JENNIFER R. KELLY (NPI# 1922291541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922291541 |
| Entity Type | Individual |
| Full Name | JENNIFER R. KELLY |
| Credential | FNP-C |
| Practice Address |
2288 Auburn Blvd Suite 200 Sacramento CA 95821-1618 |
| Practice Telephone | 9165643377 |
| Practice Fax Number | 9165643280 |
| Mailing Telephone | 9165643377 |
| Mailing Fax Number | 9165643280 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2014-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
14843 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NP 14843 | 14843 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881216463 | Jennifer Kelly | Nurse Practitioner | 7595 Affirmed Ct, Lewis Center, OH 43035-9143 | 2020-05-17 |
| 1790322758 | Jennifer Lee Kelly | Home Health Aide | 4519 Stanbrook Dr, North Chesterfield, VA 23234-4021 | 2019-12-09 |
| 1396386744 | Jennifer Eileen Kelly | Specialist | 2354 Ocean Ave, Ronkonkoma, NY 11779-6578 | 2019-10-07 |
| 1659936813 | Jennifer Noel Kelly | Behavior Technician | 3287 N Mayfield Ave, San Bernardino, CA 92405-2627 | 2019-05-03 |
| 1851784284 | Jennifer Kelly | Occupational Therapy Assistant | 1215 Gainsboro Rd, Bala Cynwyd, PA 19004-2014 | 2015-03-10 |
| 1952706699 | Jennifer Kelly | Pharmacist | 1701 Welsh Rd Ste 5, Philadelphia, PA 19115-3172 | 2014-10-23 |
| 1750791257 | Jennifer Kelly | Psychologist | 11 Brooklands Apt Gi, Bronxville, NY 10708-3512 | 2014-05-06 |
| 1851722995 | Jennifer L. Kelly | Speech-Language Pathologist | 555 Anthony Wayne Trail, Waterville, OH 43566 | 2013-11-27 |
| 1144598343 | Jennifer Elaine Kelly | Physician Assistant | 381 Park Avenue South, Suite 1020, New York, NY 10016 | 2011-12-02 |
| 1063789030 | Jennifer Zucal Kelly | Registered Nurse | 215 E 5th St, Emporium, PA 15834-1417 | 2011-11-18 |
| Street Address |
2288 AUBURN BLVD SUITE 200 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95821-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536294 | Metropolitan Pain Management Consultants, Inc | Pain Medicine | 2288 Auburn Blvd, Ste 106, Sacramento, CA 95821-1619 | 2005-05-23 |
| 1669988408 | Sacramento Anesthesia Consultants, LLC. | Anesthesiology | 2288 Auburn Blvd, Sacramento, CA 95821-1618 | 2017-12-15 |
| 1508395831 | Barbara Kulik | Nurse Practitioner | 2288 Auburn Blvd, Suite 200, Sacramento, CA 95821 | 2017-06-09 |
| 1700231743 | David Bubniak | Physical Therapy Assistant | 2288 Auburn Blvd, Sacramento, CA 95821-1618 | 2016-04-27 |
| 1154707784 | Allie Brodhead | Nurse Practitioner | 2288 Auburn Blvd, Suite 200, Sacramento, CA 95821-1618 | 2015-08-05 |
| 1154667921 | Christina Roxanne Guzman | Physician Assistant | 2288 Auburn Blvd, Suite 200, Sacramento, CA 95821-1618 | 2012-12-21 |
| 1841591484 | Philippe Alejandro Vasquez | Physician Assistant | 2288 Auburn Blvd, Sutie 106, Sacramento, CA 95821-1618 | 2010-11-13 |
| 1356580062 | Radiological Associates of Sacramento Medical Group Inc | Urology | 2288 Auburn Blvd, 201, Sacramento, CA 95821-1618 | 2009-02-19 |
| 1013117696 | Roger B Stephens | Anesthesiology | 2288 Auburn Blvd, Suite 200, Sacramento, CA 95821-1618 | 2007-07-20 |
| 1316146939 | Greg M Wilkinson | Physician Assistant | 2288 Auburn Blvd, Suite 106, Sacramento, CA 95821-1618 | 2007-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
| 1770053258 | Oksana A Shutkova | Behavior Technician | 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 | 2018-11-28 |
| 1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
| 1386123438 | Rene William Villanueva | Marriage & Family Therapist | 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 | 2018-08-09 |
| 1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
| 1679064091 | Carrissa Jean Angelique Bishop | Counselor | 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 | 2018-05-21 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1316488562 | Lucas Hansen | Student in an Organized Health Care Education/Training Program | 3007 Clairidge Oak Ct, Sacramento, CA 95821 | 2017-03-20 |
| 1215383054 | Mark Brufladt | Physical Therapy Assistant | 3548 Ardmore Rd, Sacramento, CA 95821 | 2016-05-11 |
| 1053782789 | Marianna Jakucska | Marriage & Family Therapist | 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 | 2015-10-07 |
| Find all providers in zip 95821 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633500 | Mary Cobleigh Banfield | Nurse Practitioner | 1009 1/2 T St, Sacramento, CA 95811-6560 | 2020-06-10 |
| 1952926438 | Perla Zuliana Aguayo Vazquez | Nurse Practitioner | 3520 El Ricon Way, Sacramento, CA 95864-2915 | 2020-06-10 |
| 1043834302 | Lacey Elizabeth Watson | Nurse Practitioner | 3710 J St Ste 201, Sacramento, CA 95816-5519 | 2020-06-02 |
| 1467081513 | Meeri Kim | Nurse Practitioner | 2425 Alhambra Blvd Ste 250, Sacramento, CA 95817-1110 | 2020-04-01 |
| 1134763238 | Mary Dicou | Nurse Practitioner | 1747 N Market Blvd, Sacramento, CA 95834-2978 | 2019-10-31 |
| 1265099030 | Christopher Adam Phillips | Nurse Practitioner | 2801 Unity Pointe Ave, Sacramento, CA 95833-3772 | 2019-05-28 |
| 1669942538 | Inna Dariychuk | Nurse Practitioner | 500 Howe Avenue, Suite 100, Sacramento, CA 95825 | 2018-12-04 |
| 1376033746 | Jenna Pettus | Nurse Practitioner | 711 14th St, Apt 11, Sacramento, CA 95814 | 2018-05-11 |
| 1770091621 | Rane Nathan Beal | Nurse Practitioner | 209 29th St Ste B, Sacramento, CA 95816-3271 | 2018-01-12 |
| 1730698846 | Olivia Rapozo | Nurse Practitioner | 4860 Y St # 3400, Sacramento, CA 95817-2307 | 2017-09-21 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95821 |
Please comment or provide details below to improve the information on JENNIFER R. KELLY.
| 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.