DR. MARY STURGELESKI KELLY (NPI# 1841268950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841268950 |
Entity Type | Individual |
Full Name | DR. MARY STURGELESKI KELLY |
Credential | PHARM.D. |
Practice Address |
206 3rd Ave South Seattle WA 98104 |
Mailing Address |
6754 27th Ave Nw Seattle WA 98117 |
Practice Telephone | 2065211762 |
Practice Fax Number | 2065211750 |
Mailing Telephone | 2067820261 |
Mailing Fax Number | 2067820261 |
Enumeration Date | 2006-03-14 |
Last Update Date | 2019-03-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | PH00042346 | WA | Pharmacy Service Providers |
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
60007146 | WA | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558844811 | Mary Elizabeth Kelly | Social Worker | 97 Libbey Industrial Pkwy Ste 301, Weymouth, MA 02189-3110 | 2018-09-12 |
1215410790 | Mary Jane Kelly | Dietitian, Registered | 1046 E Elgenia Ave, West Covina, CA 91790-1318 | 2018-09-11 |
1073020590 | Mary Teresa Kelly | Counselor | 726 Cherryvale Rd, Boulder, CO 80303-2911 | 2018-01-05 |
1972040459 | Mary A Kelly | Registered Nurse | 116 N Lake Ave, Albany, NY 12206-2710 | 2017-01-23 |
1073904215 | Mary Kelly | Registered Nurse | 3145 State Route 718, Troy, OH 45373-8908 | 2015-02-10 |
1174924054 | Mary Kelly | Nurse Practitioner | 14435 15th Ave, Whitestone, NY 11357-2407 | 2014-09-10 |
1306058714 | Mary Catherine Kelly | Nurse Practitioner | 275 Riverside Ave, Riverside, CT 06878-2313 | 2007-05-06 |
1134340086 | Mary Kris Kelly | Nurse Practitioner | 1 Gustave L Levy Pl # 1030, New York, NY 10029-6500 | 2007-05-01 |
1518187772 | Mary Ann Kelly | Dietary Manager | 6448 Hallee Rd Ste 9, Joshua Tree, CA 92252-1908 | 2007-04-27 |
1003036583 | Mary Anne Kelly | Marriage & Family Therapist | 105 Sunnyside Ave, Piedmont, CA 94611-4419 | 2007-04-26 |
Street Address |
206 3RD AVE SOUTH |
City | SEATTLE |
State | WA |
Zip Code | 98104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
Find all providers in zip 98104 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528586732 | Mayumi Robbins | Pharmacist | 410 9th Ave N Fl 7, Seattle, WA 98109-4708 | 2017-09-07 |
1639574981 | Loi Chau | Pharmacist | 601 Broadway Rm 117, Seattle, WA 98122-5330 | 2014-10-29 |
1780829127 | Rhea Coquia Smith | Pharmacist | 325 9th Ave # 359812, Seattle, WA 98104-2420 | 2008-12-15 |
1528246170 | Lara Connell | Pharmacist | The Polyclinic, 1145 Broadway, Seattle, WA 98122 | 2008-02-06 |
1023625498 | Ivan Jiayong Huang | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-09-29 |
1942820220 | Arianne Duong | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-16 |
1639709728 | Marian J Dobles | Pharmacist | 500 17th Ave, Seattle, WA 98122-5711 | 2020-01-17 |
1154967107 | Kathleen Tan | Pharmacist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2019-11-25 |
1811546708 | Michelle Joanne Lionas | Pharmacist | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2019-09-04 |
1053976969 | Aundrea Marie Jocola | Pharmacist | 747 Broadway, Seattle, WA 98122-4379 | 2019-05-06 |
Find all providers in SEATTLE |
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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.