MISS STEPHANIE MARIE KELLY (NPI# 1982067195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982067195 |
| Entity Type | Individual |
| Full Name | MISS STEPHANIE MARIE KELLY |
| Credential | LPN |
| Practice Address |
5626 Bunbury Ter Clay NY 13041-6910 |
| Practice Telephone | 3154501739 |
| Mailing Telephone | 3154501739 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 297078-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740760420 | Stephanie Kelly | Counselor | 1819 S Dobson Rd Ste 115, Mesa, AZ 85202-5656 | 2018-08-21 |
| 1154766186 | Stephanie Albers Kelly | Technician | 2685 Leeds Ave, North Charleston, SC 29405-6861 | 2013-05-03 |
| 1710117700 | Stephanie Kelly | Physical Therapist | 11 Carnegie Ave, Street Line 2, Cold Spring Harbor, NY 11724-2016 | 2009-07-23 |
| 1619508017 | Stephanie Ann Kelly | Counselor | 207 W Morgan St, Brandon, FL 33510-4429 | 2020-02-04 |
| 1497296362 | Stephanie Lynn Kelly | Nurse Practitioner | 4475 S I 19 Frontage Rd Ste 139, Green Valley, AZ 85614-5884 | 2017-03-13 |
| 1528417912 | Stephanie Beth Hampel Kelly | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2016-06-07 |
| 1780012484 | Stephanie Lyn Kelly | Marriage & Family Therapist | 2258 Camino Ramon, San Ramon, CA 94583-1353 | 2013-10-16 |
| 1578999322 | Stephanie Lynn Kelly | Physician Assistant | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2013-09-24 |
| 1487920849 | Stephanie L Kelly | Registered Nurse | 6440 Nieman Rd, Shawnee, KS 66203-3326 | 2012-03-29 |
| 1447574595 | Stephanie Kelly | Psychologist | 3145 W Pratt Blvd, Chicago, IL 60645-4125 | 2010-03-18 |
| Street Address |
5626 BUNBURY TER |
| City | CLAY |
| State | NY |
| Zip Code | 13041-6910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447653969 | Manal Asein Zraik | Specialist | 8485 Newbury Place, Clay, NY 13041 | 2014-09-29 |
| 1447485776 | Terri Jo Henrich | Licensed Practical Nurse | 5170 State Route 31 Apartment 2, Clay, NY 13041 | 2009-05-15 |
| 1255445276 | Wal-mart Stores East, Lp | Technician/Technologist | 8770 Dell Center Dr, Clay, NY 13041 | 2006-08-18 |
| 1871108225 | Nicki Delvecchio | Dietitian, Registered | 8809 Norcross Dr, Clay, NY 13041-2556 | 2020-09-12 |
| 1508319369 | Reeba Thankachan | Nurse Practitioner | 5301 Barcaldine Dr, Clay, NY 13041-6913 | 2016-07-28 |
| 1972907087 | Sara Elizabeth Gordon | Physical Therapy Assistant | 8255 Trevi Ln, Clay, NY 13041-6920 | 2014-10-17 |
| 1053503276 | Trina Veronica Mathias | Licensed Practical Nurse | 23 Mirage Ln, Clay, NY 13041-6924 | 2007-08-12 |
| 1518112507 | Kristie Santore Relyea | Occupational Therapist | 5468 Congleton Cir, Clay, NY 13041-6932 | 2008-11-18 |
| 1962802132 | Kimberly Jean Sprague | Early Intervention Provider Agency | 5425 Topsfield Ln, Clay, NY 13041-8608 | 2014-08-25 |
| 1972767788 | Cynthia Ann Greenfield | Registered Nurse | 5528 Imperia Ln, Clay, NY 13041-8627 | 2008-07-11 |
| Find all providers in zip 13041 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457802100 | Chelsea Lynch | Licensed Practical Nurse | 5356 Fortuna Pkwy, Clay, NY 13041-9111 | 2016-10-18 |
| 1841668928 | Maggie Knight | Licensed Practical Nurse | 9608 Horseshoe Island Rd, Clay, NY 13041-9686 | 2015-09-08 |
| 1154708113 | Mary R. Casey | Licensed Practical Nurse | 8058 Evesborough Dr, Clay, NY 13041-9139 | 2015-04-29 |
| 1770924029 | Cynthia Anne Vercillo | Licensed Practical Nurse | 8191 Shadbush Ln, Clay, NY 13041-8911 | 2013-07-16 |
| 1497190417 | Raven Smith- Bentley | Licensed Practical Nurse | 8295 Mantova Dr, Clay, NY 13041-9168 | 2013-05-03 |
| 1366764714 | Julie Ann Ryan | Licensed Practical Nurse | 8033 Evesborough Dr, Clay, NY 13041-9140 | 2010-02-25 |
| 1457584757 | Gisela Inge Puccini | Licensed Practical Nurse | 8050 Bamm Hollow Rd, Clay, NY 13041-9133 | 2009-09-02 |
| 1447485776 | Terri Jo Henrich | Licensed Practical Nurse | 5170 State Route 31 Apartment 2, Clay, NY 13041 | 2009-05-15 |
| 1316193246 | Jaime M Riley | Licensed Practical Nurse | 5188 Novara Ln, Clay, NY 13041-8800 | 2008-08-12 |
| 1942496682 | Jacqueline C Tuohey | Licensed Practical Nurse | 5440 Borgase Ln, Clay, NY 13041-8906 | 2007-09-17 |
| Find all providers in CLAY | ||||
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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.