MS. CONNIE DIANE KELLY (NPI# 1760609382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760609382 |
| Entity Type | Individual |
| Full Name | MS. CONNIE DIANE KELLY |
| Credential | NURSE PRACTITIONER |
| Practice Address |
39 Pearl St W Sidney NY 13838-1330 |
| Mailing Address |
1937 Gibson Hill Rd Franklin NY 13775-4425 |
| Practice Telephone | 2523547622 |
| Mailing Telephone | 6072878668 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F332008-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578528741 | Connie L Kelly | Physical Therapist | 601 New Rd, Lindwood, NJ 08221-1251 | 2006-04-19 |
| Street Address |
39 PEARL ST W |
| City | SIDNEY |
| State | NY |
| Zip Code | 13838-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619978020 | Carlton James Rule | Family Medicine | 39 Pearl St W, Sidney, NY 13838-1330 | 2005-08-09 |
| 1689233488 | Lindsey Marie Schlaeg | Physician Assistant | 39 Pearl St W, Sidney, NY 13838-1330 | 2019-06-06 |
| 1235562570 | Rochelle Lee Cherrone | Nurse Practitioner | 39 Pearl St W, Sidney, NY 13838-1330 | 2013-08-09 |
| 1003129438 | Shannon Gail Stark | Speech-Language Pathologist | 39 Pearl St W, Sidney, NY 13838 | 2010-07-14 |
| 1730419870 | Kenneth Edward Demott | Nurse Practitioner | 39 Pearl St W, Sidney, NY 13838-1330 | 2010-01-13 |
| 1558383620 | Leibing Tang | Internal Medicine | 39 Pearl St W, Sidney, NY 13838-1330 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222341 | Christina Rutenber | Occupational Therapy Assistant | Edmeston Central School, 11 North St., Edmeston, NY 13838 | 2019-08-27 |
| 1669715199 | Valley Veterinary Associates | Veterinarian | 647 State Highway 7, Sidney, NY 13838 | 2013-04-03 |
| 1740441658 | Lutfallah T Swabini | Pharmacist | Main St and Steiner Rd, Sidney, NY 13838 | 2008-06-23 |
| 1063626752 | David Melvin Bornstein | Dentist | 39 Delaware Avenue, Sidney, NY 13838 | 2007-05-10 |
| 1952513947 | Joshua House Inc | Case Management | 10 Division Street, Sidney, NY 13838 | 2007-05-04 |
| 1124170873 | Bonnie Lynn Crist | Chiropractor | 106 River St, Sidney, NY 13838 | 2007-01-16 |
| 1801908553 | Rani Kapur-pado | Internal Medicine | 43 Pearl Street, 2nd Fl Suite 1a Rani Kapur-pado Do LLC, Sidney, NY 13838 | 2006-08-31 |
| 1083726731 | Rohan Senerat Jayasena | Pediatrics | 44 Pearl Street, Sidney, NY 13838 | 2006-08-31 |
| 1598264699 | Amelia Sutphin | Pharmacist | 10 Main St, Sidney, NY 13838 | 2018-02-05 |
| 1902227374 | Georgia A. Bell | Registered Nurse | 15 Pearl St. E, Elementary School Health Office, Sidney, NY 13838 | 2014-01-02 |
| Find all providers in zip 13838 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609807544 | Nancy Katrina Clay | Nurse Practitioner | 17379 East Big Creek Road, Sidney, KY 41564-8574 | 2006-07-06 |
| 1871954230 | Melissa Tobe-sutton | Nurse Practitioner | 915 Michigan St, Sidney, OH 45365-2401 | 2016-03-14 |
| 1356690887 | Melissa Spencer Marshall | Nurse Practitioner | 802 Illinois St, Sidney, IA 51652 | 2012-08-30 |
| 1982898656 | Lisa A Pleiman | Nurse Practitioner | 915 West Michigan Street, Sidney, OH 45365 | 2007-09-05 |
| 1376504357 | Stephanie L Green | Nurse Practitioner | 1000 Pole Creek Xing Ste 1, Sidney, NE 69162 | 2006-03-30 |
| 1285600023 | Brenda Wills | Nurse Practitioner | 915 Michigan St, Sidney, OH 45365-2401 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235432 | Koli Eckert | Nurse Practitioner | 2455 77th St Fl 2, East Elmhurst, NY 11370-1525 | 2020-11-04 |
| 1134728942 | Angelyn Arielle Brown | Nurse Practitioner | 3332 Walden Ave Ste 1100, Depew, NY 14043-2400 | 2020-10-22 |
| 1871191056 | Natalie Larissa Cohen | Nurse Practitioner | 555 Laguardia Pl, New York, NY 10012-1402 | 2020-10-11 |
| 1841807799 | Raquel Shivanna Sookram | Nurse Practitioner | 5505 Myrtle Ave, Ridgewood, NY 11385-3550 | 2020-09-24 |
| 1154938264 | Haessal Kim | Nurse Practitioner | 14425 33rd Ave Apt 4l, Flushing, NY 11354-3103 | 2020-09-23 |
| 1235745282 | April Lynne Mott | Nurse Practitioner | 600 Ivy St Ste 108, Elmira, NY 14905-1627 | 2020-09-16 |
| 1407461676 | Kim Marie Neenan-reilly | Nurse Practitioner | 7200 Douglaston Pkwy, Main Floor, Douglaston, NY 11362-1941 | 2020-09-14 |
| 1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1992316996 | Cassandra Dionne Saint-furcy | Nurse Practitioner | 6 Provenzano St, Inwood, NY 11096-1410 | 2020-08-12 |
| 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.