MRS. KELLY STROUP (NPI# 1780207464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780207464 |
| Entity Type | Individual |
| Full Name | MRS. KELLY STROUP |
| Practice Address |
1100 S Eliseo Dr Ste 2 Greenbrae CA 94904-2017 |
| Practice Telephone | 4159257711 |
| Mailing Telephone | 4159257711 |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
697308 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710289046 | Kelly A. Stroup | Social Worker | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2010-11-18 |
| Street Address |
1100 S ELISEO DR STE 2 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104082155 | Carrie Dorsey-higdon | Nurse Practitioner | 1100 S Eliseo Dr Ste 2, Greenbrae, CA 94904-2017 | 2008-07-30 |
| 1851934020 | Marin General Hospital | Clinic/Center | 1100 S Eliseo Dr Ste 2, Greenbrae, CA 94904-2017 | 2019-10-21 |
| 1275187031 | Laura Steinemann Zimmerman | Dietitian, Registered | 1100 S Eliseo Dr Ste 2, Greenbrae, CA 94904-2017 | 2019-07-30 |
| 1265094759 | Mindy Schwartz | Registered Nurse | 1100 S Eliseo Dr Ste 2, Greenbrae, CA 94904-2017 | 2019-07-03 |
| 1336701291 | Julie Roddy | Health Educator | 1100 S Eliseo Dr Ste 2, Greenbrae, CA 94904-2017 | 2019-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265094759 | Mindy Schwartz | Registered Nurse | 1100 S Eliseo Dr Ste 2, Greenbrae, CA 94904-2017 | 2019-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1104447515 | Nourished Fox, LLC | Registered Nurse | 101 E Coso Ave # 656, Ridgecrest, CA 93555-3655 | 2020-04-27 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1134767593 | Crystal Melody Loucel | Registered Nurse | 1801 21st Ave Apt 102, San Francisco, CA 94122-4448 | 2019-12-17 |
| 1841848314 | Gayle Curto | Registered Nurse | 1450 Treat Blvd # 130, Walnut Creek, CA 94597-2168 | 2019-08-28 |
| 1225682925 | Chau Ngoc Thanh Phan | Registered Nurse | 9191 Westminster Ave Ste 108, Garden Grove, CA 92844-2751 | 2019-07-31 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1548745409 | Krystal Linn Hutcheson | Registered Nurse | 29294 Nectarine St, Menifee, CA 92584-7285 | 2018-09-26 |
| 1184101420 | Terri J Roos | Registered Nurse | 1580 Valencia St Ste 802, San Francisco, CA 94110-4415 | 2018-07-19 |
| 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.