MS. ELIZABETH ANN KELLY (NPI# 1831161090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831161090 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH ANN KELLY |
| Credential | FNP-BC |
| Practice Address |
103 Re Jennings Ave Se P.o. Drawer R Arlington GA 39813-8725 |
| Mailing Address |
55 Re Jennings Ave Se P.o. Drawer R Arlington GA 39813-8722 |
| Practice Telephone | 2297254251 |
| Practice Fax Number | 2297252212 |
| Mailing Telephone | 2297254272 |
| Mailing Fax Number | 2297252199 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2011-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN050989 | GA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | RN050989 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992259485 | Elizabeth Kelly | Registered Nurse | 1392 Summit St, Apt C, Columbus, OH 43201-2559 | 2016-08-12 |
| 1528465036 | Elizabeth Kelly | Occupational Therapy Assistant | 10760 Opal St Ne, Circle Pines, MN 55014-1534 | 2014-11-26 |
| 1245659150 | Elizabeth M Kelly | Social Worker | 605 Old White Plains Rd, Second Floor, Tarrytown, NY 10591-5027 | 2014-04-08 |
| 1093130528 | Elizabeth Kelly | Social Worker | 4201 Connecticut Ave. Nw, Suite 300, Washington, DC 20008 | 2014-02-20 |
| 1760743892 | Elizabeth Kelly | Specialist | 879 72nd St, Brooklyn, NY 11228-1051 | 2012-06-05 |
| 1821315144 | Elizabeth Fletcher Kelly | Speech-Language Pathologist | 142 Tamalpais Rd, Fairfax, CA 94930-1501 | 2010-04-26 |
| 1568680312 | Elizabeth Kelly | Registered Nurse | 4925 N Leavitt St, Chicago, IL 60625-1308 | 2007-04-24 |
| 1487601852 | Elizabeth Lepinnet Kelly | Physical Therapist | 51 Elm St, Delhi, NY 13753-1208 | 2006-05-30 |
| 1861458465 | Elizabeth Grey Kelly | Family Medicine | 3712 Wood Rail Dr, Plano, TX 75074-7706 | 2006-04-22 |
| 1144840489 | Elizabeth Brown Kelly | Nurse Practitioner | 409 Tyler Holmes Dr, Winona, MS 38967-1521 | 2020-04-16 |
| Street Address |
103 RE JENNINGS AVE SE P.O. DRAWER R |
| City | ARLINGTON |
| State | GA |
| Zip Code | 39813-8725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003257593 | Yvette Nicole Williams | Physician Assistant | 103 Re Jennings Ave Se, Arlington, GA 39813-8725 | 2013-07-11 |
| 1700944592 | Marie W Jones | Nurse Practitioner | 103 Re Jennings Ave Se, Arlington, GA 39813-8725 | 2006-12-05 |
| 1578634382 | Cindy F Lee | Nurse Practitioner | 103 Re Jennings Ave Se, Arlington, GA 39813-8725 | 2006-11-13 |
| 1235227752 | The Hospital Authority of Miller County | Clinic/Center | 103 Re Jennings Ave Se, Arlington, GA 39813-8725 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326242298 | Nathan J. Dallas | Dentist | 471 Pioneer Road Nw, Arlington, GA 39813 | 2007-06-13 |
| 1942412754 | Calhoun Memorial Hospital | Rehabilitation Unit | 103 R E Jennings Ave, Arlington, GA 39813 | 2007-05-04 |
| 1316027352 | Hospital Authority of Calhoun County | General Acute Care Hospital | 55 R E Jennings Ave, Arlington, GA 39813 | 2006-10-16 |
| 1831208743 | Amy J Kocherla | Internal Medicine | 17432 Highland Ave, Arlington, GA 39813 | 2006-08-30 |
| 1508811761 | John Charles Dallas | Dentist | 471 Pioneer Rd, Arlington, GA 39813 | 2006-05-24 |
| 1326333675 | Dallas Dental Carellc | Dentist | 471 Pioneer Rd, Arlington, GA 39813 | 2011-06-15 |
| 1699986695 | John Dallas, Dmd, PC | Dentist | 471 Pioneer Rd, Arlington, GA 39813 | 2007-05-24 |
| 1851503668 | Calhoun Memorial Hospital | Rehabilitation Unit | 103 R E Jennings Ave, Arlington, GA 39813 | 2007-05-04 |
| 1396877395 | Calhoun Memorial Hospital | Ambulance | 55 R E Jennings Ave, Arlington, GA 39813 | 2007-03-12 |
| 1073564902 | Steven M Wadsworth | Podiatrist | 420 W Morris Blvd, Ste 400d Health Star Physicians, Morristown, TN 39813 | 2006-05-15 |
| Find all providers in zip 39813 | ||||
| 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 |
|---|---|---|---|---|
| 1467066795 | Colleen Marie Gleason | Nurse Practitioner | 2522 S Arlington Mill Dr Apt D, Arlington, VA 22206-4033 | 2020-09-03 |
| 1013526466 | Deborah Anne Tenenbaum | Nurse Practitioner | 4000 Wilson Blvd Apt 1109, Arlington, VA 22203-4410 | 2020-07-30 |
| 1427519396 | Fatoumata Jallow | Nurse Practitioner | 2304 Cromwell Dr, Arlington, TX 76018-2560 | 2019-03-25 |
| 1730647991 | Victoria Agudah | Nurse Practitioner | 4621 S Cooper St Ste 131-657, Arlington, TX 76017-5866 | 2019-03-06 |
| 1124583679 | Mary Thi Huynh | Nurse Practitioner | 3600 Matlock Rd Ste 100, Arlington, TX 76015-3679 | 2019-02-08 |
| 1467917435 | Bratton Healthcare Enterprises Pllc | Nurse Practitioner | 7912 Joshua Tree Ct, Arlington, TX 76002-4767 | 2019-02-04 |
| 1548732316 | Megan Francis | Nurse Practitioner | 1010 N Glebe Rd Ste 100, Arlington, VA 22201-5795 | 2018-12-18 |
| 1417424219 | Tracy Julien | Nurse Practitioner | 801 E Abram St Ste 208, Arlington, TX 76010-1200 | 2018-10-30 |
| 1083190359 | Nicole Leigh Charles | Nurse Practitioner | 6511 Steck Cv, Arlington, TN 38002-4806 | 2018-07-19 |
| 1902398035 | Paul Ooyi | Nurse Practitioner | 1127 Autumn Mist Way, Arlington, TX 76005 | 2018-06-05 |
| Find all providers in ARLINGTON | ||||
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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.