KELLY D BRAY (NPI# 1790241214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790241214 |
| Entity Type | Individual |
| Full Name | KELLY D BRAY |
| Practice Address |
2001 Main St Buffalo NY 14208-1035 |
| Mailing Address |
53 Meech St Buffalo NY 14208 |
| Practice Telephone | 7168888450 |
| Mailing Telephone | 3157192280 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043525785 | Kelly Bray | Emergency Medicine | 2035 S Indiana Ave, 312, Chicago, IL 60616-4925 | 2010-08-18 |
| 1639326887 | Kelly Lynn Bray | Physical Therapist | 1401 Gettysburg Lndg, Saint Charles, MO 63303-6104 | 2008-08-19 |
| 1780235952 | Kelly Marie Bray | Case Manager/Care Coordinator | 4283 El Cajon Blvd Ste 115, San Diego, CA 92105-1289 | 2019-09-27 |
| Street Address |
2001 MAIN ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14208-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346223583 | Marilyn Melnyk | Nurse Practitioner | 2001 Main St, Buffalo, NY 14208-1035 | 2005-11-22 |
| 1306319330 | Christine Elizabeth James | Specialist/Technologist | 2001 Main St, Buffalo, NY 14208-1098 | 2019-01-02 |
| 1497225338 | Kristen Saviola | Specialist/Technologist | 2001 Main St, Buffalo, NY 14208-1035 | 2018-12-04 |
| 1447751060 | Michael Ziemer | Specialist/Technologist | 2001 Main St, Buffalo, NY 14208-1035 | 2018-02-28 |
| 1609319326 | Jacob Janicki | Specialist/Technologist | 2001 Main St, Buffalo, NY 14208-1035 | 2016-11-29 |
| 1275668881 | Amy Kathleen Miller | Specialist/Technologist | 2001 Main St, Kac, Buffalo, NY 14208-1035 | 2007-02-22 |
| 1699814376 | Michael Dolan | Specialist/Technologist | 2001 Main St, Buffalo, NY 14208-1035 | 2007-02-06 |
| 1063523215 | Katherine Glose | Specialist/Technologist | 2001 Main St, Buffalo, NY 14208-1035 | 2006-08-31 |
| 1366495723 | Melissa A. Donato | Specialist/Technologist | 2001 Main St, Canisius College, Buffalo, NY 14208-1035 | 2006-05-18 |
| 1407820905 | Peter M. Koehneke | Specialist/Technologist | 2001 Main St, Buffalo, NY 14208-1035 | 2006-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306362785 | Charisma Holmes | Licensed Practical Nurse | 231 E Utica Street, Upper, Buffalo, NY 14208 | 2017-08-17 |
| 1497120257 | Willie Davis | Specialist/Technologist, Other | 15 Daisy Place, Buffalo, NY 14208 | 2015-12-04 |
| 1982004990 | Sonia Rebecca Hutchins | Nurse's Aide | 472 East Ferry St, Buffalo, NY 14208 | 2014-08-27 |
| 1265736565 | Emma Byrd | Registered Nurse | 1315 Jefferson, Buffalo, NY 14208 | 2010-12-29 |
| 1578877916 | Michelle Ann Redino | Speech-Language Pathologist | 126 Donaldson Rd, Buffalo, NY 14208 | 2010-07-27 |
| 1528031671 | Renata M Doerr | Physician Assistant | 2001 Main Street, Buffalo, NY 14208 | 2006-02-09 |
| 1760792436 | Sarahann Gatti | Licensed Practical Nurse | 346 Delaware Ave, Buffalo, NY 14208 | 2010-10-15 |
| 1801904438 | Dexter Prescription Center Inc | Pharmacy | 1453 Jefferson Ave, Buffalo, NY 14208 | 2006-08-25 |
| 1548201551 | Chester Fox | Family Medicine | 1315 Jefferson Ave, Buffalo, NY 14208 | 2006-06-09 |
| 1700879319 | Vinodbhai Ramanbhai Patel | Family Medicine | 1315 Jefferson Ave, Buffalo, NY 14208 | 2005-08-30 |
| Find all providers in zip 14208 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333870 | Olivia Sarkodie Arthur | Specialist/Technologist | 128 Forest Ave, Buffalo, NY 14213-1039 | 2020-10-15 |
| 1447872684 | Nicholas Haleigh Stern | Specialist/Technologist | 433 Goodyear Ave Lowr, Buffalo, NY 14211-2358 | 2020-05-11 |
| 1619503612 | Timothy Hare | Specialist/Technologist | 170 Audubon Dr, Buffalo, NY 14226-4045 | 2020-03-21 |
| 1750912069 | Meagan Mcnally | Specialist/Technologist | 341 N Park Ave, Buffalo, NY 14216-1937 | 2020-01-27 |
| 1215567342 | Theresa Miyashita | Specialist/Technologist | 598 Lafayette Ave Unit 207, Buffalo, NY 14222-1481 | 2020-01-16 |
| 1558910752 | Sean M. Roberts | Specialist/Technologist | 1300 Elmwood Ave # 108, Buffalo, NY 14222-1004 | 2019-09-10 |
| 1548818842 | Sarah Marie Krzyzanowicz | Specialist/Technologist | 210 Kimball Tower, Buffalo, NY 14214-8028 | 2019-08-29 |
| 1710454061 | Audrey Yokopovich | Specialist/Technologist | 45 Roanoke Pkwy, Buffalo, NY 14210-1809 | 2018-10-25 |
| 1154898419 | Calvin Dejong | Specialist/Technologist | 6 Affinity Ln # 2, Buffalo, NY 14215-2937 | 2018-10-25 |
| 1972070233 | Kristen Schlabach | Specialist/Technologist | 6 Affinity Ln Apt 249d, Buffalo, NY 14215-2937 | 2018-10-25 |
| Find all providers in BUFFALO | ||||
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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.