DIANE J KELLY (NPI# 1932190600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932190600 |
| Entity Type | Individual |
| Full Name | DIANE J KELLY |
| Other Name | DIANE KELLY MORRILL |
| Credential | MD |
| Practice Address |
1223 Gateway Dr Melbourne FL 32901-2607 |
| Practice Telephone | 3217296166 |
| Practice Fax Number | 3219529406 |
| Mailing Telephone | 3217296166 |
| Mailing Fax Number | 3219529406 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2010-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
ME47018 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 042339400 | 05 | |
| FL | RR MEDICARE | 160045705 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134789100 | Diane Kelly | Student in an Organized Health Care Education/Training Program | Loma Linda University Health- Pediatrics, 11234 Anderson Street, Loma Linda, CA 92354-2804 | 2019-06-20 |
| 1851431522 | Diane Collette Kelly | Dentist | 2119 Hamilton Creek Pkwy, Suite 200, Dacula, GA 30019-3293 | 2007-02-08 |
| 1083672406 | Diane M Kelly | Specialist | 7902 Ne St Johns Rd, Vancouver, WA 98665-1094 | 2006-05-03 |
| 1932767928 | Diane Kelly | Occupational Therapist | 5372b Old Virginia St, Urbanna, VA 23175-2179 | 2019-06-04 |
| 1932410933 | Diane Kelly | Registered Nurse | 940 Central Park Dr Ste 101, Steamboat Springs, CO 80487-8816 | 2010-06-24 |
| 1871720177 | Diane Claire Kelly | Counselor | 225 Nw Lindvig Way, Suite 10, Poulsbo, WA 98370-6520 | 2009-06-15 |
| 1659537462 | Diane Kelly | Occupational Therapist | 149 N Main St, Fairport, NY 14450-1434 | 2008-07-31 |
| 1942417035 | Diane G Kelly | Social Worker | 260 Newport Center Dr, Ste 203, Newport Beach, CA 92660-7520 | 2007-05-17 |
| 1083783278 | Diane M Kelly | Nurse Practitioner | 8 Denison Pkwy E, Suite 201, Corning, NY 14830-2638 | 2006-11-06 |
| 1578582375 | Diane Salmon Kelly | Chiropractor | 1460 Ritchie Hwy, Suite 206, Arnold, MD 21012-2730 | 2006-07-19 |
| Street Address |
1223 GATEWAY DR |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376537373 | Rajiv Bhambri | Internal Medicine | 1223 Gateway Dr, Melbourne, FL 32901 | 2005-09-06 |
| 1538727300 | Barbara Litt | Registered Nurse | 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2019-06-05 |
| 1194383034 | Lara Sexton Anzalone | Registered Nurse | 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2019-06-05 |
| 1184101883 | Amber Elmore | Nurse Practitioner | 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2018-07-25 |
| 1649765843 | Health First Medical Group, LLC | Internal Medicine | 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2018-06-29 |
| 1134613847 | Sara Gaffney | Audiologist | 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2018-06-16 |
| 1134673049 | Karen Bransky | Nurse Practitioner | 1223 Gateway Dr, Suite G, Melbourne, FL 32901-2607 | 2016-08-09 |
| 1598113755 | Jason Dickey | Pharmacist | 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2016-05-28 |
| 1598129397 | Danielle L Dillon Gannon | Nurse Practitioner | 1223 Gateway Dr, Suite E, Melbourne, FL 32901-2607 | 2016-04-07 |
| 1619374436 | Holmes Regional Medical Center, Inc. | Pharmacy | 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2014-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811236425 | Zipper Surgical Associates, Pa | Obstetrics & Gynecology | 1130 S Harbor City Blvd, Suite 101, Melbourne, FL 32901-1966 | 2013-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593015 | Iriabeth Joanna Ring | Obstetrics & Gynecology | 1207 Osprey Nest Cir, Groveland, FL 34736-2219 | 2019-08-18 |
| 1326415951 | Jackie Burgess | Obstetrics & Gynecology | 20230 Estero Gardens Cir, Unit 206, Estero, FL 33928-3457 | 2015-08-31 |
| 1629483722 | Sunshine Obstetric Specialists, M.d., P.a. | Obstetrics & Gynecology | 7421 Conroy Windermere Rd, Orlando, FL 32835-2758 | 2014-06-26 |
| 1558775650 | Angela Guzman | Obstetrics & Gynecology | 1116 Lucerne Terrace, Orlando, FL 32806 | 2014-06-17 |
| 1225468085 | Marsha Lachaud | Obstetrics & Gynecology | 3627 University Blvd S Ste 200, Jacksonville, FL 32216-4256 | 2013-11-14 |
| 1992148035 | Laura R Peter | Obstetrics & Gynecology | 1577 Roberts Dr Ste 323, Jacksonville Beach, FL 32250-3266 | 2013-04-08 |
| 1336436815 | Felix Andarsio, D.o.,p.a. | Obstetrics & Gynecology | 1397 Medical Park Blvd Ste 440, Wellington, FL 33414-3188 | 2011-07-05 |
| 1093028938 | Carlos Alberto Rodriguez | Obstetrics & Gynecology | 925 Ne 30th Ter Ste 304, Homestead, FL 33033-7614 | 2010-07-21 |
| 1689994964 | Michelle Ranes | Obstetrics & Gynecology | 1401 Lucerne Ter, 2nd Floor Mp 818, Orlando, FL 32806-2014 | 2010-06-09 |
| 1336464619 | Lake County Preferred Obgyn, Inc. | Obstetrics & Gynecology | 2766 Dora Ave, Tavares, FL 32778-4970 | 2010-03-30 |
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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.