MRS. KELLY MARIA DORMAN (NPI# 1902234917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902234917 |
Entity Type | Individual |
Full Name | MRS. KELLY MARIA DORMAN |
Other Name | MS. KELLY MARIA MCNICHOL |
Credential | PMHNP |
Practice Address |
1021 Chapel St Oneida NY 13421-2837 |
Practice Telephone | 3157446977 |
Enumeration Date | 2013-10-30 |
Last Update Date | 2015-02-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 645763 | NY | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
401708 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 04003563 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669916862 | Kelly Dorman | Counselor | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2016-12-07 |
Street Address |
1021 CHAPEL ST |
City | ONEIDA |
State | NY |
Zip Code | 13421-2837 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528607454 | Caitlin George | Physical Therapist | 221 Broad Street, Floor 1, Oneida, NY 13421 | 2019-12-23 |
1922655786 | Marilyn Rice | Technician | 528 Broadway, Oneida, NY 13421 | 2019-08-26 |
1760991491 | Faxton-st Lukes Healthcare | Clinic/Center | 131 Main St Ste 101, Oneida, NY 13421 | 2017-09-26 |
1750805016 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2018 Glenwood Plz, Oneida, NY 13421 | 2017-07-28 |
1164953345 | Suzanne Ratnour | Contractor | 180 Kenwood Ave, Oneida, NY 13421 | 2017-03-21 |
1083945067 | Debra S Buckland | Dental Hygienist | 211 Broad Street, Oneida, NY 13421 | 2010-01-15 |
1649454745 | Marylourdes Laramee | Pharmacist | 25 Glenwood Ave, Oneida, NY 13421 | 2007-12-26 |
1861674020 | Susan M Vanvranken | Pharmacist | 449 North Main St, Oneida, NY 13421 | 2007-11-29 |
1316155286 | Lynne Marie Mchugh | Marriage & Family Therapist | 248 Main St, Oneida, NY 13421 | 2007-05-21 |
1356557821 | Andrea Suzanne Stanton | Pharmacist | 2024 Genesee Street, Oneida, NY 13421 | 2007-05-14 |
Find all providers in zip 13421 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497252357 | Mindful Recovery Addiction Specialist, LLC | Nurse Practitioner | 20463 Alberta St, Oneida, TN 37841 | 2018-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
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1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
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.