KELLY ANNE O'CONNELL (NPI# 1861884546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861884546 |
| Entity Type | Individual |
| Full Name | KELLY ANNE O'CONNELL |
| Credential | CRNP |
| Practice Address |
10 Shurs Ln Ste 203 Philadelphia PA 19127-2123 |
| Practice Telephone | 2154821234 |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2018-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN628832 | PA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | SP019217 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Franklin Town Blvd, Philadelphia, PA 191031238 | 2152408915 | |
| 219 N Broad St Fl 1, Philadelphia, PA 191071519 | 2157625145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952645103 | Kelly O'connell | Registered Nurse | 3937 Solano Ave, Napa, CA 94558-2262 | 2012-11-11 |
| 1043848039 | Kelly Doris O'connell | Dietitian, Registered | 35 Miles St, Damariscotta, ME 04543-4047 | 2020-03-27 |
| 1619504727 | Kelly O'connell | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way, Graduate Medical Education, Las Vegas, NV 89128-0431 | 2020-03-26 |
| 1508312612 | Kelly O'connell | Nurse Practitioner | 1204 W Main St, 5th Floor, Charlottesville, VA 22903-2824 | 2016-08-29 |
| 1376097048 | Kelly O'connell | Physical Therapist | 22 Tompkins St, Waterbury, CT 06708-1458 | 2016-08-10 |
| 1932459559 | Kelly Lynne O'connell | Physician Assistant | 75 Francis St, Boston, MA 02115-6110 | 2012-09-11 |
| 1639428873 | Kelly O'connell | Social Worker | 96 South St, Ware, MA 01082-1616 | 2012-09-04 |
| Street Address |
10 SHURS LN STE 203 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19127-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215236484 | Amanda Zeta De La Paz | Family Medicine | 10 Shurs Ln Ste 203, Philadelphia, PA 19127-2123 | 2011-03-27 |
| 1841833548 | Tower Drexel Academic Medical Group LLC | Family Medicine | 10 Shurs Ln Ste 203, Philadelphia, PA 19127-2123 | 2019-10-25 |
| 1922563089 | Kaitlin Elizabeth O'malley | Family Medicine | 10 Shurs Ln Ste 203, Philadelphia, PA 19127-2123 | 2019-02-04 |
| 1952895567 | Lily Simone Kosminsky | Family Medicine | 10 Shurs Ln Ste 203, Philadelphia, PA 19127-2123 | 2018-06-18 |
| 1912427006 | Merlyn Sunny Abraham | Family Medicine | 10 Shurs Ln Ste 203, Philadelphia, PA 19127-2123 | 2017-06-21 |
| 1851741300 | Swati Malhan | Family Medicine | 10 Shurs Ln Ste 203, Philadelphia, PA 19127-2123 | 2016-06-15 |
| 1336581925 | Lian Peter | Family Medicine | 10 Shurs Ln Ste 203, Philadelphia, PA 19127-2123 | 2013-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197218 | Karen M Johnson | Social Worker | 4001 Main Street, Suite 202, Philadelphia, PA 19127 | 2019-11-05 |
| 1801363304 | Associates for Well-being | Psychologist | 4001 Main Street, Suite 202, Philadelphia, PA 19127 | 2018-11-01 |
| 1033690920 | Extremity Care, LLC | Durable Medical Equipment & Medical Supplies | 3901 Main Street, Suite 101a, Philadelphia, PA 19127 | 2018-08-28 |
| 1275062549 | Jamie Mae Cunningham | Specialist/Technologist | 153 East Street, Philadelphia, PA 19127 | 2017-06-08 |
| 1073957957 | Sarah Alice Sall | Massage Therapist | 4600 Smick Street, Philadelphia, PA 19127 | 2013-04-23 |
| 1710245303 | Marie C Croghan | Occupational Therapist | 4601 Flat Rock Road, Apt. 514, Philadelphia, PA 19127 | 2012-05-02 |
| 1396938288 | Lisa Erin Starke | Occupational Therapist | 169 Conarroe St, Philadelphia, PA 19127 | 2007-08-23 |
| 1700448511 | Stefan Markovic | Family Medicine | 10 Shurs Ln, #203, Philadelphia, PA 19127 | 2019-07-01 |
| 1467912642 | Healing Energy Homecare, LLC | In Home Supportive Care | 4001 Main St, Ste 210, Philadelphia, PA 19127 | 2019-03-22 |
| 1962015537 | Joanna Elizabeth Vanore | Social Worker | 4725 Sheldon St, Philadelphia, PA 19127-1008 | 2020-08-24 |
| Find all providers in zip 19127 | ||||
| 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 |
|---|---|---|---|---|
| 1922619642 | Michelle Marie Platzer | Nurse Practitioner | 1238 N Mascher St, Philadelphia, PA 19122-4617 | 2020-08-14 |
| 1801411855 | Betty Sophia Glauberzon | Nurse Practitioner | 1810 Rittenhouse Sq Apt 2104, Philadelphia, PA 19103-5830 | 2020-06-15 |
| 1356966717 | Lorraine Denise Hicks | Nurse Practitioner | 7923 Gilbert St, Philadelphia, PA 19150-2505 | 2020-06-11 |
| 1740813682 | Marina Rakitskaya | Nurse Practitioner | 9816 Bonner St, Philadelphia, PA 19115-2304 | 2020-02-19 |
| 1841755014 | Kristen M Wright | Nurse Practitioner | 925 Chestnut St Apt 323a, Philadelphia, PA 19107-4216 | 2019-02-01 |
| 1649745241 | Chermal Rondell Moore | Nurse Practitioner | 1017 W Beacon St, Philadelphia, MS 39350-3218 | 2018-10-10 |
| 1588148175 | Eileen Mangabat Hummel | Nurse Practitioner | 3900 Woodland Ave # 127, Philadelphia, PA 19104-4551 | 2018-09-19 |
| 1225532344 | Stacy Lynn Brix | Nurse Practitioner | 4417 N 6th St # 2319, Philadelphia, PA 19140-2319 | 2018-03-22 |
| 1275037087 | Esther Andreessen | Nurse Practitioner | 3457 Eden St, Philadelphia, PA 19114-3605 | 2018-03-19 |
| 1265931570 | Maia Lindsey Francis | Nurse Practitioner | 2301 E Allegheny Ave Ste 203, Philadelphia, PA 19134-4427 | 2018-02-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19127 |
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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.