MARY MARGARET KELLY (NPI# 1902992498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902992498 |
| Entity Type | Individual |
| Full Name | MARY MARGARET KELLY |
| Credential | NP |
| Practice Address |
2401 Park Dr Ste 101 Harrisburg PA 17110-9303 |
| Mailing Address |
931 Glick Ave Allentown PA 18103-1313 |
| Practice Telephone | 7176869842 |
| Mailing Telephone | 6104323966 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP007814 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE SHIELD | KE1828981 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558844811 | Mary Elizabeth Kelly | Social Worker | 97 Libbey Industrial Pkwy Ste 301, Weymouth, MA 02189-3110 | 2018-09-12 |
| 1215410790 | Mary Jane Kelly | Dietitian, Registered | 1046 E Elgenia Ave, West Covina, CA 91790-1318 | 2018-09-11 |
| 1073020590 | Mary Teresa Kelly | Counselor | 726 Cherryvale Rd, Boulder, CO 80303-2911 | 2018-01-05 |
| 1972040459 | Mary A Kelly | Registered Nurse | 116 N Lake Ave, Albany, NY 12206-2710 | 2017-01-23 |
| 1073904215 | Mary Kelly | Registered Nurse | 3145 State Route 718, Troy, OH 45373-8908 | 2015-02-10 |
| 1174924054 | Mary Kelly | Nurse Practitioner | 14435 15th Ave, Whitestone, NY 11357-2407 | 2014-09-10 |
| 1306058714 | Mary Catherine Kelly | Nurse Practitioner | 275 Riverside Ave, Riverside, CT 06878-2313 | 2007-05-06 |
| 1134340086 | Mary Kris Kelly | Nurse Practitioner | 1 Gustave L Levy Pl # 1030, New York, NY 10029-6500 | 2007-05-01 |
| 1518187772 | Mary Ann Kelly | Dietary Manager | 6448 Hallee Rd Ste 9, Joshua Tree, CA 92252-1908 | 2007-04-27 |
| 1003036583 | Mary Anne Kelly | Marriage & Family Therapist | 105 Sunnyside Ave, Piedmont, CA 94611-4419 | 2007-04-26 |
| Street Address |
2401 PARK DR STE 101 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17110-9303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356341366 | Jessica Holley Tweedy | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2005-08-01 |
| 1821567835 | Virginie Wandji Tokha | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2018-11-19 |
| 1437650546 | Landmark Connect of Pennslyvania PC | General Practice | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2018-02-23 |
| 1275032872 | Suzanne Lebeau | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2018-02-08 |
| 1689035982 | Landmark Medical of Pennsylvania PC | General Practice | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2016-03-14 |
| 1457725665 | Jill Madigan | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2015-11-26 |
| 1154795706 | Erin Stauffer | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2015-11-19 |
| 1821461062 | Christy Lepore | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2015-11-10 |
| 1790154482 | Cindyl Lee Mauzey | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2015-09-23 |
| 1124494869 | Kimngan Thi Velott | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2015-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457993271 | Christopher William Delong | Nurse Practitioner | 2501 North 3rd St. Fl 2, Harrisburg, PA 17110 | 2019-10-14 |
| 1306490701 | Melissa Ann Duchesne | Registered Nurse | 2501 North 3rd Street, Landis Building 7th Floor, Harrisburg, PA 17110 | 2019-07-25 |
| 1558845024 | Mary Kaitlin Novak | Counselor | 3605 Vartan Way, Suite 204a, Harrisburg, PA 17110 | 2018-09-20 |
| 1548781602 | Olson Orenson Knight | Internal Medicine | 2501 N. Third Street, Harrisburg, PA 17110 | 2017-06-29 |
| 1356897938 | Millonee Dialysis LLC | Clinic/Center | 4390 Sturbridge Dr, Harrisburg, PA 17110 | 2016-09-01 |
| 1538529268 | Ergency Associates LLC | Emergency Medical Technician, Basic | 2323 Linglestown Road, Unit 201b, Harrisburg, PA 17110 | 2016-02-23 |
| 1134514904 | Benjamin Daniel Chan | Student in an Organized Health Care Education/Training Program | Kline Health Center, 2501 N. Third St., 2nd Floor, Landis Building, Harrisburg, PA 17110 | 2015-03-30 |
| 1013317411 | Robert Derner Jr. | Counselor | 2700 Commerce Dr., Harrisburg, PA 17110 | 2014-09-04 |
| 1780029454 | Khem Kumar Adhikari | Family Medicine | 3601 North Progress Ave., Harrisburg, PA 17110 | 2013-05-07 |
| 1962791905 | Paul Schaffner Stoner Sr. | General Practice | 4500 Oakhurst Blvd., Apt 319, Harrisburg, PA 17110 | 2011-03-30 |
| Find all providers in zip 17110 | ||||
| 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 |
|---|---|---|---|---|
| 1679170989 | Aubree Marie Richards | Nurse Practitioner | 253 N Hershey Rd Ste 2, Harrisburg, PA 17112-9752 | 2020-10-08 |
| 1326654237 | Alissa Marie Buckanavage | Nurse Practitioner | 6223 Autumn View Dr, Harrisburg, PA 17112-1843 | 2020-09-17 |
| 1013384718 | Alina N Glazunova | Nurse Practitioner | 6010 Pindeale Court, Harrisburg, PA 17111 | 2015-08-28 |
| 1063757102 | Erica C Bilalovic | Nurse Practitioner | 24 Thornwood Rd, Harrisburg, PA 17112-2955 | 2012-11-30 |
| 1023108180 | Pamela R Atkinson | Nurse Practitioner | 608 Rollie Moore Dr, Harrisburg, IL 62946-2351 | 2006-10-12 |
| 1942276910 | Barbara A Little | Nurse Practitioner | 4700 Union Deposit Road, Suite 240, Harrisburg, PA 17111 | 2006-02-28 |
| 1861479313 | Houcks Road Family Practice PC | Nurse Practitioner | 100 South Houcks Road, Harrisburg, PA 17109-2827 | 2005-12-27 |
| 1881686806 | Danielle Y Oakes | Nurse Practitioner | 2501 N 3rd St, 2nd Floor Landis Bldg, Harrisburg, PA 17110-1904 | 2005-08-16 |
| 1679573273 | Lisa K. Stokes | Nurse Practitioner | 4387 Sturbridge Dr, Harrisburg, PA 17110-3673 | 2005-07-26 |
| 1215548268 | Arianna Waid | Nurse Practitioner | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2020-08-13 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17110 |
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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.