MRS. ANDREA KELLY (NPI# 1730533019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730533019 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA KELLY |
| Practice Address |
1400 Noyes St Utica NY 13502-3854 |
| Practice Telephone | 3157383970 |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874752 | Andrea A Kelly | Marriage & Family Therapist | 1680 Stone Canyon Dr, Roseville, CA 95661-4041 | 2019-01-04 |
| 1689956641 | Andrea Maluta Kelly | Physician Assistant | 2015 Randolph Rd Ste 208, Charlotte, NC 28207-1241 | 2011-09-15 |
| 1487935516 | Andrea Lee Kelly | Psychologist | 444 South Union St., Suite 230, Burlington, VT 05401 | 2011-09-02 |
| 1104135979 | Andrea W Kelly | Registered Nurse | 704 Old Lilesville Road, Wadesboro, NC 28170-2820 | 2010-09-28 |
| 1023098811 | Andrea Kelly | Dentist | 2908 Auburn Rd, Huntington, WV 25704-2715 | 2006-01-19 |
| 1962830737 | Andrea Kelly | Physical Therapist | 100 Sprunt St, Chapel Hill, NC 27517-7811 | 2013-10-14 |
| 1891050720 | Andrea Isabel Kelly | Behavioral Analyst | 11240 Waples Mill Road, Suite 102, Fairfax, VA 22030 | 2012-07-06 |
| 1720096225 | Andrea Kelly | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Endocrinology, Philadelphia, PA 19104-4319 | 2006-08-03 |
| 1528080363 | Andrea Kelly | Specialist | 75 Francis St, Boston, MA 02115-6110 | 2006-07-24 |
| Street Address |
1400 NOYES ST |
| City | UTICA |
| State | NY |
| Zip Code | 13502-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295795193 | Michael David Gribetz | Psychiatry & Neurology | 1400 Noyes St, Utica, NY 13502-3854 | 2006-03-24 |
| 1487288569 | Maurice Luck IIi | Registered Nurse | 1400 Noyes St, Utica, NY 13502-3854 | 2020-02-27 |
| 1366075046 | Amanda Krzyzanowski | Registered Nurse | 1400 Noyes St, Utica, NY 13502 | 2020-02-20 |
| 1336772300 | Ann Margaret Flood | Registered Nurse | 1400 Noyes St, Utica, NY 13502-3854 | 2020-02-19 |
| 1326671488 | James Ernest Watts | Clinical Nurse Specialist | 1400 Noyes St, Utica, NY 13502-3854 | 2020-02-18 |
| 1568094654 | Janine Marie Little | Registered Nurse | 1400 Noyes St, Utica, NY 13502-3854 | 2020-02-07 |
| 1417588898 | Joanna Lakata | Registered Nurse | 1400 Noyes St, Utica, NY 13502-3852 | 2020-02-04 |
| 1619507498 | Ashley Dackowsky | Registered Nurse | 1400 Noyes St, Utica, NY 13502-3854 | 2020-01-22 |
| 1407407711 | Paula June Vetrone | Registered Nurse | 1400 Noyes St, Utica, NY 13502-3854 | 2019-09-27 |
| 1316410442 | Shobha Rao | Social Worker | 1400 Noyes St, Utica, NY 13502-3854 | 2019-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073092847 | Crystal Renee Taylor | Recreation Therapist | 45629 Mandalay Cir, Utica, MI 48315-6843 | 2018-08-12 |
| 1013362045 | Virginia Hutchins | Recreation Therapist | 1400 Noyes St, Utica, NY 13502-3854 | 2016-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427540822 | Simone M Wong | Recreation Therapist | 596 Argyle Rd Apt 5, Brooklyn, NY 11230-1647 | 2018-05-31 |
| 1396257705 | Michael Krauer | Recreation Therapist | 920 48th St Rm 1515, Brooklyn, NY 11219-2918 | 2017-10-26 |
| 1962958249 | Patricia Cole | Recreation Therapist | 2049 Albany Post Road, Montrose, NY 10548 | 2016-08-28 |
| 1629422902 | Karin Harris | Recreation Therapist | 73 Fairfield St, Middleville, NY 13406-1822 | 2016-04-22 |
| 1285017608 | Jennin Mary Nangle | Recreation Therapist | 15 Borman Ct, Lake Ronkonkoma, NY 11779-1982 | 2015-07-02 |
| 1578974184 | Anthony Martino | Recreation Therapist | 26041 73rd Ave, Glen Oaks, NY 11004-1029 | 2014-05-16 |
| 1316213796 | Marianne Pastorella | Recreation Therapist | 26200 Red Tail Ln, Evans Mills, NY 13637-3436 | 2012-03-29 |
| 1942574165 | Sanya Williams | Recreation Therapist | 832 Grand Terrace Ave, North Baldwin, NY 11510-1423 | 2012-03-06 |
| 1558686642 | Janice Gully | Recreation Therapist | 82 Meadowmere Ave, Mastic, NY 11950-4606 | 2010-03-31 |
| 1265626485 | G Ruyack | Recreation Therapist | 2094 Albany Post Road Rt 9a, Montrose, NY 10548-0100 | 2007-08-30 |
| Find all providers with the same taxonomy | ||||
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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.