DR. KELLY DENENE GONZALES COLLINS (NPI# 1972555258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972555258 |
| Entity Type | Individual |
| Full Name | DR. KELLY DENENE GONZALES COLLINS |
| Credential | MD |
| Practice Address |
2211 Capehart Rd Suite 104 Bellevue NE 68123-2121 |
| Practice Telephone | 4029334111 |
| Practice Fax Number | 4029344111 |
| Mailing Telephone | 4029334111 |
| Mailing Fax Number | 4029344111 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2009-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 23335 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | STATE LICENSE | 23335 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376050997 | Kelly Collins | Specialist | 3923 S 10th Ave, Caldwell, ID 83605-6762 | 2018-01-04 |
| 1386193779 | Kelly Collins | Counselor | 4221 S Mlk Blvd, Lansing, MI 48910-5201 | 2016-09-26 |
| 1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
| 1003171711 | Kelly Michelle Collins | Counselor | 15803 Ne 23rd St # B, Choctaw, OK 73020-8428 | 2012-07-09 |
| 1093027690 | Kelly Collins | Occupational Therapist | 1378 Highland Village Dr, Apt 24, Duluth, MN 55811-5274 | 2010-07-12 |
| 1073682647 | Kelly S Collins | Social Worker | 130 E 101st St, New York, NY 10029-6106 | 2006-11-07 |
| 1801361019 | Kelly Anne Collins | Nurse Practitioner | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2018-10-04 |
| 1811477367 | Kelly Lynn Collins | Pharmacist | 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 | 2018-08-15 |
| 1568958999 | Kelly Christine Collins | Occupational Therapy Assistant | 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 | 2018-07-09 |
| 1679067557 | Kelly Collins | Behavior Technician | 206 S Washington St Apt 1, Baltimore, MD 21231-2619 | 2018-06-14 |
| Street Address |
2211 CAPEHART RD SUITE 104 |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68123-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689803413 | Niemeyer Family Chiropractic Inc | Chiropractor | 2211 Capehart Rd, 102, Bellevue, NE 68123-2121 | 2009-07-14 |
| 1750527131 | Todd Jay Niemeyer | Chiropractor | 2211 Capehart Rd, Suite 102, Bellevue, NE 68123-2121 | 2009-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482227 | Gloria Pettigrew-fletcher | Community Health Worker | 12432 A 36th St, C20, Bellevue, NE 68123 | 2020-03-13 |
| 1225480676 | Heidi Jean Mccoy | Dentist | 2110 Towne Centre Drive, Bellevue, NE 68123 | 2016-07-11 |
| 1538557442 | Mariam Abdelghany I | Physician Assistant | 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 | 2014-12-30 |
| 1205243367 | Sara Johnson | Pharmacist | 3614 Twin Creeks Drive, Bellevue, NE 68123 | 2014-07-21 |
| 1174826747 | Francine Amy Drummond | Dentist | 1701 Independence Lane #22, Bellevue, NE 68123 | 2010-12-21 |
| 1053509588 | Dunlow Orthodontics, P.C. | Dentist | 2219 Capehart Road, Suite 102, Bellevue, NE 68123 | 2007-10-10 |
| 1801911870 | Michelle Lynn Gaeth | Dentist | 11536 S. 31st St., Bellevue, NE 68123 | 2007-03-20 |
| 1386789832 | Mary Monique Rotert | Psychologist | 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 | 2007-02-21 |
| 1316084098 | Kevin B Jones | Family Medicine | 3308 Samson Way Ste 102, Bellevue, NE 68123 | 2007-01-31 |
| 1467529727 | Nebraska Medical Center | Pharmacy | 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 | 2006-11-29 |
| Find all providers in zip 68123 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563089 | Highland Middle School Health Center | Family Medicine | 11650 Se 60th St, Bellevue, WA 98006-3702 | 2019-08-14 |
| 1497136121 | Shaista Zaman | Family Medicine | 1600 116th Ave Ne Ste 102, Bellevue, WA 98004-3099 | 2015-06-18 |
| 1457762296 | Nafiseh Sadat Haghgoo | Family Medicine | 400-108th Aven Ne, Bellevue, WA 98004 | 2014-05-14 |
| 1154768802 | Sowmya Amin | Family Medicine | 619 156th Ave Se, Bellevue, WA 98007 | 2013-06-03 |
| 1275979296 | Samuel Elias Ross | Family Medicine | 1255 W Main St Ste B, Bellevue, OH 44811 | 2013-05-16 |
| 1144564097 | Fred W Reebs | Family Medicine | 102 Cascade Ky, Bellevue, WA 98006-1004 | 2012-11-15 |
| 1225387335 | Accelecare Wound Professionals of South Carolina, PC | Family Medicine | 10900 Ne 4th Street Suite 1900, Bellevue, WA 98004 | 2012-09-05 |
| 1003180308 | Steven Yee | Family Medicine | 14505 Bel Red Rd, 100, Bellevue, WA 98007-3936 | 2012-03-05 |
| 1265716799 | Healthmax Incorporated | Family Medicine | 320 106th Ave Ne, Suite A, Bellevue, WA 98004-5791 | 2011-10-03 |
| 1548561954 | Martin E. Hanson | Family Medicine | 9011 Lake Washington Blvd Ne, Bellevue, WA 98004-4826 | 2010-11-16 |
| Find all providers in BELLEVUE | ||||
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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.