KELLY BEAN (NPI# 1801992532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801992532 |
| Entity Type | Individual |
| Full Name | KELLY BEAN |
| Credential | ARNP |
| Practice Address |
3410 Futures Dr South Sioux City NE 68776-3917 |
| Mailing Address |
1021 Nebraska St Sioux City IA 51105-1436 |
| Practice Telephone | 7122522477 |
| Practice Fax Number | 7122525920 |
| Mailing Telephone | 7122522477 |
| Mailing Fax Number | 7122525920 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | A-105358 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
110826 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | IA BOARD OF NURSING | A-105358 | 01 |
| NE | NE APRN LICENSE | 110826 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1021 Nebraska St, Sioux City, IA 511051436 | 7122522477 | 7122525920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144854233 | Kelly Campbell Bean | Student in an Organized Health Care Education/Training Program | 307 West Losey Street, Bldg. 1535, Scott Afb, IL 62225-0000 | 2020-02-27 |
| 1124336136 | Kelly Lee Bean | Technician, Other | 126 Missouri Ave, Fort Leonard Wood, MO 65473 | 2010-09-24 |
| 1720246010 | Kelly J Bean | Nurse Practitioner | 14540 Prairie Lakes Blvd N, Suite 200, Noblesville, IN 46060-4366 | 2008-05-23 |
| Street Address |
3410 FUTURES DR |
| City | SOUTH SIOUX CITY |
| State | NE |
| Zip Code | 68776-3917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134181001 | Richard James Thompson | Specialist | 3410 Futures Dr, South Sioux City, NE 68776-3917 | 2006-04-05 |
| 1912378480 | Siouxland Community Health Center | Clinic/Center | 3410 Futures Dr, South Sioux City, NE 68776-3917 | 2015-10-09 |
| 1073600755 | Thomas Gerald Morgan | Family Medicine | 3410 Futures Dr, South Sioux City, NE 68776-3917 | 2006-10-06 |
| 1568553956 | Amy Elizabeth Mcmanamy | Social Worker | 3410 Futures Dr, South Sioux City, NE 68776-3917 | 2006-09-28 |
| 1487684296 | Greg Ringling | Speech-Language Pathologist | 3410 Futures Dr, South Sioux City, NE 68776 | 2006-07-04 |
| 1306872403 | Premala T Menezes | Occupational Therapist | 3410 Futures Dr, South Sioux City, NE 68776-3917 | 2006-06-23 |
| 1073559381 | Kristine Kleve | Physical Therapist | 3410 Futures Dr, South Sioux City, NE 68776-3917 | 2006-06-22 |
| 1407892854 | Jay E Collier | Occupational Therapist | 3410 Futures Dr, South Sioux City, NE 68776-3917 | 2006-06-22 |
| 1124063953 | Erik Nieuwenhuis | Physical Therapist | 3410 Futures Dr, South Sioux City, NE 68776-3917 | 2006-06-17 |
| 1144262585 | Kory Zimney | Physical Therapist | 3410 Futures Dr, South Sioux City, NE 68776-3917 | 2006-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704251 | Integrated Diagnostics | Pathology | 201 East 4th Street, Suite 203, South Sioux City, NE 68776 | 2019-08-08 |
| 1003374711 | Riverview Surgical Center LLC | Clinic/Center | 201 E 4th Street, South Sioux City, NE 68776 | 2019-03-12 |
| 1144777665 | Emily Malchow | Speech-Language Pathologist | 820 E. 29th St., South Sioux City, NE 68776 | 2016-09-01 |
| 1477856011 | Hospice of Siouxland | Hospice Care, Community Based | 3220 Plaza Dr Ste D, South Sioux City, NE 68776 | 2010-12-20 |
| 1114101839 | Stacy Erin Rose | Counselor | 100 West 29th St, Suite 319, South Sioux, NE 68776 | 2007-12-18 |
| 1194867663 | Fern Norris | Counselor | 625 East 39th Street, South Sioux City, NE 68776 | 2007-02-13 |
| 1689750937 | Elizabeth Joan Munch | Dentist | 3220 Plaza Dr., Suite B, South Sioux City, NE 68776 | 2006-10-30 |
| 1841376191 | Douglas M. Barr | Dentist | 3220 Plaza Drive Ste B, So Sioux City, NE 68776 | 2006-10-30 |
| 1336245521 | Wal-mart Stores, Inc. | Technician/Technologist | 1601 Cornhuskers Drive, South Sioux City, NE 68776 | 2006-09-15 |
| 1316049752 | Redlers Prof Phcy Inc | Durable Medical Equipment & Medical Supplies | 1010 W 29th St, Ste 214, South Sioux City, NE 68776 | 2006-09-05 |
| Find all providers in zip 68776 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295150928 | Regina Rene Grover | Nurse Practitioner | 3900 Dakota Ave Ste 6, South Sioux City, NE 68776-3696 | 2014-03-04 |
| 1639134034 | Elizabeth N Pratt | Nurse Practitioner | 3250 Plaza Dr, South Sioux City, NE 68776-3144 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508465048 | Lisa J Lehr | Nurse Practitioner | 6336 John J Pershing Dr Fl Lozier2, Omaha, NE 68110-1100 | 2020-10-24 |
| 1154929230 | Chelsea Lynae Jones | Nurse Practitioner | 75 Highway 77, Winnebago, NE 68071-5001 | 2020-10-12 |
| 1144837899 | Kristine Ellen Follett | Nurse Practitioner | 5900 Spruce St, Lincoln, NE 68516-1425 | 2020-09-27 |
| 1629683719 | Jessica Leigh Queen | Nurse Practitioner | 6818 N 102nd Avenue Cir, Omaha, NE 68122-3009 | 2020-09-15 |
| 1023623451 | Kayla Hallock | Nurse Practitioner | 3740 N 27th St Ste 1, Lincoln, NE 68521-4162 | 2020-09-11 |
| 1598379844 | Austin Keith Gydesen | Nurse Practitioner | 1022 Pacific St, Cambridge, NE 69022-3517 | 2020-09-03 |
| 1255944930 | Taylor Marjorie Feilmeier | Nurse Practitioner | 56338 881 Rd, Hartington, NE 68739-4021 | 2020-08-24 |
| 1639780414 | Nicolette R Lovitt | Nurse Practitioner | 14721 Stone Ave, Omaha, NE 68116-4323 | 2020-08-13 |
| 1376153197 | Matilda R Beaudette | Nurse Practitioner | 11108 Hilltop Ave, Omaha, NE 68164-2273 | 2020-08-06 |
| 1508476847 | Deann Marie Mcclellan | Nurse Practitioner | 22625 130th Rd, Riverdale, NE 68870-7105 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH SIOUX CITY |
| Zip Code | 68776 |
Please comment or provide details below to improve the information on KELLY BEAN.
| 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.