KELLY (NPI# 1710443049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710443049 |
| Entity Type | Individual |
| Full Name | MISS REBECCA L KELLY |
| Credential | APN |
| Practice Address |
750 Route 73 S Ste 401 Marlton NJ 08053-4145 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 8563751288 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00897600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619527603 | Rebecca Plemons Kelly | Case Manager/Care Coordinator | 7785 N State St Ste 2, Lowville, NY 13367-1229 | 2019-09-12 |
| 1558835959 | Rebecca Collins Kelly | Physical Therapist | 1014 Wade Hampton Blvd Ste 6, Greenville, SC 29609-5061 | 2019-01-18 |
| 1437410644 | Rebecca L Kelly | Occupational Therapy Assistant | 160 Deer Run Dr, Fall River, WI 53932-8934 | 2012-06-05 |
| 1073767976 | Rebecca N Kelly | Speech-Language Pathologist | 8 Hollenbeck Dr, Newburgh, NY 12550-1619 | 2008-11-05 |
| 1730791179 | Rebecca Kelly | Behavior Technician | 690 Cleveland Ave S Ste 100, Saint Paul, MN 55116-1319 | 2020-08-18 |
| 1316303365 | Rebecca Lee Kelly | Registered Nurse | 2409 Homer Clayton Drive, Guntersville, AL 35976-2207 | 2016-01-06 |
| 1255700993 | Rebecca Kelly | Registered Nurse | 20 Bradston St, Boston, MA 02118-2705 | 2015-09-23 |
| 1518384072 | Rebecca Kelly | Pharmacist | 1656 Champlin Ave, New Hartford, NY 13413-1068 | 2014-03-23 |
| 1023451432 | Rebecca A Kelly | Occupational Therapist | 626 Trail Ave, Frederick, MD 21701-4934 | 2013-04-16 |
| 1932440039 | Rebecca Kelly | Technician | 1800 Mercy Dr, Suite 302, Orlando, FL 32808-5646 | 2013-03-14 |
| Street Address |
750 ROUTE 73 S STE 401 |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-4145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659997971 | Jessica H Costa | Nurse Practitioner | 750 Route 73 S Ste 210, Marlton, NJ 08053-4133 | 2020-06-23 |
| 1679086805 | Agata Patrycja Kraszewska | Nurse Practitioner | 773 Route 70 E Ste E125, Marlton, NJ 08053 | 2017-11-09 |
| 1215447446 | Jennifer Kover | Nurse Practitioner | 525 Route 73 S Ste 102, Marlton, NJ 08053-9643 | 2017-10-02 |
| 1538520275 | Jonelle Allen | Nurse Practitioner | 901 Route 73 North, Suite C, Marlton, NJ 08053 | 2016-03-08 |
| 1093330201 | Shainna Alise Mckenzie | Nurse Practitioner | 5 Eves Dr, Marlton, NJ 08053-3135 | 2020-06-12 |
| 1376002444 | Michelle L Henritzy | Nurse Practitioner | 701 Route 73 N Ste 7, Marlton, NJ 08053 | 2019-03-18 |
| 1780140483 | Danielle Imparato | Nurse Practitioner | 330 Greentree Rd, Marlton, NJ 08053-9427 | 2019-02-18 |
| 1982168522 | Dzmitry Limarenka | Nurse Practitioner | 90 Brick Rd Fl 3, Marlton, NJ 08053-2177 | 2019-01-28 |
| 1932676921 | Alexandra Lee Meyer | Nurse Practitioner | 141 Route 70 E Ste B, Marlton, NJ 08053 | 2018-10-27 |
| 1881169985 | Jacqueline Ko Chiong | Nurse Practitioner | 901 Route 73 N Ste C, Marlton, NJ 08053-1226 | 2018-10-04 |
| Find all providers in MARLTON | ||||
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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.