MISS SHAUNA KELLY (NPI# 1982900114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982900114 |
| Entity Type | Individual |
| Full Name | MISS SHAUNA KELLY |
| Credential | PT |
| Practice Address |
1600 Joseph Dr Bryan TX 77802-1502 |
| Mailing Address |
64 Danbury Rd Wilton CT 06897-4429 |
| Practice Telephone | 9797762411 |
| Practice Fax Number | 9797764986 |
| Mailing Telephone | 8002780332 |
| Mailing Fax Number | 8009705001 |
| Enumeration Date | 2011-02-05 |
| Last Update Date | 2011-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 1195167 | TX | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811550015 | Shauna Rae Walter Kelly | Student in an Organized Health Care Education/Training Program | 1411 S Potomac St Ste 300, Aurora, CO 80012-4539 | 2019-04-15 |
| 1467862565 | Shauna Kelly | Specialist/Technologist | 19 Lothrop St, Brighton, MA 02135-1417 | 2014-04-29 |
| Street Address |
1600 JOSEPH DR |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528038858 | Kelly W Lobb | Physical Medicine & Rehabilitation | 1600 Joseph Dr, Bryan, TX 77802-1502 | 2006-01-26 |
| 1508416082 | Katherine Lee Whitmer | Occupational Therapist | 1600 Joseph Dr, Bryan, TX 77802-1502 | 2019-09-16 |
| 1134670409 | Sherry Sewrathan-ghosh Do Pa | Physical Medicine & Rehabilitation | 1600 Joseph Dr, Ste 1516, Bryan, TX 77802-1502 | 2016-10-20 |
| 1932573417 | St. Joseph Encompass Health Rehabilitation Hospital, LLC | Rehabilitation Hospital | 1600 Joseph Dr, Bryan, TX 77802 | 2015-11-19 |
| 1396120077 | Amber Perry | Physical Therapy Assistant | 1600 Joseph Dr, Bryan, TX 77802-1502 | 2015-07-23 |
| 1407256894 | Shannon Kelsey | Nurse Practitioner | 1600 Joseph Dr, Bryan, TX 77802-1502 | 2014-09-04 |
| 1902150048 | Kasey Lobb | Dietitian, Registered | 1600 Joseph Dr, Rehabfirst, Bryan, TX 77802-1502 | 2012-10-26 |
| 1346596954 | Barbara J Herrman | Dietitian, Registered | 1600 Joseph Dr, Bryan, TX 77802-1502 | 2012-08-01 |
| 1871728063 | Christus Continuing Care | Long Term Care Hospital | 1600 Joseph Dr, 2nd Floor, Bryan, TX 77802-1502 | 2009-05-18 |
| 1477739704 | Dubuis Health System, Inc. | Long Term Care Hospital | 1600 Joseph Dr, 2nd Floor, Bryan, TX 77802-1502 | 2008-01-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805454 | Tri Huynh Minh Nguyen | Military Health Care Provider | 7826 Enchanted Cliff Dr, El Paso, TX 79911-7508 | 2020-09-10 |
| 1700355237 | William Christopher Petty | Military Health Care Provider | 21227 Torch Street, Biggs Field, TX 79918 | 2018-11-14 |
| 1346629094 | Grada Berry | Military Health Care Provider | 2520 Heather Brook Ln Apt 804, Arlington, TX 76006-5177 | 2015-05-28 |
| 1215323514 | Kathleen Schurr | Military Health Care Provider | 47th Medical Group, Laughlin Afb, TX 78840 | 2015-04-13 |
| 1639518616 | Treble Clef Technologies | Military Health Care Provider | 3233 Tomahawk St, El Paso, TX 79936-2315 | 2013-06-23 |
| 1679837355 | Jeffrey Hoffmann | Military Health Care Provider | 1640 N Zaragoza Rd, Apt 118, El Paso, TX 79936-8004 | 2012-06-27 |
| 1194022566 | William Resto-rivera | Military Health Care Provider | J Street Bldg 3000, Federal Medical Center Carswell, Fort Worth, TX 76127-0066 | 2011-02-22 |
| 1437456373 | Jennifer Leigh Noblin | Military Health Care Provider | Sheppard Afb Mental Health Clinic, 149 Hart St. Bldg 1200, Wichita Falls, TX 76311 | 2011-02-11 |
| 1609179159 | Verisha Virginia Dixon | Military Health Care Provider | 81945 Fm 2252 Ste 115, Cheroke Medical Services, Garden Ridge, TX 78266 | 2010-12-06 |
| 1215190004 | Joni Patricia Gumban | Military Health Care Provider | 409 Greene St, Webster, TX 77598-6701 | 2008-07-02 |
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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.