MS. LAUREN ALEXIS KELLY (NPI# 1932637949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932637949 |
| Entity Type | Individual |
| Full Name | MS. LAUREN ALEXIS KELLY |
| Credential | PA-C |
| Practice Address |
126 Park Ave Bridgeport CT 06604-7620 |
| Mailing Address |
73 Eastlawn St Fairfield CT 06824-6417 |
| Practice Telephone | 2035764552 |
| Mailing Telephone | 2037678728 |
| Enumeration Date | 2017-06-03 |
| Last Update Date | 2017-06-03 |
| 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 | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679032189 | Lauren Kelly | Nurse Practitioner | 96 Chase Rd, Chesterbrook, PA 19087-1228 | 2019-03-14 |
| 1881136521 | Lauren Kelly | Dietitian, Registered | 148 W 75th St, Apt 2b, New York, NY 10023-1922 | 2016-11-11 |
| 1164810974 | Lauren Kelly | Speech-Language Pathologist | 3616 Wedgway Dr, Fort Worth, TX 76133-2135 | 2014-12-31 |
| 1568793057 | Lauren A Kelly | Nurse Practitioner | 10800 Midlothian Tpke Ste 303, North Chesterfield, VA 23235-4700 | 2010-01-22 |
| 1225221369 | Lauren Mai Kelly | Counselor | 715 S Kihei Rd, 237, Kihei, HI 96753-9070 | 2007-08-22 |
| 1346240025 | Lauren Michele Kelly | Physical Therapist | 341 10th Ave, Suite 101, Royersford, PA 19468-3807 | 2005-07-26 |
| 1306451273 | Lauren Elizabeth Kelly | Pharmacist | 2306 N Wahsatch Ave, Colorado Springs, CO 80907-6957 | 2020-09-08 |
| 1467061259 | Lauren Kelly | Social Worker | 6333 Odana Rd Ste 20, Madison, WI 53719-1130 | 2020-07-28 |
| 1023644101 | Lauren Kelly | Counselor | 335 S Franklin St, Wilkes Barre, PA 18702-3808 | 2020-03-20 |
| 1104476506 | Lauren Olivia Kelly | Audiologist | 8780 W Golf Rd Ste 200, Niles, IL 60714-5611 | 2019-09-17 |
| Street Address |
126 PARK AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06604-7620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464450 | Chayse Hellthaler | Physician Assistant | 126 Park Ave, Bridgeport, CT 06604-7620 | 2020-03-31 |
| 1174984819 | Shamilia Gomez | Chiropractor | 126 Park Ave, Bridgeport, CT 06604-7620 | 2016-03-08 |
| 1144617242 | Hyun S Kim | Chiropractor | 126 Park Ave, Bridgeport, CT 06604-7620 | 2015-04-16 |
| 1366720013 | Susan M. Miklos | Dental Hygienist | 126 Park Ave, Bridgeport, CT 06604-7620 | 2011-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780163246 | Jill K Bebey | Pharmacist | 564 A Park Ave, Bridgeport, CT 06604 | 2018-08-07 |
| 1538663430 | Ryan Attar | Naturopath | 129 Columbia St, Bridgeport, CT 06604 | 2018-03-23 |
| 1487153375 | Fe Y Esperanza Home Care Services | Home Health | 2032 Main Street, Bridgeport, CT 06604 | 2018-02-06 |
| 1013423466 | Va.lu Able Home Care LLC | Registered Nurse | 1000 Lafayette Boulvard, Bridgeport, CT 06604 | 2017-12-21 |
| 1679970172 | Aarti Jawa | Dentist | 594 Pequonnoack Street, Bridgeport, CT 06604 | 2014-11-26 |
| 1932521473 | Anthony Santostefano | Dentist | 594 Pequonnock Street, Bridgeport, CT 06604 | 2014-01-18 |
| 1699011536 | Vanessa Frances Doyle | Naturopath | 115 Broad Street, C/o Center of Excellence, Bridgeport, CT 06604 | 2012-12-21 |
| 1942463302 | Joanna Conte Mcgary | Naturopath | 60 Lafayette Street, Naturopathic Medical Center University of Bridgeport, Bridgeport, CT 06604 | 2008-07-07 |
| 1346415221 | Jenna Lyn Blasi | Naturopath | 60 Lafayette, University of Bridgeport College of Naturopathic Medici, Bridgeport, CT 06604 | 2008-04-23 |
| 1275704462 | Watermark 3030 Park LLC | Skilled Nursing Facility | 3030 Park Ave, Bridgeport, CT 06604 | 2008-03-17 |
| Find all providers in zip 06604 | ||||
| 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 |
|---|---|---|---|---|
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1639674120 | Wesley Nilsson | Student in an Organized Health Care Education/Training Program | 267 Grant St Dept Of, Bridgeport, CT 06610-2805 | 2018-03-27 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06604 |
Please comment or provide details below to improve the information on MS. LAUREN ALEXIS 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.