JOHNNETTE DU RAND KELLY (NPI# 1720685639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720685639 |
Entity Type | Individual |
Full Name | JOHNNETTE DU RAND KELLY |
Credential | MT, CMLDT |
Practice Address |
116 38th St Newport Beach CA 92663-2918 |
Practice Telephone | 9494390282 |
Mailing Telephone | 9494390282 |
Enumeration Date | 2020-10-04 |
Last Update Date | 2020-10-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 23606 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
116 38TH ST |
City | NEWPORT BEACH |
State | CA |
Zip Code | 92663-2918 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
Find all providers in zip 92663 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295334621 | Megan Michelle Schafer | Massage Therapist | 1525 Placentia Ave Apt H4, Newport Beach, CA 92663-2832 | 2020-10-16 |
1184230575 | Angela Peterson | Massage Therapist | 1133 C Amelback, Newport Beach, CA 92658 | 2020-09-21 |
1669881199 | Jenna Wadsworth Mccarty | Massage Therapist | 2072 Orchard Dr, Suite C, Newport Beach, CA 92660-0784 | 2014-08-08 |
1902218092 | Carolyn Ann Mack | Massage Therapist | 2400 W Coast Hwy Ste J, Newport Beach, CA 92663-4732 | 2014-05-23 |
1376968370 | Lance Weeks | Massage Therapist | 1671 Pegasus St, Newport Beach, CA 92660-1347 | 2014-02-27 |
1528219516 | Dawn Depke | Massage Therapist | 1300 Quail St, 106, Newport Beach, CA 92660-2729 | 2008-10-08 |
1770934614 | Robert Todd Hartle | Massage Therapist | 1600 Dove St, Suite 100, Newport Beach, CA 92660-2432 | 2016-06-22 |
1780030205 | Victoria Valeri Dolidze | Massage Therapist | 359 San Miguel Dr, Suite 303, Newport Beach, CA 92660 | 2016-05-13 |
1689058612 | Sara Johnson | Massage Therapist | 230 Newport Center Dr, #250, Newport Beach, CA 92660-7509 | 2015-07-20 |
1629476353 | Dhst Incorporated | Massage Therapist | 5001 Birch St, Suite 8, Newport Beach, CA 92660-2116 | 2014-12-11 |
Find all providers in NEWPORT BEACH |
City | NEWPORT BEACH |
Zip Code | 92663 |
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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.