CASSANDRA AILEEN KELLEY


Address: 1722 Pine St Ste 401, Montgomery, AL 36106-1103
Phone: 3342649191

CASSANDRA AILEEN KELLEY (NPI# 1952956567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952956567
Entity Type Individual
Full Name CASSANDRA AILEEN KELLEY
Credential CRNP
Practice Address 1722 Pine St Ste 401
Montgomery
AL 36106-1103
Mailing Address 1722 Pine St Ste 503
Montgomery
AL 36106-1160
Practice Telephone 3342649191
Practice Fax Number 3342649199
Mailing Telephone 3342938736
Mailing Fax Number 3342938738
Enumeration Date 2019-08-09
Last Update Date 2020-02-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
1-127245 AL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1722 PINE ST STE 401
City MONTGOMERY
State AL
Zip Code 36106-1103

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235747205 Rural Urgent Care LLC Clinic/Center 3039 Vaughn Road, Montgomery, AL 36106 2020-07-16
1548733306 Bennett Family Dentistry, LLC Dentist 4270 Carmichael Road, Montgomery, AL 36106 2019-01-04
1588133854 Lori Leanne Fail Physical Therapist 1615 Windsor Hill Court, Montgomery, AL 36106 2018-11-16
1073020749 Charlene Richmond Harrell Chiropractor 2900 Zelda Rd., Suite A, Montgomery, AL 36106 2018-01-03
1780123109 Montgomery Accident and Injury Center, Inc Nurse Practitioner 2900 Zelda Rd, Ste B, Montgomery, AL 36106 2017-02-17
1467843573 Ernest Porterfield Non-emergency Medical Transport (VAN) 4183 Carmichael Road, Suite A, Montgomery, AL 36106 2015-02-11
1114334281 Daniel Gerald O'bryant Specialist/Technologist 1160 Navarro Avenue, Montgomery, AL 36106 2014-07-21
1801213764 Amanda Hodge Specialist/Technologist 4605 Cherry Tree Terrace, Montgomery, AL 36106 2014-03-27
1871861542 Walgreen Co Durable Medical Equipment & Medical Supplies 1758 Park Pl Ste 102, Montgomery, AL 36106 2011-12-08
1578862546 Helping Hands Preventitive Health Center Community/Behavioral Health 2015 Mulberry St, Montgomery, AL 36106 2011-03-16
Find all providers in zip 36106

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184240285 Miranda Michelle Roach Nurse Practitioner 11907 Candlewood Pl, Montgomery, TX 77356-5427 2020-06-24
1508416611 Casey Thornton Nurse Practitioner 370 Saint Lukes Dr, Montgomery, AL 36117-7111 2019-09-19
1558917047 Brittany Ann Smith Nurse Practitioner 1722 Pine St Ste 904, Montgomery, AL 36106-1104 2019-08-12
1982264867 Bethany Fain Phelps Nurse Practitioner 1722 Pine St Ste 402, Montgomery, AL 36106-1159 2019-06-13
1447813027 Haley Harvey Clifton Nurse Practitioner 1758 Park Pl Ste 401, Montgomery, AL 36106-1135 2019-04-18
1861958241 Tameka Lene' Myles Nurse Practitioner 2905 East South Boulevard, Montgomery, AL 36116 2019-02-11
1780162024 Grace Santana Nurse Practitioner 3270 Gatsby Ln, Montgomery, AL 36106-2668 2018-07-30
1013494673 Angela K Rayborn Nurse Practitioner 1725 W 4th St # Na, Montgomery, AL 36106-1509 2018-07-25
1942795430 Richard Yullambo Yenkong Nurse Practitioner 2270 Jericho Rd Apt A5, Montgomery, IL 60538-5621 2018-06-27
1710470554 Andrea Kaye Steinbrink Nurse Practitioner 1758 Park Pl Ste 406, Montgomery, AL 36106-1135 2018-06-06
Find all providers in MONTGOMERY

Competitor

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City MONTGOMERY
Zip Code 36106

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Dataset Information

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.

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