MRS. KRISTIN MARIE KELLY (NPI# 1942613203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942613203 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN MARIE KELLY |
| Credential | ANP-C |
| Practice Address |
3001 Expressway Dr N Ste 104 Islandia NY 11749-5301 |
| Mailing Address |
7 Woodleigh Ct Holbrook NY 11741-2840 |
| Practice Telephone | 6317583100 |
| Mailing Telephone | 6313980678 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2018-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
306529 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 52 Route 25a, Smithtown, NY 117871346 | 6318623900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043381270 | Kristin Erin Kelly | Marriage & Family Therapist | 3870 Rosin Ct Ste 140, Sacramento, CA 95834-1647 | 2006-11-10 |
| 1821006438 | Kristin J Kelly | Physical Therapist | 119 N College Ave, Cleveland, TX 77327 | 2006-08-03 |
| 1538683479 | Kristin Kelly | Nurse Practitioner | 505 E Main St, Salisbury, MD 21804-5020 | 2017-08-02 |
| 1568999795 | Kristin Kelly | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2017-05-18 |
| 1811440704 | Kristin Kelly | Dentist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2016-07-27 |
| 1508219643 | Kristin Kelly | Counselor | 500 22nd St, Sacramento, CA 95816-3503 | 2016-07-13 |
| 1922434836 | Kristin Marie Kelly | Physical Therapist | 8481 Holly Rd, Grand Blanc, MI 48439-1812 | 2013-09-24 |
| 1275820177 | Kristin Kelly | Counselor | 835 W Main St, Rochester, NY 14611-2335 | 2011-06-30 |
| 1346564044 | Kristin Kelly | Surgery | 750 East Adams St, Syracuse, NY 13210-2306 | 2010-03-24 |
| 1801056643 | Kristin Melissa Kelly | Registered Nurse | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2008-06-16 |
| Street Address |
3001 EXPRESSWAY DR N STE 104 |
| City | ISLANDIA |
| State | NY |
| Zip Code | 11749-5301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689804593 | Marissa Mccarron | Physician Assistant | 3001 Expressway Dr N Ste 104, Islandia, NY 11749-5301 | 2009-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949248 | All Island Medical Services. P.C. | Neurological Surgery | 1717 Veterans Memorial Highway, Suite 2, Islandia, NY 11749 | 2020-04-01 |
| 1184041030 | Sarah Tran | Obstetrics & Gynecology | 3001 Expressway Dr N Ste 116, Islandia, NY 11749 | 2014-03-27 |
| 1275966913 | Viney Mathews | Counselor | 208 Towne House Village, Islandia, NY 11749 | 2013-08-16 |
| 1295170223 | Lawrence Allen Weinberg | Dentist | 68 Sutton Pl, Islandia, NY 11749 | 2013-05-03 |
| 1548517394 | Patricia D Glick | Behavioral Analyst | 1737 Veterans Memorial Hwy Ste 1, Islandia, NY 11749 | 2012-08-11 |
| 1104189554 | Stacey B Ratner | Specialist | 1737 Veterans Memorial Hwy, Islandia, NY 11749 | 2012-06-20 |
| 1851665111 | Fashion Arcade Optics, Inc | Technician/Technologist | 1744 Veneran's Memorial Hwy, Islandia, NY 11749 | 2012-03-05 |
| 1689964132 | Maggie Jean Fils Inc | Physical Therapy Assistant | 84 Salebrush Lane, Islandia, NY 11749 | 2011-04-18 |
| 1174783914 | Deborah Duffy Adkins | Nurse Practitioner | 3001 Expressway Dr North, Suite 200b, Islandia, NY 11749 | 2008-06-16 |
| 1912103086 | Jaime Patricia Spencer | Occupational Therapist | 719 Townehouse, Vlg. Dr., Hauppauge, NY 11749 | 2007-06-25 |
| Find all providers in zip 11749 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174783914 | Deborah Duffy Adkins | Nurse Practitioner | 3001 Expressway Dr North, Suite 200b, Islandia, NY 11749 | 2008-06-16 |
| 1669466488 | Michele Holly Caccavano | Nurse Practitioner | 3001 Expressway Dr N, Suite A, Islandia, NY 11749-5301 | 2005-09-08 |
| 1851538789 | Tracey Gillan | Nurse Practitioner | 3001 Expressway Dr N, Islandia, NY 11749-5301 | 2009-01-14 |
| 1619137452 | Leticia Nazaire | Nurse Practitioner | 3001 Expressway Drive North, Suite 200 B, Islandia, NY 11749 | 2008-06-16 |
| 1780843409 | Yvonne Leippert | Nurse Practitioner | 3001 Expressway Drive North, University Physicians Suite 200b, Islandia, NY 11749 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.