MRS. KELLY ANN SERVELLO (NPI# 1912217027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912217027 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ANN SERVELLO |
| Credential | OTR |
| Practice Address |
63 S 5th Ave Ilion NY 13357-2017 |
| Practice Telephone | 3157177442 |
| Practice Fax Number | 3158950062 |
| Mailing Telephone | 3157177442 |
| Mailing Fax Number | 3158950062 |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 009449-1 | NY | Other Service Providers |
| Street Address |
63 S 5TH AVE |
| City | ILION |
| State | NY |
| Zip Code | 13357-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386126746 | Caitlin Keeler | Registered Nurse | 111 Frederick St., Ilion, NY 13357 | 2018-09-03 |
| 1447521752 | Esther Ann Burrello | Registered Nurse | 326 Barringer Road, Ilion, NY 13357 | 2012-01-18 |
| 1558501965 | Mary Ellen Dolly | Registered Nurse | 245 East Clark Street, Ilion, NY 13357 | 2009-02-25 |
| 1477646149 | William Parker | Family Medicine | 295 W. Main St., Ilion, NY 13357 | 2006-10-02 |
| 1962517342 | Susan Jean Harkins | Nurse Practitioner | 99 Sixth Avenue, Ilion, NY 13357 | 2006-08-19 |
| 1598878746 | Stephen D May | Dentist | 25 Central Plaza, Ilion, NY 13357 | 2006-08-15 |
| 1285055673 | Kelley Marie Holmes-morton | Massage Therapist | 6 W Clark St, Ilion, NY 13357-1102 | 2014-01-02 |
| 1104174929 | Ashley Hoffman | Speech-Language Pathologist | 41 W River St, Ilion, NY 13357-1117 | 2012-08-28 |
| 1275719007 | Jennifer P Melnick | Registered Nurse | 110 W River St, Ilion, NY 13357-1120 | 2008-01-10 |
| 1144590670 | Barbara Jean Lennox | Registered Nurse | 77 E North St, Ilion, NY 13357-1211 | 2011-12-30 |
| Find all providers in zip 13357 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406299 | Casey Palmer | Specialist | 225 W Main St, Ilion, NY 13357-1509 | 2020-01-09 |
| 1912158916 | George J Schilling, Md, PC | Specialist | 45 1st St, Ilion, NY 13357-1710 | 2008-10-08 |
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|---|---|---|---|---|
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| 1881295681 | Kirsten Skidmore | Specialist | 5924 Cleary Rd, Livonia, NY 14487-9726 | 2020-11-06 |
| 1740881846 | Deborah Singer X | Specialist | 6 Equestrian Ln Apt 8, Saratoga Springs, NY 12866-1053 | 2020-11-04 |
| 1619578929 | Ann Marie Spratt | Specialist | 3248 Sentinel Heights Road, Lafayette, NY 13084 | 2020-11-03 |
| 1215538863 | New Era Diagnostics Inc | Specialist | 8815 168th St, Suite 1r, Jamaica, NY 11432-4305 | 2020-11-02 |
| 1699376251 | Ilona Gamer | Specialist | 2525 E 23rd St, Brooklyn, NY 11235-2505 | 2020-11-02 |
| 1891395463 | Mk Star Inc | Specialist | 104 Linwood Ave, Staten Island, NY 10305-4400 | 2020-10-31 |
| 1649870981 | David Abrahams | Specialist | 22016 138th Ave, Laurelton, NY 11413-2325 | 2020-10-27 |
| 1477152122 | Kevin D Spencer | Specialist | 12027 Nashville Blvd Apt 1, Saint Albans, NY 11412-3829 | 2020-10-23 |
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| 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.