KELLY LYNN STEWART (NPI# 1760491872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760491872 |
| Entity Type | Individual |
| Full Name | KELLY LYNN STEWART |
| Credential | NP |
| Practice Address |
6620 Fly Road East Syracuse NY 13057 |
| Practice Telephone | 3154641849 |
| Practice Fax Number | 3154641709 |
| Mailing Telephone | 3154641849 |
| Mailing Fax Number | 3154641709 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 509703-1 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F334403-01 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811429038 | Kelly Stewart | Behavioral Analyst | 5 Robinwood Dr, Mastic Beach, NY 11951-3205 | 2017-03-28 |
| 1184976359 | Kelly Stewart | Physical Therapist | 301 Homer Street, Michigan City, IN 46360 | 2012-10-11 |
| 1851430912 | Kelly Stewart | Speech-Language Pathologist | 8610 Maple Ridge Ln, Montgomery, AL 36116-6674 | 2007-02-05 |
| 1700347846 | Kelly Stewart | Student in an Organized Health Care Education/Training Program | 777 Bannock St # Mc0108, Denver, CO 80204-4507 | 2019-03-29 |
| 1144722133 | Kelly J Stewart | Physical Therapist | 1079 S Us Highway 27, Saint Johns, MI 48879-2437 | 2018-03-06 |
| 1851807432 | Kelly Rochelle Stewart | Nurse Practitioner | Us Hwy 491 North, Shiprock, NM 87420 | 2017-12-19 |
| 1881143287 | Kelly Stewart | Registered Nurse | 300 Locust St, Suite 200, Akron, OH 44302-1821 | 2016-09-26 |
| 1043631997 | Kelly Stewart | Massage Therapist | 5885 Whitfield Ave, Sarasota, FL 34243-3125 | 2013-12-19 |
| 1871880336 | Kelly Renee Stewart | Nurse Practitioner | 850 Riverview Ave., Pineville, KY 40977 | 2011-07-06 |
| 1316189806 | Kelly Marie Stewart | Social Worker | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2009-03-30 |
| Street Address |
6620 FLY ROAD |
| City | EAST SYRACUSE |
| State | NY |
| Zip Code | 13057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305369 | Stephen A Albanese | Orthopaedic Surgery | 6620 Fly Road, Ste 200, East Syracuse, NY 13057 | 2005-06-13 |
| 1427282771 | Upstate Orthopedics Ambulatory Surgery Center LLC | Clinic/Center | 6620 Fly Road, Suite 300, East Syracuse, NY 13057 | 2009-05-14 |
| 1134247646 | William F Lavelle | Orthopaedic Surgery | 6620 Fly Road, Suite 200, East Syracuse, NY 13057 | 2007-03-26 |
| 1649213232 | Catherine Marie Tomaiuoli | Nurse Practitioner | 6620 Fly Road, Ste 200, East Syracuse, NY 13057 | 2006-06-13 |
| 1669413480 | Matthew G Scuderi | Orthopaedic Surgery | 6620 Fly Road, Ste 200, East Syracuse, NY 13057 | 2006-06-10 |
| 1740228311 | Upstate Orthopedics, LLP | Durable Medical Equipment & Medical Supplies | 6620 Fly Road, Ste 200, East Syracuse, NY 13057 | 2006-06-03 |
| 1881645323 | Mike H Sun | Orthopaedic Surgery | 6620 Fly Road, Ste 200, East Syracuse, NY 13057 | 2006-05-12 |
| 1669423190 | Richard A Tallarico | Orthopaedic Surgery | 6620 Fly Road, Ste 200, East Syracuse, NY 13057 | 2006-05-12 |
| 1184616203 | Jon B Loftus | Orthopaedic Surgery | 6620 Fly Road, Ste 200, East Syracuse, NY 13057 | 2005-08-16 |
| 1740285584 | Kevin J Setter | Orthopaedic Surgery | 6620 Fly Road, Ste 200, East Syracuse, NY 13057 | 2005-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891335527 | Amanda Christian | Clinic/Center | Hcr Home Care- 6007 Fair Lakes Rd, East Syracuse, NY 13057 | 2020-01-10 |
| 1437690104 | Wojtyna Dental LLC | Dentist | 6600 Weighlock Drive, East Syracuse, NY 13057 | 2017-03-15 |
| 1538609854 | Marie Elena Dow | Health Educator | 6576 Kirkville Road, East Syracuse, NY 13057 | 2017-03-06 |
| 1821534470 | Maureen Lanious | Massage Therapist | 6701 Manlius Center Road, Avanti Healing Arts, East Syracuse, NY 13057 | 2017-01-06 |
| 1629526058 | A Woman's Resource | Home Health | 5860 Bowman Road, East Syracuse, NY 13057 | 2016-09-14 |
| 1386029221 | Apollo Physical Therapy, Pllc | Physical Therapist | 6304 Carrier Parkway, East Syracuse, NY 13057 | 2015-07-21 |
| 1457734386 | Podiatry Services of Central New York, PC | Podiatrist | 6647 Kirkville Road, East Syracuse, NY 13057 | 2015-07-09 |
| 1730592163 | Plev Bc Plc | Dentist | 6600 Weighlock Dr, East Syracuse, NY 13057 | 2014-06-03 |
| 1821418740 | Kelsey Spradlin | Speech-Language Pathologist | 6400 Fremont Rd, East Syracuse, NY 13057 | 2014-04-17 |
| 1992044945 | Sizewise Rentals | Durable Medical Equipment & Medical Supplies | 6504 Basile Rowe, East Syracuse, NY 13057 | 2013-02-12 |
| Find all providers in zip 13057 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689283236 | John Sprey | Nurse Practitioner | 5900 N Burdick St Ste 215, East Syracuse, NY 13057-9465 | 2020-07-29 |
| 1780244145 | Kayla Mary Gilbert | Nurse Practitioner | 6713 Collamer Rd Ste 100, East Syracuse, NY 13057-9814 | 2019-06-18 |
| 1396150603 | Karen Vitkus | Nurse Practitioner | 4939 Brittonfield Pkwy Ste 210, East Syracuse, NY 13057-9208 | 2014-06-25 |
| 1952675399 | Mary L Oot, Fnp, P.C. | Nurse Practitioner | 5900 N Burdick St Ste 204, East Syracuse, NY 13057-9464 | 2012-03-02 |
| 1205123320 | Robyn Lynn Porpiglio | Nurse Practitioner | 6713 Collamer Rd, East Syracuse, NY 13057-9759 | 2011-07-10 |
| 1720109366 | Paula J Jessmore | Nurse Practitioner | 115 Creek Cir, East Syracuse, NY 13057-1369 | 2007-04-02 |
| 1720698319 | Ashley Diane Calabrese | Nurse Practitioner | 5000 Brittonfield Pkwy Ste A128, East Syracuse, NY 13057-9207 | 2020-08-07 |
| 1952929200 | Jodie Danielle Carncross | Nurse Practitioner | 281 Sanders Creek Pkwy, East Syracuse, NY 13057-1307 | 2020-07-13 |
| 1811477698 | Laura J Sucapani | Nurse Practitioner | 5000 Brittonfield Pkwy Ste A128, East Syracuse, NY 13057-9207 | 2018-08-21 |
| 1396126298 | Teri Strine | Nurse Practitioner | 5000 Brittonfield Pkwy Ste A100, East Syracuse, NY 13057 | 2015-06-16 |
| Find all providers in EAST SYRACUSE | ||||
| City | EAST SYRACUSE |
| Zip Code | 13057 |
Please comment or provide details below to improve the information on KELLY LYNN STEWART.
| 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.