MS. KELLY JO CARPENTER (NPI# 1003915638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003915638 |
| Entity Type | Individual |
| Full Name | MS. KELLY JO CARPENTER |
| Credential | LPN |
| Practice Address |
Commerce Lane Canton NY 13617 |
| Mailing Address |
128 Canton St Hermon NY 13652 |
| Practice Telephone | 3153868191 |
| Practice Fax Number | 3153861410 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 277553 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679944854 | Kelly Carpenter | Counselor | 1209 Montague St, Norfolk, VA 23518-2815 | 2015-10-13 |
| 1538467584 | Kelly Ann Carpenter | Licensed Practical Nurse | 870 Burritt Rd, Hilton, NY 14468-1126 | 2011-02-28 |
| 1700183894 | Kelly A Carpenter | Mechanotherapist | 1857 White Mountain Hwy, North Conway, NH 03860-5158 | 2011-02-25 |
| 1437641834 | Kelly Marie Carpenter | Massage Therapist | 2075 Lincoln Ave, San Jose, CA 95125-3513 | 2018-05-31 |
| 1821599077 | Kelly Carpenter | Counselor | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2018-02-23 |
| 1407102585 | Kelly Carpenter | Physical Therapy Assistant | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2012-07-26 |
| 1205132495 | Kelly Lyn Carpenter | Speech-Language Pathologist | 39 Linden Ave, Cooperstown, NY 13326-1410 | 2011-02-04 |
| 1174762884 | Kelly Amanda Carpenter | Counselor | 9700 Grandview Rd, Kansas City, MO 64137-1135 | 2009-02-19 |
| 1144478918 | Kelly M Carpenter | Psychologist | 10740 Meridian Ave N, Suite 110, Seattle, WA 98133-9010 | 2008-09-04 |
| 1124238530 | Kelly L. Carpenter | Social Worker | 1212 Spruce St, Suite 315, Belmont, NC 28012-3385 | 2007-05-23 |
| Street Address |
COMMERCE LANE |
| City | CANTON |
| State | NY |
| Zip Code | 13617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| 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 |
|---|---|---|---|---|
| 1063012227 | Stephanie Ann Mcknight | Licensed Practical Nurse | 2513 Zircon St Ne, Canton, OH 44721-1762 | 2020-10-27 |
| 1457950826 | Crystal Rae Macey | Licensed Practical Nurse | 127 51st St Se, Canton, OH 44707-1013 | 2020-10-18 |
| 1154937142 | Heather Anne Houston | Licensed Practical Nurse | 2416 9th St Sw, Canton, OH 44710-1807 | 2020-09-16 |
| 1184234494 | Regina M Cross | Licensed Practical Nurse | 230 Cayuga Ave Nw, Canton, OH 44708-5229 | 2020-08-03 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1386277945 | Travisha Lucius | Licensed Practical Nurse | 1610 Ohio Ave Ne, Canton, OH 44705-1847 | 2020-02-21 |
| 1689206914 | Sade Marie Bradford | Licensed Practical Nurse | 1515 Lippert Rd Ne, Canton, OH 44705-1319 | 2020-02-05 |
| 1326681545 | Tera Vance | Licensed Practical Nurse | 2120 Superior Ave Ne, Canton, OH 44705-2438 | 2019-10-21 |
| 1386293090 | Moshalai Jewell | Licensed Practical Nurse | 3517 12th St Sw, Canton, OH 44710-1503 | 2019-09-05 |
| Find all providers in CANTON | ||||
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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.