KELLEY KENNEDY SCHULZE (NPI# 1063643922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063643922 |
| Entity Type | Individual |
| Full Name | KELLEY KENNEDY SCHULZE |
| Other Name | KELLEY JEANNE KENNEDY |
| Credential | PNP |
| Practice Address |
1651 Rock Prairie Rd #102 College Station TX 77845-8652 |
| Mailing Address |
1500 University Dr E #100 College Station TX 77840-2600 |
| Practice Telephone | 9796937400 |
| Practice Fax Number | 9796937446 |
| Mailing Telephone | 9798461100 |
| Mailing Fax Number | 9792609390 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2016-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
650862 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AGENCY NPI | 1821185299 | 01 |
| TX | BRYAN-COLLEGE STATION CLINIC NPI | 1649265646 | 01 |
| TX | CS CLINIC NPI | 1275726853 | 01 |
| TX | 154467801 | 05 | |
| TX | 187842301 | 05 |
| Street Address |
1651 ROCK PRAIRIE RD #102 |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-8652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922060391 | Adil Noshir Nicolwala | Family Medicine | 1651 Rock Prairie Rd, Suite 102, College Station, TX 77845-8652 | 2006-04-03 |
| 1235644709 | Symetria Health of Texas, LLC | Community/Behavioral Health | 1651 Rock Prairie Rd, College Station, TX 77845-8652 | 2017-12-06 |
| 1255687042 | Jennifer Variste | Pediatrics | 1651 Rock Prairie Rd, Suite 102, College Station, TX 77845-8652 | 2012-07-30 |
| 1609168673 | Sheneka Vacquana Deslee Mortley | Internal Medicine | 1651 Rock Prairie Rd, College Station, TX 77845 | 2011-05-10 |
| 1932334687 | Christy Reed Robbins | Nurse Practitioner | 1651 Rock Prairie Rd, #102, College Station, TX 77845-8652 | 2009-05-26 |
| 1053545079 | Patricia Whitehead Goen | Pediatrics | 1651 Rock Prairie Rd, #102, College Station, TX 77845-8652 | 2009-05-05 |
| 1235378563 | Ankhi Dutta | Pediatrics | 1651 Rock Prairie Rd, Suite 102, College Station, TX 77845-8652 | 2009-02-10 |
| 1669649737 | Brazos Valley Community Action Agency Inc | Clinic/Center | 1651 Rock Prairie Rd, Suite 102, College Station, TX 77845-8346 | 2008-05-08 |
| 1437328150 | Brazos Valley Community Action Agency, Inc. | Pediatrics | 1651 Rock Prairie Rd, Ste. #102, College Station, TX 77845-8346 | 2008-02-27 |
| 1811171580 | Brazos Valley Community Action Agency, Inc. | Obstetrics & Gynecology | 1651 Rock Prairie Rd, #102, College Station, TX 77845-8346 | 2007-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104392505 | Elizabeth Jane Riley | Nurse Practitioner | 1602 Rock Prairie Rd, College Station, TX 77845-8306 | 2018-10-23 |
| 1447726898 | Shannon Harris | Nurse Practitioner | 1602 Rock Prairie Rd Ste 1100, College Station, TX 77845-0001 | 2018-10-23 |
| 1871029322 | Katie Hepfer | Nurse Practitioner | 1602 Rock Prairie Rd, Suite 300, College Station, TX 77845-8306 | 2017-05-03 |
| 1962754960 | Jennifer Lynn Harris | Nurse Practitioner | 800 Scott and White Dr, College Station, TX 77845-6440 | 2012-10-15 |
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|---|---|---|---|---|
| 1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
| 1275134355 | Trevor Hill | Nurse Practitioner | 19708 Northwest Fwy Ste 500, Jersey Village, TX 77065-5626 | 2020-11-04 |
| 1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
| 1770182636 | Jenna Donlon | Nurse Practitioner | 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 | 2020-10-21 |
| 1356949697 | Elizabeth Danielle Harrington | Nurse Practitioner | 213 Woodbine Dr, Burleson, TX 76028-6175 | 2020-10-09 |
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1679189567 | Jessica Dawn Crow | Nurse Practitioner | 801 Nuthatch Ct, Northlake, TX 76226-2863 | 2020-09-16 |
| 1457965436 | Jeanan Alameddine | Nurse Practitioner | 823 Catalpa Pl, Missouri City, TX 77459-5709 | 2020-09-07 |
| 1073127080 | Thelma Ivy Reyesmcchesney | Nurse Practitioner | 163 Village East Dr, Los Fresnos, TX 78566-3104 | 2020-09-07 |
| 1760095251 | Chelsey Jensen Bailey | Nurse Practitioner | 433 Sagebrush Dr, Aledo, TX 76008-1340 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
Please comment or provide details below to improve the information on KELLEY KENNEDY SCHULZE.
| 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.