RYAN P KELLEY (NPI# 1992315014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992315014 |
| Entity Type | Individual |
| Full Name | RYAN P KELLEY |
| Credential | FNP-C |
| Practice Address |
494 Springhill St Ste 200 Jasper TX 75951-5053 |
| Practice Telephone | 4094894864 |
| Mailing Telephone | 4094894864 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
901556 | TX | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1016151 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2830 Calder St, Beaumont, TX 777021809 | 4098997009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855517 | Ryan Michael Kelley | Nurse Practitioner | 126 Rue Colette, Thibodaux, LA 70301-5628 | 2020-09-14 |
| 1003306382 | Ryan Patrick Kelley | Pharmacist | 203 Main St, Wakefield, RI 02879-3557 | 2018-05-13 |
| 1013381482 | Ryan Jerome Kelley | Student in an Organized Health Care Education/Training Program | 1400 Highland Ctr, Mankato, MN 56001-6537 | 2015-11-21 |
| 1881000180 | Ryan Kelley | Pharmacist | 2981 Chapel Hill Rd, Douglasville, GA 30135-1763 | 2014-07-08 |
| 1114266434 | Ryan C Kelley | Nurse Anesthetist, Certified Registered | 619 19th St S Rm Jt845, Birmingham, AL 35249-1900 | 2013-02-06 |
| 1750698452 | Ryan Danielle Kelley | Speech-Language Pathologist | 105 S Railroad St, Philippi, WV 26416-1150 | 2010-09-02 |
| 1982835732 | Ryan Patrick Kelley | Speech-Language Pathologist | 1200 E and West Rd, West Seneca, NY 14224-3604 | 2009-07-28 |
| 1720010663 | Ryan Kelley | Specialist/Technologist, Other | 3863 Sw Loop 820, Fort Worth, TX 76133-2064 | 2006-07-07 |
| Street Address |
494 SPRINGHILL ST STE 200 |
| City | JASPER |
| State | TX |
| Zip Code | 75951-5053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200228 | Hooked On Health Family Practice Pllc | Family Medicine | 494 Springhill St Ste 200, Jasper, TX 75951-5053 | 2018-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041772 | Hughes Medical Group | Nurse Practitioner | 1501-c S Wheeler, Jasper, TX 75951 | 2019-12-26 |
| 1871023028 | Tamara Nicole Vandiver | Nurse Practitioner | 2427 Hwy 255 West, Brookeland, TX 75951 | 2017-06-19 |
| 1336687383 | Nina Martindale | Nurse Practitioner | 2400 County Road 138, Jasper, TX 75951 | 2017-02-09 |
| 1275931792 | David Scott Hughes | Counselor | 1501-c South Wheeler St, Jasper, TX 75951 | 2014-12-16 |
| 1881091684 | D.scott Hughes Center for Counseling and Rehab | Clinic/Center | 1501-c South Wheeler, Jasper, TX 75951 | 2014-11-24 |
| 1720497480 | Harvest Counseling | Marriage & Family Therapist | 1501-c South Wheeler Street, Jasper, TX 75951 | 2014-08-07 |
| 1841539269 | Kathleen M Russell | Social Worker | 139 West Lamar Street, Jasper, TX 75951 | 2013-02-05 |
| 1750668034 | Susan Irene Craft | Hearing Instrument Specialist | 530 S. Wheeler, Jasper, TX 75951 | 2011-11-14 |
| 1194012740 | Harbor Hospice of East Texas Lp | Hospice Care, Community Based | 1440 Fm 777, Jasper, TX 75951 | 2011-07-05 |
| 1457661845 | Barbara Patin | Occupational Therapist | 11117 Fm 777, Jasper, TX 75951 | 2010-10-19 |
| Find all providers in zip 75951 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659922789 | Annette Renae Klem | Nurse Practitioner | 670 Rumbach Ave, Jasper, IN 47546-3513 | 2019-09-20 |
| 1811558901 | Elaina Miranda Averett | Nurse Practitioner | 580 Hampton Farms Trl, Jasper, GA 30143-5571 | 2019-06-28 |
| 1003473877 | Tiffany Tolliver | Nurse Practitioner | 508 Deer Ridge Run, Jasper, AL 35503-5573 | 2019-05-28 |
| 1578063590 | Nicole Noreen Tucker | Nurse Practitioner | 134 Mountainside Village Pkwy Bldg 500, Jasper, GA 30143-8694 | 2018-02-16 |
| 1467989533 | Kathleen Ann Munning | Nurse Practitioner | 1950 Saint Charles St Ste 4, Jasper, IN 47546-9172 | 2017-05-18 |
| 1336687383 | Nina Martindale | Nurse Practitioner | 2400 County Road 138, Jasper, TX 75951 | 2017-02-09 |
| 1689111460 | Chris Hue Gilchriest Jr. | Nurse Practitioner | 541 Dogwood St, Jasper, TX 75951-5658 | 2017-01-31 |
| 1962949222 | Ace Beam | Nurse Practitioner | 3400 Highway 78 E Ste 215, Jasper, AL 35501-8950 | 2017-01-25 |
| 1376928770 | Elizabeth Jane Mckinley | Nurse Practitioner | 220 J L White Dr Ste 110, Jasper, GA 30143-4894 | 2015-07-27 |
| 1225415581 | Ashley Gilley | Nurse Practitioner | 744 Noah Dr Ste 108, Jasper, GA 30143-8704 | 2015-05-06 |
| Find all providers in JASPER | ||||
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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.