JOHN KELLY I (NPI# 1003431164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003431164 |
| Entity Type | Individual |
| Full Name | JOHN KELLY I |
| Practice Address |
118 E Choccolocco St Oxford AL 36203-1222 |
| Practice Telephone | 2568314601 |
| Practice Fax Number | 2568353386 |
| Mailing Telephone | 2568314601 |
| Mailing Fax Number | 2568353386 |
| Enumeration Date | 2020-06-14 |
| Last Update Date | 2020-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412893 | John Kelly | Home Health Aide | 337 Great Oaks Trl, Wadsworth, OH 44281-9427 | 2020-09-16 |
| 1952969826 | John Kelly | Community Health Worker | 4048 Crestwood Dr, Wausau, WI 54403-8122 | 2019-06-04 |
| 1629530712 | John J Kelly | Otolaryngology | 579 W Moorwood St, Green Valley, AZ 85614-5980 | 2019-04-05 |
| 1851886568 | John D Kelly | Counselor | 481 8th Ave Ste 520, New York, NY 10001-1809 | 2018-06-25 |
| 1255876041 | John Edward Kelly | Physician Assistant | 1340 Citizens Blvd, Leesburg, FL 34748-3924 | 2017-01-03 |
| 1225487986 | John Kelly | Pharmacist | 3761 Knollcroft St, Easton, PA 18045-3026 | 2016-06-03 |
| 1588023246 | John Kelly | Behavior Technician | 1118 Poindexter Ave W, Bremerton, WA 98312-4337 | 2016-02-23 |
| 1760880173 | John Kelly | Dentist | 4833 Bethesda Ave Ste 302, Bethesda, MD 20814-5244 | 2014-12-17 |
| 1508135252 | John Kelly | Counselor | 4550 Lantana Road, Suite A4, Lake Worth, FL 33463 | 2011-12-27 |
| 1497055008 | John Peter Kelly | Occupational Therapist | 21 Dorothy Ln, Kings Park, NY 11754-2932 | 2010-10-28 |
| Street Address |
118 E CHOCCOLOCCO ST |
| City | OXFORD |
| State | AL |
| Zip Code | 36203-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942235593 | Sabrina D Nuckols | Nurse Practitioner | 118 E Choccolocco St, Oxford, AL 36203-1222 | 2006-07-12 |
| 1336764216 | Kasha Davette Nix | Counselor | 118 E Choccolocco St, Oxford, AL 36203-1222 | 2020-06-16 |
| 1972128809 | Kasi L Brown | Counselor | 118 E Choccolocco St, Oxford, AL 36203-1222 | 2020-06-16 |
| 1386269223 | Deborah Yim | Counselor | 118 E Choccolocco St, Oxford, AL 36203-1222 | 2020-06-16 |
| 1902421936 | Anthony Cornelius Chatmon Sr. | Counselor | 118 E Choccolocco St, Oxford, AL 36203-1222 | 2020-06-16 |
| 1154946234 | Keisha Malia Heard | Counselor | 118 E Choccolocco St, Oxford, AL 36203-1222 | 2020-06-15 |
| 1740805803 | Stacy Starling | Counselor | 118 E Choccolocco St, Oxford, AL 36203-1222 | 2020-06-14 |
| 1518582840 | Shelia Faye Shelton | Counselor | 118 E Choccolocco St, Oxford, AL 36203-1222 | 2020-06-12 |
| 1972128148 | Jeff Clark | Counselor | 118 E Choccolocco St, Oxford, AL 36203-1222 | 2020-06-12 |
| 1841815297 | Kara Medforth | Counselor | 118 E Choccolocco St, Oxford, AL 36203-1222 | 2020-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371375 | Brittany Mcevoy | Registered Nurse | 1477 Taylors Chapel Road, Oxford, AL 36203 | 2019-11-22 |
| 1154978500 | Anthony Quandrez Mckinney | Technician | 602 Lane Road, Oxford, AL 36203 | 2019-08-21 |
| 1619467289 | Carey Dillard Hill | Optometrist | Oxford Exchange, 800 Oxford Exchange Boulevard, Oxford, AL 36203 | 2018-05-18 |
| 1477084051 | Betsy Brittain Brittain | Speech-Language Pathologist | 1130 South Hale Street, Oxford, AL 36203 | 2017-03-24 |
| 1427504760 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 50 Commons Way, Suite D, Oxford, AL 36203 | 2016-08-28 |
| 1417372509 | Hala Shama Mourtada | Licensed Practical Nurse | 6213 Shannon Brook Lane, Oxford, AL 36203 | 2014-02-26 |
| 1821262429 | Stacey Smith Johnson | Dietitian, Registered | 96 Ali Way Creekside South, Oxford, AL 36203 | 2008-04-15 |
| 1831389832 | Natalie M Lindell | Internal Medicine | 6 Allen Parkway, Oxford, AL 36203 | 2007-07-26 |
| 1467679480 | Physicians Choice Dialysis of Oxford, LLC | Clinic/Center | 711 Snow Street, Oxford, AL 36203 | 2007-04-19 |
| 1720136443 | Keel and Associates | General Practice | 1612 Highway 78 East, Suite 100, Oxford, AL 36203 | 2007-01-08 |
| Find all providers in zip 36203 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952949695 | Joseph Barbetta | Specialist/Technologist | Weeb Ewbank Way, Oxford, OH 45056 | 2019-12-12 |
| 1073151981 | Jessica Renee Westmaas | Specialist/Technologist | 750 Weeb Ewbank Way Rm 102, Oxford, OH 45056-3518 | 2019-12-11 |
| 1376199943 | John Michel | Specialist/Technologist | 8 Gum Tree Dr, Oxford, MS 38655-6175 | 2019-08-10 |
| 1992260459 | Kristin Lynn Sondys | Specialist/Technologist | 201 E Chestnut St Unit 215d, Oxford, OH 45056-2672 | 2019-02-08 |
| 1962967752 | Sarah Madison Dehaven | Specialist/Technologist | 112 Bedford Way, Oxford, PA 19363-4233 | 2019-02-05 |
| 1578038634 | Pauline Werner | Specialist/Technologist | 610 Oak St, Oxford, OH 45056-2460 | 2018-10-04 |
| 1477045540 | Anna Gearhart | Specialist/Technologist | 750 Weeb Ewbank Way, Oxford, OH 45056-3518 | 2018-06-04 |
| 1740772086 | Bailee Hilaman | Specialist/Technologist | 248 Collamer Rd, Oxford, PA 19363-1039 | 2018-06-02 |
| 1639672595 | Haley Boyd | Specialist/Technologist | 954 Leon Smith Pkwy, Oxford, AL 36203-3491 | 2018-03-16 |
| 1710493515 | Gia Eastman | Specialist/Technologist | 518 S Main St Apt 3, Oxford, OH 45056-2338 | 2017-12-17 |
| Find all providers in OXFORD | ||||
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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.