DEIRDRE MARY KELLEY (NPI# 1942602198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942602198 |
| Entity Type | Individual |
| Full Name | DEIRDRE MARY KELLEY |
| Credential | PMHNP |
| Practice Address |
1111 Elmwood Ave Bldg 16 Rochester NY 14620-3005 |
| Practice Telephone | 5852411262 |
| Mailing Telephone | 5852411262 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401683-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417260530 | Deirdre May Kelley | Acupuncturist | 70 Deerfield Rd, Needham, MA 02492-1537 | 2010-07-18 |
| Street Address |
1111 ELMWOOD AVE BLDG 16 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-3005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734106 | Betsy Jane Bellos | Social Worker | 1111 Elmwood Ave Bldg 16, Rochester, NY 14620-3005 | 2019-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989804 | Christopher Grant Miles | Nurse Practitioner | 1425 Portland Ave Ste 206, Wilson Bldg, Rochester, NY 14621-3011 | 2020-07-14 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1063066272 | Keighley Loveland | Nurse Practitioner | 315 Science Pkwy Ste 500, Rochester, NY 14620-4257 | 2019-07-25 |
| 1396308375 | Adonye T Afonya | Nurse Practitioner | 315 Elton Hills Dr Nw Ste 201, Rochester, MN 55901-2989 | 2019-04-16 |
| 1497280382 | Roslynn Porter | Nurse Practitioner | 77 Colvin St, Rochester, NY 14611-2136 | 2017-04-27 |
| 1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1083014070 | M Elizabeth Rowe | Nurse Practitioner | 1645 Saint Paul St, Rochester, NY 14621-3162 | 2014-08-27 |
| 1639587009 | Sean Patrick Murphy | Nurse Practitioner | 95 Allens Creek Road, Building 1 Suite 306, Rochester, NY 14618 | 2014-07-29 |
| 1639455819 | Gerlyn Campbell | Nurse Practitioner | 248 Oxford St, Rochester, NY 14607-2146 | 2011-11-01 |
| Find all providers in ROCHESTER | ||||
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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.