KELLY CLOW (NPI# 1942535653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942535653 |
| Entity Type | Individual |
| Full Name | KELLY CLOW |
| Credential | FNP-BC |
| Practice Address |
570 Baldwinville Rd Baldwinville MA 01436 |
| Mailing Address |
570 Baldwinville Rd #71 Baldwinville MA 01436-1351 |
| Practice Telephone | 9789392133 |
| Mailing Telephone | 9789392133 |
| Mailing Fax Number | 9789398580 |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2016-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 061325-21 | NH | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2295852 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
570 BALDWINVILLE RD |
| City | BALDWINVILLE |
| State | MA |
| Zip Code | 01436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376539346 | Gretchen Louise Kelley | Family Medicine | 570 Baldwinville Rd, Baldwinville, MA 01436-1351 | 2005-09-23 |
| 1639409428 | Mountain View Family Practice, PC | Nurse Practitioner | 570 Baldwinville Rd, Baldwinville, MA 01436-1351 | 2009-12-30 |
| 1427294891 | Melissa Labonte | Nurse Practitioner | 570 Baldwinville Rd, Baldwinville, MA 01436-1351 | 2009-01-06 |
| 1518110352 | Heywood Affiliated Medical Group, Inc. | Nurse Practitioner | 570 Baldwinville Rd, Baldwinville, MA 01436-1351 | 2008-10-24 |
| 1255407003 | Margaret G Calcari | Nurse Practitioner | 570 Baldwinville Rd, Baldwinville, MA 01436-1351 | 2006-11-24 |
| 1851373377 | Narragansett Family Practice | Family Medicine | 570 Baldwinville Rd, Baldwinville, MA 01436-1351 | 2005-11-18 |
| 1033191978 | Kelly E Hoisington | Family Medicine | 570 Baldwinville Rd, Baldwinville, MA 01436-1351 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437651247 | Stacey Lynn Sparks | Counselor | 12 Fern Street, Baldwinville, MA 01436 | 2018-03-07 |
| 1164923421 | Janet Alice Johnson | Community Health Worker | 23 State Road, Baldwinville, MA 01436 | 2018-02-22 |
| 1194241513 | Samuel Andrew Sjostedt | Counselor | 18 Shaw Road, Baldwinville, MA 01436 | 2017-08-17 |
| 1508169830 | Trustees of Tufts University | Clinic/Center | 212 Freight Shed Road, Baldwinville, MA 01436 | 2010-12-08 |
| 1730498965 | Jessica Lyn Blanding | Counselor | 184 Freight Shed Rd, Baldwinville, MA 01436 | 2010-10-05 |
| 1437322740 | Hearthside Elderhomes, LLC | Assisted Living Facility | 676 Baldwinville Road, Baldwinville, MA 01436 | 2008-04-08 |
| 1952526691 | Synaptic Chiropractic Center | Chiropractor | 630 Baldwinville Rd., Baldwinville, MA 01436 | 2007-04-16 |
| 1477673689 | Todd G Mexico | Chiropractor | 630 Baldwinville Road., Baldwinville, MA 01436 | 2007-03-30 |
| 1730307513 | Department of Developmental Services | Intermediate Care Facility, Mentally Retarded | 212 Freight Shed Rd, Templeton Dev Cntr, Baldwinville, MA 01436 | 2007-04-24 |
| 1063988467 | Britany Jackson | Behavior Technician | 24 Main St Apt B, Baldwinville, MA 01436-1107 | 2018-10-23 |
| Find all providers in zip 01436 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649526153 | Dawn Elizabeth Laprade | Nurse Practitioner | 721 Baldwinville Rd, Baldwinville, MA 01436-1341 | 2012-08-02 |
| 1639409428 | Mountain View Family Practice, PC | Nurse Practitioner | 570 Baldwinville Rd, Baldwinville, MA 01436-1351 | 2009-12-30 |
| 1427294891 | Melissa Labonte | Nurse Practitioner | 570 Baldwinville Rd, Baldwinville, MA 01436-1351 | 2009-01-06 |
| 1518110352 | Heywood Affiliated Medical Group, Inc. | Nurse Practitioner | 570 Baldwinville Rd, Baldwinville, MA 01436-1351 | 2008-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821885 | Tanya Lee Bailey | Nurse Practitioner | 185 Vining Hill Rd, Southwick, MA 01077-9413 | 2020-11-07 |
| 1134720964 | Arliomey Ambroise | Nurse Practitioner | 2216 Summit Dr, Bridgewater, MA 02324-2178 | 2020-11-06 |
| 1184225161 | Christina Chan Sok | Nurse Practitioner | 24 Hartwell Ave # 204, Lexington, MA 02421-3132 | 2020-11-05 |
| 1871194381 | Stacie Rose | Nurse Practitioner | 131 Hartwell Ave, Lexington, MA 02421-3105 | 2020-11-03 |
| 1881295145 | Heather Thomas | Nurse Practitioner | 39 Brock St Apt 1, Brighton, MA 02135-2661 | 2020-11-03 |
| 1427659069 | Jenna Gunnell | Nurse Practitioner | 700 Greendale Ave Unit 11203, Needham, MA 02492-4362 | 2020-11-02 |
| 1336749936 | Julia Monroe | Nurse Practitioner | 7 Atwood St, Cherry Valley, MA 01611-3332 | 2020-11-01 |
| 1730789744 | Polyana F Barbosa | Nurse Practitioner | 491 Maple St Ste 208, Danvers, MA 01923-4025 | 2020-10-28 |
| 1053910257 | Lauren Michele Flynn | Nurse Practitioner | 173 Sumner St, Quincy, MA 02169-7003 | 2020-10-20 |
| 1043819196 | Kimberly S Christie | Nurse Practitioner | 107 Sheraton Ave, Somerset, MA 02725-1150 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | BALDWINVILLE |
| Zip Code | 01436 |
Please comment or provide details below to improve the information on KELLY CLOW.
| 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.