MISS KELLY COLEMAN (NPI# 1033660089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033660089 |
| Entity Type | Individual |
| Full Name | MISS KELLY COLEMAN |
| Other Name | MISS KELLY ANN COLEMAN |
| Credential | MS, ATC |
| Practice Address |
160 Windermere Ave Apt 4603 Ellington CT 06029-3949 |
| Practice Telephone | 2035366917 |
| Mailing Telephone | 2035366917 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
000791 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332363 | Kelly Ann Coleman | Behavior Technician | 11450 N Meridian St Ste 100, Carmel, IN 46032-4688 | 2020-07-02 |
| 1053890301 | Kelly Marie Coleman | Physical Therapist | 168 Industrial Dr Unit 5, Mashpee, MA 02649-3562 | 2018-08-08 |
| 1245721182 | Kelly Coleman | Psychologist | 162 Main St, Hamburg, NY 14075-4917 | 2018-05-26 |
| 1497107536 | Kelly J Coleman | Nurse Practitioner | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 | 2016-07-12 |
| 1174980437 | Kelly Coleman | Clinical Nurse Specialist | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757 | 2016-01-18 |
| 1629395454 | Kelly Marcus Coleman | Anesthesiology | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565-6771 | 2010-05-04 |
| 1407189756 | Kelly K Coleman | Psychologist | 801 Broadway, Suite 800, Seattle, WA 98122-4396 | 2009-09-17 |
| 1760635122 | Kelly Lynn Coleman | Physical Therapist | 250 Hospital Pkwy, San Jose, CA 95119-1103 | 2008-10-29 |
| 1982863353 | Kelly Alan Coleman | Physical Therapist | 1342 E Primrose Street, Suite A, Springfield, MO 65804-4224 | 2008-06-02 |
| 1396929865 | Kelly Ann Coleman | Counselor | 1460 Livingston Ave, North Brunswick, NJ 08902-1873 | 2007-12-20 |
| Street Address |
160 WINDERMERE AVE APT 4603 |
| City | ELLINGTON |
| State | CT |
| Zip Code | 06029-3949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073909487 | Kristen Marie Martel | Behavioral Analyst | 4 Windermere Vlg Dr, Ellington, CT 06029 | 2015-04-13 |
| 1972747111 | Lauren Jill Powers | Dentist | 17 5 West Road, Ellington, CT 06029 | 2009-04-30 |
| 1922215821 | Luke E O'connor | Internal Medicine | 23 Ellington Ave, Po 878 Willimantic Ct 06022, Ellington, CT 06029 | 2007-05-17 |
| 1235238643 | Sean Noel | Chiropractor | 105 West Rd Rte 83, Ellington, CT 06029 | 2006-09-22 |
| 1821420977 | Just Breathe Connecticut, LLC | Counselor | 4 West Rd, Ellington, CT 06029 | 2013-07-31 |
| 1518270446 | Kerry Lynn Tuttle | Social Worker | 4 West Rd, Ellington, CT 06029 | 2010-07-20 |
| 1134269004 | Ellington Volunteer Ambulance Corps Inc | Ambulance | 41 Maple St, Ellington, CT 06029-0071 | 2007-02-08 |
| 1225399108 | Endodontic Specialists LLC | Dentist | 2 Chucrh St # 670, Ellington, CT 06029-0670 | 2012-06-06 |
| 1821008202 | Stanislav Moline | Dentist | 2 Chucrh St, # 670, Ellington, CT 06029-0670 | 2006-08-09 |
| 1700267473 | Andrew Michael Janiga | Dentist | 2 Brockway Rd, Ellington, CT 06029-2100 | 2015-06-17 |
| Find all providers in zip 06029 | ||||
| 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 |
|---|---|---|---|---|
| 1437650181 | Matthew Leeds | Specialist/Technologist | 12 Main St Ste 7, Ellington, CT 06029-3361 | 2018-02-27 |
| 1003879750 | Rosemary Bonner Ragle | Specialist/Technologist | 115 West Rd, 2303, Ellington, CT 06029-3775 | 2006-04-11 |
| 1013559657 | Lauren Hodge | Specialist/Technologist | 12 Main St Ste 7, Ellington, CT 06029-3361 | 2019-10-15 |
| 1114299542 | Meghan Hunt | Specialist/Technologist | 12 Main St, Ellington, CT 06029-3339 | 2012-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901019 | Jessica Handy | Specialist/Technologist | 45 Cottage Rd, Oakdale, CT 06370-1051 | 2020-10-28 |
| 1770183030 | Adrienne Lara Fedyna Dembeck | Specialist/Technologist | 211 New Britain Rd Ste 101, Berlin, CT 06037-3167 | 2020-10-27 |
| 1194324665 | Francesca Chirico | Specialist/Technologist | 34 Farms Village Rd, Simsbury, CT 06070-2344 | 2020-10-25 |
| 1497354401 | Brandon Hallaway | Specialist/Technologist | 2098 Hillside Rd, Storrs, CT 06268 | 2020-10-21 |
| 1427657816 | Riley J Burns | Specialist/Technologist | 49 Farrell Rd, Newtown, CT 06470-1205 | 2020-10-18 |
| 1780283176 | Karl Kochersperger | Specialist/Technologist | 146 Sherwood Farm Rd, Fairfield, CT 06824-2979 | 2020-10-18 |
| 1720686215 | Liana Suarez | Specialist/Technologist | 31 Yates St, West Haven, CT 06516-1142 | 2020-10-15 |
| 1598363095 | Shayna Deluca | Specialist/Technologist | 178 New State Rd Apt 8, Manchester, CT 06042-7941 | 2020-10-15 |
| 1376150045 | Anna E Viscuso | Specialist/Technologist | 201 Regan Rd Apt 35a, Vernon Rockville, CT 06066-2861 | 2020-09-28 |
| 1881200962 | Keenan Thomas Love | Specialist/Technologist | 80 Shunpike Rd Unit 202, Cromwell, CT 06416-4402 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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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.