KELLY LYNN HALL (NPI# 1730603978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730603978 |
| Entity Type | Individual |
| Full Name | KELLY LYNN HALL |
| Credential | PA-C |
| Practice Address |
149 Hart St 82nd Mdos/sgop Family Practice Sheppard Afb TX 76354 |
| Practice Telephone | (940) 676-2039 |
| Mailing Telephone | 9406762039 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553892 | Kelly Ruth Hall | Nurse Practitioner | 1680 Community Beach Rd, Odin, IL 62870-2100 | 2019-08-15 |
| 1285124057 | Kelly L Hall | Speech-Language Pathologist | 1340 W Outer 21 Rd, Arnold, MO 63010-3247 | 2018-05-16 |
| 1518417880 | Kelly Lynn Hall | Pharmacist | 7602 E Chaparral Rd, Scottsdale, AZ 85250-7754 | 2016-10-10 |
| 1043693112 | Kelly Hall | Speech-Language Pathologist | 7615 Se 19th Ave, Portland, OR 97202-6206 | 2015-07-07 |
| 1366707903 | Kelly Hall | Social Worker | 30434 Avera Creek Dr, Spring, TX 77386-3456 | 2012-07-10 |
| 1972875342 | Kelly Mcmahon Hall | Dietitian, Registered | 1122 W 18th St, Houston, TX 77008-3341 | 2012-02-01 |
| 1194955179 | Kelly Hall | Occupational Therapist | 400 Hickory St Nw Ste 302, Albany, OR 97321-1700 | 2009-07-23 |
| 1831398940 | Kelly Dailey Hall | Speech-Language Pathologist | 109 Penny Road, Greensboro, NC 27260 | 2007-07-18 |
| 1437297496 | Kelly M Hall | Respite Care | Sierra Verde Ranch 4, Lot 190, Seligman, AZ 86337-0599 | 2007-02-02 |
| 1881731917 | Kelly Hall | Nurse Practitioner | 705 Us Highway 80 W, Demopolis, AL 36732-4113 | 2007-01-30 |
| Street Address |
149 HART ST 82ND MDOS/SGOP FAMILY PRACTICE |
| City | SHEPPARD AFB |
| State | TX |
| Zip Code | 76354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336133123 | George Munkachy | Psychologist | 149 Hart St, 82nd Mdos/sgoh, Sheppard Afb, TX 76311-3477 | 2005-09-07 |
| 1861027476 | Taylor J Morgan | Pharmacist | 149 Hart St, Sheppard Afb, TX 76311-3430 | 2020-03-04 |
| 1538721196 | Jennifer Eileen Brown | Nurse Practitioner | 149 Hart St, Sheppard Afb, TX 76311-3430 | 2019-07-03 |
| 1174094551 | Tiffany Machelle Esparza | Social Worker | 149 Hart St, Sheppard Afb, TX 76311-3430 | 2018-12-11 |
| 1235641713 | Natalie Mounts | Pharmacist | 149 Hart St, Sheppard Afb, TX 76311-3430 | 2017-10-24 |
| 1588199129 | Julie Ojongofu | Pharmacist | 149 Hart St, 82 Mdg, Sheppard Afb, TX 76311-3430 | 2017-04-20 |
| 1437604469 | Marland Fox | Physician Assistant | 149 Hart St, Bldg 1200, Sheppard Afb, TX 76311-3430 | 2016-08-19 |
| 1386019669 | Matthew Robertson | Physical Therapist | 149 Hart St, Sheppard Afb, TX 76311-3430 | 2015-12-11 |
| 1265818512 | Helena Guerra | Nurse Practitioner | 149 Hart St, Sheppard Afb, TX 76311-3430 | 2015-08-09 |
| 1730581216 | Anastasia Mckoy | Nurse Practitioner | 149 Hart St, Sheppard Afb, TX 76311-3430 | 2014-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024341 | Kaytlynn Flowers | Pharmacy Technician | 514 South Oklahoma Cutoff, Burkburnett, TX 76354 | 2020-02-12 |
| 1760983597 | Britney Sims | Licensed Vocational Nurse | 703 Meadow Dr, Burkburnett, TX 76354 | 2018-02-27 |
| 1851849897 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 1119 S. Red River Expressway, Burkburnett, TX 76354 | 2016-09-20 |
| 1669929741 | Burk Smiles Pllc | Dentist | 412 B South Ave D, Burkburnett, TX 76354 | 2016-09-06 |
| 1902004112 | Fikes Boomtown Drug | Pharmacy | 514 S. Oklahoma Cutoff, Burkburnett, TX 76354 | 2007-07-10 |
| 1396842951 | Christopher Kevin Wyatt | Psychiatry & Neurology | 312 S Avenue D, Burkburnett, TX 76354 | 2006-09-17 |
| 1821645151 | Bryan William Harrison | Pharmacist | 514 S. Oklahoma Cutoff, Burkburnett, TX 76354 | 2019-08-21 |
| 1548460801 | Fikes Boomtown Drug, Inc. | Durable Medical Equipment & Medical Supplies | 514 S. Oklahoma Cutoff, Burkburnett, TX 76354 | 2007-07-24 |
| 1497219943 | Allen Wayne Durbin Jr. | Physical Therapy Assistant | 507 E 5th St, Burkburnett, TX 76354-1607 | 2019-01-29 |
| 1588652051 | Evergreen Healthcare Center | Nursing Facility/Intermediate Care Facility | 406 E 7th St, Burkburnett, TX 76354-2017 | 2005-10-10 |
| Find all providers in zip 76354 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437604469 | Marland Fox | Physician Assistant | 149 Hart St, Bldg 1200, Sheppard Afb, TX 76311-3430 | 2016-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1366042335 | Mary Elizabeth Arnold | Physician Assistant | 12455 Longmire Lakeview, Conroe, TX 77304-1087 | 2020-10-29 |
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1811596927 | Emily Lau | Physician Assistant | 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 | 2020-10-20 |
| 1720686116 | Richard Magana | Physician Assistant | 1651 Ridgemar Dr, Grand Prairie, TX 75051-3340 | 2020-10-16 |
| 1295333532 | Victoria Jane Campbell | Physician Assistant | 4412 Young Dr, Carrollton, TX 75010-1144 | 2020-10-09 |
| 1134726763 | Barbara Elizabeth Montoya | Physician Assistant | 3309 Nottingham Dr, Laredo, TX 78043-1202 | 2020-10-06 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | SHEPPARD AFB |
| Zip Code | 76354 |
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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.