KELLY ALLEN (NPI# 1033549605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033549605 |
| Entity Type | Individual |
| Full Name | KELLY ALLEN |
| Credential | CRNP |
| Practice Address |
514 W 3rd Ave Warren PA 16365-2201 |
| Mailing Address |
26244 South Rd Spartansburg PA 16434-2448 |
| Practice Telephone | 8147232219 |
| Practice Fax Number | 8147239127 |
| Mailing Telephone | 8147235545 |
| Mailing Fax Number | 8147239127 |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2019-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP013345 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CRNP | SP013345 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185645 | Kelly Gateley Allen | Massage Therapist | 6445 Se Cougar Mountain Way, Bellevue, WA 98006-5627 | 2019-10-08 |
| 1467791210 | Kelly Allen | Pharmacist | 617 Candle Ln, Birmingham, AL 35214-4821 | 2013-02-13 |
| 1366405797 | Kelly J Allen | Chiropractor | 1104 Darlington Rd, Beaver Falls, PA 15010-2829 | 2006-04-07 |
| 1174140461 | Kelly Allen | Registered Nurse | 529 Main St Ste 222, Charlestown, MA 02129-1101 | 2020-07-02 |
| 1194359455 | Kelly Lynn Allen | Occupational Therapist | 2251 E Paris Ave Se, Grand Rapids, MI 49546-2431 | 2020-02-26 |
| 1619526993 | Kelly Diane Allen | Behavioral Analyst | 1950 Keene Rd Bldg L, Richland, WA 99352-7752 | 2019-09-09 |
| 1437707726 | Kelly Allen | Physical Therapy Assistant | 2910 Macgregor Downs Rd, Greenville, NC 27834-8257 | 2019-08-29 |
| 1578043154 | Kelly Allen | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-08-14 |
| 1578040028 | Kelly Anne Allen | Speech-Language Pathologist | 2175 N Alma School Rd Ste A106, Chandler, AZ 85224-2882 | 2018-07-26 |
| 1578980405 | Kelly Allen | Pharmacist | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2014-03-28 |
| Street Address |
514 W 3RD AVE |
| City | WARREN |
| State | PA |
| Zip Code | 16365-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134158314 | Deerfield Behavioral Health of Warren, LLC | Counselor | 514 W 3rd Ave, Warren, PA 16365-2201 | 2006-07-01 |
| 1114548468 | Karen Marie Kline | Nurse Practitioner | 514 W 3rd Ave, Warren, PA 16365-2245 | 2020-04-28 |
| 1689032294 | Karen Ashbaugh | Social Worker | 514 W 3rd Ave, #1, Warren, PA 16365-2201 | 2016-02-10 |
| 1568892024 | Kathleen Patterson | Nurse Practitioner | 514 W 3rd Ave, Warren, PA 16365-2201 | 2013-11-20 |
| 1881934065 | Elizabeth Cleland Greville | Social Worker | 514 W 3rd Ave, Warren, PA 16365-2201 | 2013-02-25 |
| 1982913554 | Richard S Barton | Nurse Practitioner | 514 W 3rd Ave, Warren, PA 16365-2201 | 2010-09-30 |
| 1043378854 | Robert T Ross | Social Worker | 514 W 3rd Ave, Warren, PA 16365-2201 | 2006-12-05 |
| 1417015108 | Tracy Passaro | Counselor | 514 W 3rd Ave, Warren, PA 16365-2201 | 2006-12-05 |
| 1306904313 | Patricia Calhoun Gabreski | Social Worker | 514 W 3rd Ave, Warren, PA 16365-2201 | 2006-12-04 |
| 1497789507 | John Puthenpurackal John | Psychiatry & Neurology | 514 W 3rd Ave, Warren, PA 16365-2201 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| Find all providers in zip 16365 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992319 | Katherine Elizabeth Loffredo | Nurse Practitioner | 74 Seymour St, Warren, RI 02885-4227 | 2020-08-16 |
| 1306455860 | Wendy Michelle Ray | Nurse Practitioner | 1012 E Church St Ste A, Warren, AR 71671-3530 | 2020-07-29 |
| 1124679725 | Aprille Palac Mangalonzo | Nurse Practitioner | 14 Hillcrest Blvd, Warren, NJ 07059-5116 | 2019-09-25 |
| 1831505577 | Mary Grace Hall | Nurse Practitioner | 103 W Market St, Warren, OH 44481-1017 | 2014-07-02 |
| 1114548468 | Karen Marie Kline | Nurse Practitioner | 514 W 3rd Ave, Warren, PA 16365-2245 | 2020-04-28 |
| 1891321428 | Brandi Kaufman | Nurse Practitioner | 8577 E Market St, Warren, OH 44484-2345 | 2020-03-16 |
| 1720620198 | Elizabeth Miller | Nurse Practitioner | 150 E Market St, Warren, OH 44481-1141 | 2019-10-17 |
| 1538712922 | Zach Aldridge | Nurse Practitioner | 150 E Market St, Warren, OH 44481-1141 | 2019-07-24 |
| 1396202412 | Tammy A Klinefelter | Nurse Practitioner | 3120 W Market St, Warren, OH 44485-3069 | 2019-02-25 |
| 1790255248 | Jessica Shantz | Nurse Practitioner | 28800 Ryan Rd Ste 320, Warren, MI 48092-4272 | 2018-11-27 |
| Find all providers in WARREN | ||||
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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.