JESSICA KELLY (NPI# 1881091874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881091874 |
| Entity Type | Individual |
| Full Name | JESSICA KELLY |
| Practice Address |
14605 Potomac Branch Dr Ste 100 Woodbridge VA 22191-3337 |
| Practice Telephone | 7037384371 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110004786 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225427883 | Jessica Kelly | Licensed Vocational Nurse | 5511 Surfrider Way, San Diego, CA 92154-8602 | 2015-01-20 |
| 1316202757 | Jessica Kelly | Massage Therapist | 902 Ne 65th Street, Seattle, WA 98115 | 2012-07-11 |
| 1609057439 | Jessica L Kelly | Community/Behavioral Health | 8004 Crooked Chute Ct, Raleigh, NC 27612-7324 | 2007-11-20 |
| 1225248248 | Jessica Kelly | Occupational Therapist | 139 Toddy Hill Road, Newtown, CT 06470 | 2007-05-22 |
| 1114528023 | Jessica Kelly | Pharmacist | 3 Commerce Dr, Hooksett, NH 03106-2528 | 2020-11-06 |
| 1487203667 | Jessica Kelly | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2019-09-10 |
| 1730652496 | Jessica Lynn Kelly | Chiropractor | 2122 W Nine Mile Rd, Pensacola, FL 32534-9464 | 2019-01-05 |
| 1174098537 | Jessica Kelly | Social Worker | 835 Pride Dr Ste B, Hammond, LA 70401-9527 | 2018-10-11 |
| 1043703143 | Jessica Kelly | Physical Therapist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2018-06-13 |
| 1760973416 | Jessica Kelly | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2018-05-29 |
| Street Address |
14605 POTOMAC BRANCH DR STE 100 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447308689 | Ashish Gajanan Shanbhag | Neurological Surgery | 14605 Potomac Branch Dr Ste 100, Woodbridge, VA 22191 | 2007-01-06 |
| 1578078697 | Abigail Yvonne Runyans | Physician Assistant | 14605 Potomac Branch Dr Ste 100, Woodbridge, VA 22191-3337 | 2017-12-12 |
| 1689037715 | Michelle Karimzada | Physician Assistant | 14605 Potomac Branch Dr Ste 100, Woodbridge, VA 22191 | 2016-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356854541 | Samuel Dogbey | Physician Assistant | 1990 Old Bridge Rd Ste 201, Woodbridge, VA 22192-2383 | 2017-11-09 |
| 1700201829 | Kelly D Thompson | Physician Assistant | 2296 Opitz Blvd Ste 230, Woodbridge, VA 22191-3345 | 2014-02-26 |
| 1609017441 | Kwami Taichi | Physician Assistant | 15263 Barnabas Trl, Woodbridge, VA 22193-5570 | 2009-03-06 |
| 1164487187 | Sean T Robinson | Physician Assistant | 2022 Opitz Blvd Ste B, Woodbridge, VA 22191-3323 | 2006-04-20 |
| 1023624905 | Melissa Haug | Physician Assistant | 14605 Potomac Branch Dr Ste 300, Woodbridge, VA 22191-3337 | 2020-09-16 |
| 1588204523 | Tracy Nguyen | Physician Assistant | 3985 Prince William Pkwy Ste 102, Woodbridge, VA 22192-7900 | 2020-01-07 |
| 1407417033 | Kate Jihee Lee | Physician Assistant | 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323 | 2019-06-25 |
| 1447810197 | Grace Carlisle Huggins | Physician Assistant | 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323 | 2019-06-15 |
| 1396217642 | Nada Laraki | Physician Assistant | 2028 Opitz Blvd Ste B, Woodbridge, VA 22191-3326 | 2018-12-27 |
| 1578078697 | Abigail Yvonne Runyans | Physician Assistant | 14605 Potomac Branch Dr Ste 100, Woodbridge, VA 22191-3337 | 2017-12-12 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
Please comment or provide details below to improve the information on JESSICA KELLY.
| 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.