KARA KELLY, LLC (NPI# 1952854481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952854481 |
| Entity Type | Organization |
| Organization Name | KARA KELLY, LLC |
| Practice Address |
2955 N Hwy 97 Suite 102 Bend OR 97703-7559 |
| Practice Telephone | 9492742881 |
| Mailing Telephone | 9492742881 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-03 |
| Authorized Official Name | MS. KARA L KELLY (OWNER) |
| Authorized Official Telephone | 9492742881 |
| Authorized Official Credential | PMHNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
201604186NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | KARA KELLY, LLC | 1595 Nw Mt Washington Drive, Bend, OR 97703 |
| Street Address |
2955 N HWY 97 SUITE 102 |
| City | BEND |
| State | OR |
| Zip Code | 97703-7559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922158377 | Shawn D Axten | Physical Medicine & Rehabilitation | 2955 N Hwy 97, 100, Bend, OR 97703-7559 | 2007-01-10 |
| 1487129235 | Journey Health, Inc | Clinic/Center | 2955 N Hwy 97, Bend, OR 97703-7559 | 2018-10-09 |
| 1467951962 | Active Motion Chiropractic | Clinic/Center | 2955 N Hwy 97, Bend, OR 97703-7559 | 2018-02-09 |
| 1386199743 | Elizabeth Schantz | Massage Therapist | 2955 N Hwy 97, Suite 208, Bend, OR 97703-7559 | 2016-08-15 |
| 1770935900 | Christopher Neary | Naturopath | 2955 N Hwy 97, Bend, OR 97703-7559 | 2016-07-12 |
| 1811380157 | Carey Ann Pulido | Nurse Practitioner | 2955 N Hwy 97, Bend, OR 97703-7559 | 2015-03-11 |
| 1821489238 | Upward Mobility Solutions, LLC | Clinic/Center | 2955 N Hwy 97, Suite 100, Bend, OR 97703-7559 | 2015-02-07 |
| 1588941728 | Bonnie Skakel | Acupuncturist | 2955 N Hwy 97, Bend, OR 97703-7559 | 2011-11-15 |
| 1932418159 | Elizabeth Xenia Quint | Chiropractor | 2955 N Hwy 97, Ste 200, Bend, OR 97703-7559 | 2010-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1831658301 | Pretty Moments Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 63455 N Hwy 97 Suite 44, Bend, OR 97703 | 2019-03-14 |
| 1821561150 | Kevin Hallmeyer | Chiropractor | 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 | 2019-01-09 |
| 1346743267 | Jesse Maggie Mae Abraham | Massage Therapist | 39 Nw Lousiana Ave, Bend, OR 97703 | 2018-03-16 |
| 1891202396 | Jerod Paul Michael | Speech-Language Pathologist | 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 | 2018-01-05 |
| 1952823023 | Dan Packman | Massage Therapist | 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 | 2017-07-11 |
| 1023460102 | Brennon Patrick Moore | Counselor | 835 Nw Bond St Ste 100, Bend, OR 97703 | 2016-07-12 |
| 1093160269 | Eric Hinds | Optometrist | 63455 N Highway 97 Ste 75, Bend, OR 97703 | 2016-04-25 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| Find all providers in zip 97703 | ||||
| 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 |
|---|---|---|---|---|
| 1578934535 | Kimberly Sue Butler | Nurse Practitioner | 339 Sw Century Dr Ste 101, Bend, OR 97702-1199 | 2015-10-15 |
| 1528317898 | Kara Lynn Kelly | Nurse Practitioner | 339 Sw Century Dr, Suite 101, Bend, OR 97702-1198 | 2012-09-02 |
| 1114273711 | Deborah Macwilliams | Nurse Practitioner | 731 Nw Franklin Ave Ste 104, Bend, OR 97703 | 2012-08-01 |
| 1801122668 | Kay Oliver | Nurse Practitioner | 1010 Nw Harriman St, Suite A, Bend, OR 97701-1912 | 2009-10-28 |
| 1699906305 | Kristin Brooks | Nurse Practitioner | 336 Ne Norton Ave. Ste. 3, Bend, OR 97701-3598 | 2009-07-29 |
| 1003071499 | Nicholas J Campo IIi | Nurse Practitioner | 233 Sw Wilson Ave Ste 201, Bend, OR 97702-2988 | 2008-07-24 |
| 1922180777 | Deborah Padgett Coehlo | Nurse Practitioner | 62930 O B Riley Rd Ste 300, Bend, OR 97703-9459 | 2006-10-20 |
| 1033718242 | Hagen Psychiatry LLC | Nurse Practitioner | 2955 N Highway 97 Ste 100, Bend, OR 97703-7559 | 2020-10-19 |
| 1235766510 | Richard Dean Akers | Nurse Practitioner | 2577 Ne Courtney Dr, Bend, OR 97701-7752 | 2020-03-25 |
| 1386091734 | Bridget Knight | Nurse Practitioner | 2577 Ne Courtney Dr, Bend, OR 97701-7638 | 2016-05-16 |
| Find all providers in BEND | ||||
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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.