DR. KELLY C DONNELLY (NPI# 1932369923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932369923 |
| Entity Type | Individual |
| Full Name | DR. KELLY C DONNELLY |
| Credential | D.O. |
| Practice Address |
47 New Scotland Ave Preliminary Medicine (neurology) Albany NY 12208-3412 |
| Practice Telephone | 5182623125 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 62701 | NY | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295042588 | Kelly Donnelly | Speech-Language Pathologist | 11 Windwood Rd, Bohemia, NY 11716-3622 | 2010-09-08 |
| 1952751737 | Kelly Donnelly | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-06-13 |
| 1487939492 | Kelly J Donnelly | Massage Therapist | 1125 12th St, Suite E, Vero Beach, FL 32960-3791 | 2011-10-21 |
| 1437384823 | Kelly Lynn Donnelly | Social Worker | 80 Ferry Blvd, Stratford, CT 06615-6079 | 2009-05-28 |
| 1750562278 | Kelly Donnelly | Counselor | 405 Castle Creek Rd, Ste 9, Aspen, CO 81611-3125 | 2007-11-27 |
| Street Address |
47 NEW SCOTLAND AVE PRELIMINARY MEDICINE (NEUROLOGY) |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324184 | Terri Antrenase Williams-weekes | Radiology | 47 New Scotland Ave, Radiology Department, Albany, NY 12208-3412 | 2005-05-23 |
| 1912508813 | Luke Manecio | Registered Nurse | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-11-06 |
| 1891303434 | Hannah Faith Mumford | Nurse Practitioner | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-07-20 |
| 1073131231 | Rafeh Safdar | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Internal Medicine, Albany, NY 12208-3479 | 2020-07-13 |
| 1215553474 | Muhammad Taimoor Iftikhar | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Internal Medicine, Albany, NY 12208-3412 | 2020-06-23 |
| 1376169672 | Nadia Mackenzie Hill | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-06-23 |
| 1700408838 | Beltina Guce | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-05-12 |
| 1417586041 | Christopher Lu | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Internal Medicine, Albany, NY 12208-3412 | 2020-04-06 |
| 1821626904 | Anicia Monique Ivey | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Family and Community Medicine, Albany, NY 12208 | 2020-04-01 |
| 1265060677 | Samae S Scott | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1770196263 | Caroline De Bie | Student in an Organized Health Care Education/Training Program | 305 W End Way Apt 103, Albany, CA 94706-2558 | 2020-08-25 |
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1124648183 | Isis Marlene Topete | Student in an Organized Health Care Education/Training Program | 300 Gooding Way Apt 341, Albany, CA 94706-1950 | 2020-04-20 |
| 1851910632 | Dorneshia Thomas | Student in an Organized Health Care Education/Training Program | 2 Clara Barton Dr # Mc-164, Albany, NY 12208-3472 | 2020-04-13 |
| 1396374252 | Megala Sankrith | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Surgery, Albany, NY 12208-3412 | 2020-04-03 |
| 1285263160 | Patrick Jia Huang | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopaedics, Albany, NY 12208-3412 | 2020-04-03 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1699303933 | Khushboo Khan | Student in an Organized Health Care Education/Training Program | 52 Schoolhouse Rd, Albany, NY 12203-3850 | 2020-03-31 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
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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.