CARISSA M KELLY (NPI# 1821307646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821307646 |
| Entity Type | Individual |
| Full Name | CARISSA M KELLY |
| Credential | NP-C |
| Practice Address |
150 York St Stoughton MA 02072-1829 |
| Practice Telephone | 7812971111 |
| Mailing Telephone | 7812971111 |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2011-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN276785 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255762977 | Carissa Kelly | Acupuncturist | 580 Clipper St, San Francisco, CA 94114-3605 | 2013-12-05 |
| 1104424456 | Carissa Kelly | Behavior Technician | 5000 Stonewood Dr, Wexford, PA 15090-8395 | 2020-10-09 |
| Street Address |
150 YORK ST |
| City | STOUGHTON |
| State | MA |
| Zip Code | 02072-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386610756 | Stephen Walter Noyes | Physician Assistant | 150 York St, Stoughton, MA 02072-1829 | 2006-02-27 |
| 1295364412 | Stella Cazales | Respiratory Therapist, Registered | 150 York St, Stoughton, MA 02072-1829 | 2020-04-08 |
| 1639708613 | Mackenzie Macuch | Occupational Therapist | 150 York St, Stoughton, MA 02072-1829 | 2020-04-02 |
| 1730715996 | Haylee Nugent | Physical Therapist | 150 York St, Stoughton, MA 02072-1881 | 2020-03-19 |
| 1124677828 | Susan Espo Greenfield | Speech-Language Pathologist | 150 York St, Stoughton, MA 02072 | 2019-09-05 |
| 1790274496 | Christina Marie Bragan | Social Worker | 150 York St, Stoughton, MA 02072-1829 | 2018-05-08 |
| 1861994329 | New England Sinai Hospital, A Steward Family Hospital, Inc. | Skilled Nursing Facility | 150 York St, Stoughton, MA 02072-1829 | 2018-03-01 |
| 1629527130 | Gale Mccall | Physical Therapist | 150 York St, Stoughton, MA 02072-1829 | 2016-09-26 |
| 1245784446 | Sound Physicians of Massachusetts, Inc | Family Medicine | 150 York St, Stoughton, MA 02072-1829 | 2016-08-05 |
| 1689062002 | Hazel Mosote | Registered Nurse | 150 York St, Stoughton, MA 02072-1829 | 2015-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720543077 | Rachael E. Wilcox-rolniak | Counselor | Renz Counseling 378 Page St, Suite 6, Stoughton, MA 02072 | 2019-01-31 |
| 1134601487 | Patricia Eichinger | Social Worker | Saint Anne's Gpu At New England Sinai Hospital, 150 York Street, Stoughton, MA 02072 | 2018-09-04 |
| 1649752080 | Anne Marguerite Shute | Social Worker | 171 Ash St., Stoughton, MA 02072 | 2018-09-02 |
| 1558849646 | Janet A. Wiederhold | Social Worker | 32 Conservation Way, Stooghton, MA 02072 | 2018-08-01 |
| 1497284624 | Tatiana T Rudd | Counselor | 11 Monk Street R1, Stoughton, MA 02072 | 2017-06-10 |
| 1447782461 | Childrens Dental Health Center PC | Dentist | 966c Park Street, Stoughton, MA 02072 | 2017-03-29 |
| 1962949925 | Regis College | Clinic/Center | 155 Wheeler Circle, Apt. 273, Stoughton, MA 02072 | 2017-01-27 |
| 1679020259 | Youssef Wahba | Pharmacist | 638 Washigton St, Stoughton, MA 02072 | 2016-09-01 |
| 1346601093 | Allstate Home Care,inc | Foster Care Agency | 5 Cabot Place., #1, Stoughton, MA 02072 | 2016-03-09 |
| 1386032167 | Tara L Traczyk | Registered Nurse | 907 Summer St. Suite M201, Guardian Anesthesia Inc, Stoughton, MA 02072 | 2015-01-02 |
| Find all providers in zip 02072 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659848604 | Alison Gorin | Nurse Practitioner | 909 Sumner St, Stoughton, MA 02072-3396 | 2018-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576121 | Alexander I Hoffman | Nurse Practitioner | 54 Southbourne Rd, Jamaica Plain, MA 02130-4633 | 2020-10-26 |
| 1104423482 | Paola Buchanan | Nurse Practitioner | 351 Engamore Ln Apt T3, Norwood, MA 02062-2505 | 2020-10-08 |
| 1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
| 1902411341 | Anne Marie Marie Dicredico | Nurse Practitioner | 916 Sherwood Forest Ln Unit 916, Saugus, MA 01906-1973 | 2020-09-12 |
| 1407460322 | Devi Sivanandan | Nurse Practitioner | 18 Dale St Unit 5c, Andover, MA 01810-5663 | 2020-09-08 |
| 1447863600 | Diana Stephanie Freiberger | Nurse Practitioner | 965 West St, Walpole, MA 02081-1200 | 2020-08-27 |
| 1063023216 | Christine Cibotti | Nurse Practitioner | 8 Forty Acres Dr, Wayland, MA 01778-2702 | 2020-08-12 |
| 1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
| 1295344547 | Janelle Sherry Romain | Nurse Practitioner | 91 Codman Hill Ave, Dorchester, MA 02124-4636 | 2020-07-23 |
| 1245848852 | Patrice Nicholas | Nurse Practitioner | 14 Shipway Pl, Charlestown, MA 02129-4301 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CARISSA M KELLY.
| 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.