MRS. COURTNEY LEE KELLY


Address: 8808 Balboa Ave, San Diego, CA 92123-1592
Phone: 6196450155

MRS. COURTNEY LEE KELLY (NPI# 1831426725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831426725
Entity Type Individual
Full Name MRS. COURTNEY LEE KELLY
Other Name MISS COURTNEY LEE COPELAND
Credential NP
Practice Address 8808 Balboa Ave
San Diego
CA 92123-1592
Mailing Address 2430 Cardinal Dr
Apartment #20
San Diego
CA 92123-4125
Practice Telephone 6196450155
Practice Fax Number 6196450193
Mailing Telephone 5599604452
Enumeration Date 2009-11-12
Last Update Date 2011-01-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 19352 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA LICENSE 19352 01

Other Providers COURTNEY KELLY

NPI Name Taxonomy Address Enumeration
1073903266 Courtney Kelly Behavioral Analyst 7 E Creek Cir, Guilford, CT 06437-2821 2015-01-27
1215541438 Courtney Kelly Social Worker 311 Albert Sabin Way, Cincinnati, OH 45229-2838 2020-09-04
1134743768 Courtney Kelly Speech-Language Pathologist 5835 Harbour View Blvd, Suffolk, VA 23435-2601 2020-05-29
1235759077 Courtney Kelly Dentist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2020-04-22
1457988594 Courtney Alexandra Kelly Student in an Organized Health Care Education/Training Program 8414 Naab Rd Ste 200, Indianapolis, IN 46260-1972 2020-03-26
1407330913 Courtney Parker Kelly Dentist 100 57th St S, Birmingham, AL 35212-2541 2018-09-20
1720595549 Courtney E Kelly Nurse Practitioner 1550 S Water St, Starke, FL 32091-4511 2018-01-02
1578966735 Courtney Kelly Nurse Anesthetist, Certified Registered 4150 Nelson Rd Ste A4, Lake Charles, LA 70605-4169 2014-10-02
1295081933 Courtney W Kelly Pharmacist 132 Alden Rd, Fairhaven, MA 02719-4721 2012-07-31
1265628275 Courtney Ann Kelly Physician Assistant 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047-3217 2007-09-24

Office Location

Street Address 8808 BALBOA AVE
City SAN DIEGO
State CA
Zip Code 92123-1592

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467422576 Sun Ok Han Pharmacist 8808 Balboa Ave, San Diego, CA 92123-1592 2006-01-23
1356887780 Corrianne Aubrey Norrid Nurse Practitioner 8808 Balboa Ave, San Diego, CA 92123-1592 2017-01-09
1760824403 Eamon Keleher Family Medicine 8808 Balboa Ave, San Diego, CA 92123 2013-07-23
1609187947 Kristopher Carter Family Medicine 8808 Balboa Ave, San Diego, CA 92123 2010-07-01
1922206853 Tricare Outpatient Clinic Clairemont Clinic/Center 8808 Balboa Ave, San Diego, CA 92123-1592 2007-07-03
1528119286 Sylvia Luther Family Medicine 8808 Balboa Ave, Tricare Outpatient Clinic Clairemont Mesa, San Diego, CA 92123-1592 2007-01-16
1619047271 Nelly Kim Rice Family Medicine 8808 Balboa Ave, San Diego, CA 92123-1592 2006-11-09
1720164387 Victoria A Callihan Nurse Practitioner 8808 Balboa Ave, Tricare Outpatient Clinic, San Diego, CA 92123-1592 2006-10-27
1942307707 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy 8808 Balboa Ave, San Diego, CA 92123-1592 2006-09-20
1457369019 Michael D Cecilio Family Medicine 8808 Balboa Ave, San Diego, CA 92123-1592 2006-08-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087326 Corina Lozano Manzo Registered Nurse 7436 Mission Center Road, San Diego, CA 92123 2020-09-10
1831703537 Shannon Leigh Doolittle Audiologist 3020 Children's Way Mc5010, San Diego, CA 92123 2020-09-01
1861014359 Ha Thanh Truong Pharmacist Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 2020-05-07
1023667136 Brittany Meyer Physical Therapist 3020 Children's Waymc5068, San Diego, CA 92123 2019-09-11
1598313272 Ryan Edward Shaw Marriage & Family Therapist 8910 Clairmont Mesa Blvd, San Diego, CA 92123 2019-08-27
1528611910 Tanisha C Fulcher Marriage & Family Therapist 8825 Aero Dr., Ste 315, San Diago, CA 92123 2019-07-24
1245795665 Robin James Pekin Marriage & Family Therapist 4450 Kearny Villa Rd, #116, San Diego, CA 92123 2019-02-11
1174093728 Karen Vences Counselor 8755 Aero Dr Suite 230, San Diego, CA 92123 2018-11-27
1255808465 Natasha Herrera Counselor 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 2018-10-25
1407321987 Maneka Elikewela Behavior Technician 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 2018-10-10
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417560467 Helen Regina Stearns Nurse Practitioner 8797 Encino Ave, San Diego, CA 92123-3952 2020-08-28
1346852480 Jenna Juenger Nurse Practitioner 10665 Calle Mar De Mariposa Apt 3215, San Diego, CA 92130-8730 2020-08-19
1750908414 Deborah Lynne Monaghan Nurse Practitioner 14471 Via Venezia Apt 601, San Diego, CA 92129-1657 2020-06-29
1780211300 Amanda Renee Phillips Nurse Practitioner 3034 Horton Ave, San Diego, CA 92103-6008 2020-03-24
1538792304 Allison D White Nurse Practitioner 726 W Pennsylvania Ave, San Diego, CA 92103-3804 2020-02-19
1356981351 Jordan Rae Burke Nurse Practitioner 11943 El Camino Real Ste 100, San Diego, CA 92130-2597 2020-01-08
1598319436 Madison Taylor Shreeve Nurse Practitioner 3435 Del Mar Heights Rd # D6a, San Diego, CA 92130-2225 2019-07-29
1659930485 Lovella Medilo Nurse Practitioner 4033 3rd Ave Ste 430, San Diego, CA 92103-2117 2019-06-05
1306300272 Stephanie O'brien Sramek Nurse Practitioner 4077 5th Ave # Ems, San Diego, CA 92103-2105 2019-01-25
1467930875 Reliable Care Md On The Go Nurse Practitioner 4565 Ruffner St Ste 201, San Diego, CA 92111-2259 2018-07-30
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Competitor

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City SAN DIEGO
Zip Code 92123

Improve Information

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Dataset Information

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.

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