KELLY ANDERSON (NPI# 1992146021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992146021 |
| Entity Type | Individual |
| Full Name | KELLY ANDERSON |
| Practice Address |
207 2nd Ave Se Jamestown ND 58401-4272 |
| Practice Telephone | 7012523376 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 794 | ND | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 52820 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083234710 | Kelly Mankin Anderson | Audiologist | 135 Nw 17th St, Bend, OR 97703-2420 | 2020-04-22 |
| 1184255408 | Kelly Marie Anderson | Registered Nurse | 10600 W 500 N, Deputy, IN 47230-8999 | 2020-01-27 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1457858300 | Kelly R Anderson | Nurse Practitioner | 10120 W Broad St Ste F, Glen Allen, VA 23060-6709 | 2018-04-08 |
| 1538578430 | Kelly Elizabeth Anderson | Student in an Organized Health Care Education/Training Program | 1512 Spreckels St, Honolulu, HI 96822-4658 | 2014-08-05 |
| 1528394681 | Kelly Elizabeth Anderson | Physical Therapist | 1742 Commonwealth Ave, Apt 2, Brighton, MA 02135 | 2009-10-26 |
| 1568694115 | Kelly L Anderson | Physical Therapist | 1325 Spring St., Greenwood, SC 29649 | 2009-08-17 |
| 1255586475 | Kelly Marie Anderson | Nurse's Aide | 1720 17th Ct, Jupiter, FL 33477-9089 | 2008-12-02 |
| 1114056637 | Kelly L Anderson | Social Worker | 655 E. Main St, Children's Hospital Guidance Center, Columbus, OH 43205 | 2007-03-02 |
| 1144828658 | Kelly Herbert Anderson | Social Worker | 220 N Ballston Ave, Scotia, NY 12302-2533 | 2020-10-16 |
| Street Address |
207 2ND AVE SE |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401-4272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679119887 | Shelley Ann Fossen | Specialist/Technologist | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2019-11-22 |
| 1245889427 | Andy Kolff | Speech-Language Pathologist | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2019-09-10 |
| 1679097463 | Brittany Marie Mildenberger | Speech-Language Pathologist | 207 2nd Ave Se, Jamestown, ND 58401-4742 | 2017-08-02 |
| 1780016592 | Sheena Neys | Speech-Language Pathologist | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2013-08-02 |
| 1912339094 | Valerie Pommerer | Speech-Language Pathologist | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2013-07-31 |
| 1750723201 | Sheila Nelson | Speech-Language Pathologist | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2013-07-25 |
| 1942642491 | Joan Gehlhar | Speech-Language Pathologist | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2013-07-25 |
| 1699117143 | Jodell Stading | Speech-Language Pathologist | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2013-07-25 |
| 1285967182 | James River Special Education Unit | Local Education Agency (LEA) | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2009-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821532169 | Grace Panebianco | Specialist | 20 Springdale Ave, Jamestown, NY 14701-8528 | 2016-12-06 |
| 1295099711 | Judith Anne Long | Specialist | 25 Blanchard St, Jamestown, NY 14701-3451 | 2012-06-28 |
| 1386905297 | Krystene K Baggiano | Specialist | 25 School Ave, Jamestown, NY 14701-5901 | 2012-06-06 |
| 1598937435 | Yan Liu, M.d., Pllc | Specialist | 212 Front Street, Jamestown, NY 14701 | 2008-04-01 |
| 1538194881 | Shrikant C Bodani | Specialist | 30 Arnold St, Jamestown, NY 14701-7073 | 2006-07-12 |
| 1093138810 | Circulatory Centers New York LLP | Specialist | 779 Fairmount Ave, Jamestown, NY 14701-2608 | 2014-01-30 |
| 1649521741 | Michelle Reinagel | Specialist | 774 Fairmount Ave, Jamestown, NY 14701-2609 | 2012-09-28 |
| 1811248982 | Mary Ann C Sanborn | Specialist | 774 Fairmount Ave, Jamestown, NY 14701-2609 | 2012-09-28 |
| 1104181643 | Christina L Shaver | Specialist | 774 Fairmount Ave, Jamestown, NY 14701-2609 | 2012-07-11 |
| 1205197266 | John R Bowen | Specialist | 774 Fairmount Ave, Jamestown, NY 14701-2609 | 2012-06-06 |
| Find all providers in JAMESTOWN | ||||
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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.