MS. JAAN KELLY (NPI# 1831189190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831189190 |
| Entity Type | Individual |
| Full Name | MS. JAAN KELLY |
| Credential | PA-C |
| Practice Address |
9330 Park West Blvd Suite 202 Knoxville TN 37923-4308 |
| Practice Telephone | 8656914850 |
| Practice Fax Number | 8656948018 |
| Mailing Telephone | 8656914850 |
| Mailing Fax Number | 8656948018 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2010-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1072 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3661893 | 05 |
| Street Address |
9330 PARK WEST BLVD SUITE 202 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906991 | Rosalind Cadigan | Obstetrics & Gynecology | 9330 Park West Blvd, Ste 502, Knoxville, TN 37923-4308 | 2005-07-20 |
| 1326546664 | Lindsay Marie Grammes | Physician Assistant | 9330 Park West Blvd, Knoxville, TN 37923-4308 | 2018-01-31 |
| 1629524855 | Benjamin Seth Chaffins | Nurse Practitioner | 9330 Park West Blvd, Suite 100, Knoxville, TN 37923-4308 | 2016-08-28 |
| 1891154092 | Mary Beth Johnson | Nurse Practitioner | 9330 Park West Blvd, Knoxville, TN 37923-4308 | 2016-02-16 |
| 1699015727 | Tennessee Gyn | Obstetrics & Gynecology | 9330 Park West Blvd, Suite 409, Knoxville, TN 37923-4308 | 2013-02-27 |
| 1639419237 | Kara Neely | Physician Assistant | 9330 Park West Blvd, Knoxville, TN 37923-4308 | 2013-02-20 |
| 1003174350 | Andrew David Goins | Internal Medicine | 9330 Park West Blvd, Ste 402, Knoxville, TN 37923-4308 | 2012-04-24 |
| 1538437348 | Tennessee Orthopaedic Clinics PC | Clinic/Center | 9330 Park West Blvd, Suite 300, Knoxville, TN 37923-4308 | 2011-12-07 |
| 1639469919 | Feet First, Pllc | Skilled Nursing Facility | 9330 Park West Blvd, Suite #508, Knoxville, TN 37923-4308 | 2011-04-08 |
| 1366615734 | Ronald William Bryan | Specialist | 9330 Park West Blvd, Suite #103, Knoxville, TN 37923-4308 | 2008-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
| 1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
| 1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
| 1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
| 1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
| 1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
| 1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
| Find all providers in zip 37923 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772744 | Kaitlyn Blair Barger | Physician Assistant | 2100 Clinch Ave Ste 120, Knoxville, TN 37916-2288 | 2020-08-26 |
| 1225653967 | Molly Ann Waggoner | Physician Assistant | 9050 Executive Park Dr Ste 100b, Knoxville, TN 37923-4616 | 2020-06-09 |
| 1164942355 | Debra Lynn Howard | Physician Assistant | 9314 Park West Blvd Ste 100, Knoxville, TN 37923-4338 | 2017-06-20 |
| 1255702635 | Community Healthcare | Physician Assistant | 507 N Cedar Bluff Rd, Knoxville, TN 37923-2805 | 2015-10-12 |
| 1053653220 | Amber L. Burns | Physician Assistant | 501 20th St Ste 303, Knoxville, TN 37916-1899 | 2013-03-26 |
| 1497044671 | Katie Bean | Physician Assistant | 8025 Kingston Pike Ste 1, Knoxville, TN 37919-5582 | 2011-03-28 |
| 1861704371 | Prodigal Primary Care PC | Physician Assistant | 2911 Essary Road, Knoxville, TN 37918-2468 | 2010-07-13 |
| 1336476159 | George F. Hillegas IIi | Physician Assistant | 3904 Lonas, Pa Program South College, Knoxville, TN 37909 | 2009-11-16 |
| 1225263353 | Douglas E Lillifield | Physician Assistant | 431 Park Village Dr Ste 103, Knoxville, TN 37923 | 2009-05-19 |
| 1720263213 | Leslie Anne Heller | Physician Assistant | 814 E Woodland Ave, Knoxville, TN 37917-5648 | 2008-01-03 |
| Find all providers in KNOXVILLE | ||||
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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.