MRS. KELLY HALL (NPI# 1881731917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881731917 |
| Entity Type | Individual |
| Full Name | MRS. KELLY HALL |
| Credential | CRNP |
| Practice Address |
705 Us Highway 80 W Demopolis AL 36732-4113 |
| Practice Telephone | 3342890225 |
| Practice Fax Number | 3342873340 |
| Mailing Telephone | 3342890225 |
| Mailing Fax Number | 3342873340 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-079822 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553892 | Kelly Ruth Hall | Nurse Practitioner | 1680 Community Beach Rd, Odin, IL 62870-2100 | 2019-08-15 |
| 1285124057 | Kelly L Hall | Speech-Language Pathologist | 1340 W Outer 21 Rd, Arnold, MO 63010-3247 | 2018-05-16 |
| 1518417880 | Kelly Lynn Hall | Pharmacist | 7602 E Chaparral Rd, Scottsdale, AZ 85250-7754 | 2016-10-10 |
| 1043693112 | Kelly Hall | Speech-Language Pathologist | 7615 Se 19th Ave, Portland, OR 97202-6206 | 2015-07-07 |
| 1366707903 | Kelly Hall | Social Worker | 30434 Avera Creek Dr, Spring, TX 77386-3456 | 2012-07-10 |
| 1972875342 | Kelly Mcmahon Hall | Dietitian, Registered | 1122 W 18th St, Houston, TX 77008-3341 | 2012-02-01 |
| 1194955179 | Kelly Hall | Occupational Therapist | 400 Hickory St Nw Ste 302, Albany, OR 97321-1700 | 2009-07-23 |
| 1831398940 | Kelly Dailey Hall | Speech-Language Pathologist | 109 Penny Road, Greensboro, NC 27260 | 2007-07-18 |
| 1437297496 | Kelly M Hall | Respite Care | Sierra Verde Ranch 4, Lot 190, Seligman, AZ 86337-0599 | 2007-02-02 |
| 1093740763 | Kelly Michele Hall | Chiropractor | 205 Sycamore Valley Rd W, Danville, CA 94526-3947 | 2006-07-11 |
| Street Address |
705 US HIGHWAY 80 W |
| City | DEMOPOLIS |
| State | AL |
| Zip Code | 36732-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881211019 | Shaqualyn Rocker | Nurse Practitioner | 705 Us Highway 80 W, Demopolis, AL 36732-4113 | 2020-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790336196 | Preferred Eye Care LLC | Optometrist | 931 Highway 80 West, Suite A, Demopolis, AL 36732 | 2019-09-26 |
| 1215454517 | Braxton Senior Care | Day Training/Habilitation Specialist | 307 South Cherry Avenue, Demopolis, AL 36732 | 2017-08-28 |
| 1699206060 | Jamie Lynn Tucker | Pharmacist | 1107 Lillian Lane, Demopolis, AL 36732 | 2017-03-27 |
| 1578717021 | Sheila Bouler Pfaffman | Counselor | 409 North Walnut Avenue, Demopolis, AL 36732 | 2008-11-11 |
| 1609072537 | Southeast Cancer Network, Inc | Internal Medicine | 105 Highway 80 E., Demopolis, AL 36732 | 2007-06-26 |
| 1720102387 | Drs. Ketcham and Dismukes | Durable Medical Equipment & Medical Supplies | 202 Hwy 80 E, Demopolis, AL 36732 | 2007-03-19 |
| 1942356472 | Dana Eddins | Speech-Language Pathologist | 1400 Herbert St, Demopolis, AL 36732 | 2007-01-26 |
| 1083785182 | Mary Juanita Shakes | Social Worker | 205 Herbert Street, Demopolis, AL 36732 | 2006-11-11 |
| 1114006848 | Rural Health Medical Program, Inc | Clinic/Center | 1502 Highway 80 East, Unit A, Demopolis, AL 36732 | 2006-11-03 |
| 1518051788 | Judy Cooke Travis | Emergency Medicine | 123 East Capitol Street, Demopolis, AL 36732 | 2006-10-03 |
| Find all providers in zip 36732 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497993950 | Deborah Ann Carlisle | Nurse Practitioner | 951 Us Highway 80 W, Demopolis, AL 36732-4102 | 2009-01-21 |
| 1275539868 | Linda Bodle Mcadams | Nurse Practitioner | 203 Highway 80 West, Demopolis, AL 36732 | 2005-06-28 |
| 1881211019 | Shaqualyn Rocker | Nurse Practitioner | 705 Us Highway 80 W, Demopolis, AL 36732-4113 | 2020-07-04 |
| 1891027249 | Ellen Lewis Singleton | Nurse Practitioner | 951 Us Highway 80 W, Demopolis, AL 36732-4156 | 2010-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1851991954 | Terry Brock | Nurse Practitioner | 4232 Cahaba Dr, Vestavia, AL 35243-1600 | 2020-10-28 |
| 1568062784 | Stephanie Terese Godwin | Nurse Practitioner | 391 Ashcraft Ln, Atmore, AL 36502-4225 | 2020-10-27 |
| 1588264725 | Sabine Susanne Lamont | Nurse Practitioner | 41 Eminence Way, Suite A, Pell City, AL 35128-2338 | 2020-10-27 |
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1023616661 | Yaira Maldonado | Nurse Practitioner | 191 Lee Road 207, Phenix City, AL 36870-8240 | 2020-10-15 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1720685050 | Sean Jackson | Nurse Practitioner | 217 Tradewinds Cir, Alabaster, AL 35007-3019 | 2020-10-09 |
| 1104423235 | Rita Wiggins Branch | Nurse Practitioner | 12350 Flint Dr, Moundville, AL 35474-6246 | 2020-10-01 |
| 1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.