KELLY MARIE HALL (NPI# 1902019474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902019474 |
| Entity Type | Individual |
| Full Name | KELLY MARIE HALL |
| Practice Address |
555 Hospital Lane Susanville CA 96130 |
| Mailing Address |
40 N. Pine Street Susanville CA 96130 |
| Practice Telephone | 5302518179 |
| Mailing Telephone | 5302511850 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service 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 |
| 1881731917 | Kelly Hall | Nurse Practitioner | 705 Us Highway 80 W, Demopolis, AL 36732-4113 | 2007-01-30 |
| Street Address |
555 HOSPITAL LANE |
| City | SUSANVILLE |
| State | CA |
| Zip Code | 96130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316168198 | Virginia Mary Harris | Rehabilitation Practitioner | 555 Hospital Lane, Susanville, CA 96130 | 2007-05-01 |
| 1194247874 | Christine Lorentzen Harrison | Registered Nurse | 555 Hospital Lane, Susanville, CA 96130 | 2017-07-13 |
| 1164951448 | Steve Tank | Registered Nurse | 555 Hospital Lane, Susanville, CA 96130 | 2017-06-08 |
| 1437688710 | Jessica Jones | Registered Nurse | 555 Hospital Lane, Susanville, CA 96130 | 2017-06-08 |
| 1891908596 | Sara Louise Michels | Social Worker | 555 Hospital Lane, Susanville, CA 96130 | 2007-05-08 |
| 1205048238 | Karen Lee Ready | Rehabilitation Practitioner | 555 Hospital Lane, Susanville, CA 96130 | 2007-05-03 |
| 1619198868 | Joyce Truly Wells | Social Worker | 555 Hospital Lane, Susanville, CA 96130 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753456 | Shaughn Randall Whittaker | Nurse Practitioner | 1860 Paul Bunyan Rd, Susanville, CA 96130 | 2019-08-01 |
| 1871980847 | Katie Gaffney | Acupuncturist | 1850 Spring Ridge Dr., Susanville, CA 96130 | 2015-04-17 |
| 1952678435 | Linda Vixie | Dentist | 3020 Johnstonville Rd., Susanville, CA 96130 | 2011-11-28 |
| 1942503057 | Pamela Sue Vallalvazo | Counselor | 1445 Paul Bunyon Rd., Susanville, CA 96130 | 2010-12-10 |
| 1255631883 | Jessica Smyth | Counselor | 1400 Chestnut Street # A, Susanville, CA 96130 | 2010-10-29 |
| 1295045276 | Danielle Hardy | Counselor | 1400 Chestnut Street Suite A, Susanville, CA 96130 | 2010-10-08 |
| 1982921417 | Ronald Spencer Tucker Jr. | Counselor | 4119 Johnstonville Road, #270503, Susanville, CA 96130 | 2010-04-23 |
| 1609107945 | Timothy J Nolan | Psychologist | 803 1/2 Main St., Suite 104, Susanville, CA 96130 | 2010-01-27 |
| 1528243649 | Daniel Martin Bruce | Case Manager/Care Coordinator | 720-a Richmond Road, Susanville, CA 96130 | 2008-01-08 |
| 1679757785 | Michael Charles Giddings | Dentist | 475 Rice Canyon Rd, Susanville, CA 96130 | 2007-12-26 |
| Find all providers in zip 96130 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144433897 | Darrell R Foster | Rehabilitation Practitioner | 1400 Chestnut St, Suite A, Susanville, CA 96130 | 2007-05-08 |
| 1659592822 | Orlando Alberto Caprari | Rehabilitation Practitioner | 1445 Paul Bunyan Rd, Susanville, CA 96130 | 2007-05-02 |
| 1316168198 | Virginia Mary Harris | Rehabilitation Practitioner | 555 Hospital Lane, Susanville, CA 96130 | 2007-05-01 |
| 1366075996 | Tyler Poor | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2020-02-21 |
| 1144714767 | Rebecca Jordan | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2018-06-18 |
| 1700304672 | Nichole Leshawn Johnson | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2017-08-31 |
| 1427501055 | Tina Richards | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2016-08-01 |
| 1407207970 | Janet Marinoni | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2016-06-27 |
| 1629428412 | Sariah Hathaway | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2016-06-13 |
| 1457724767 | Trinity Leslie | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2015-11-09 |
| Find all providers in SUSANVILLE | ||||
| City | SUSANVILLE |
| Zip Code | 96130 |
Please comment or provide details below to improve the information on KELLY MARIE HALL.
| 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.