MS. KELLY MCLEAN (NPI# 1063804920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063804920 |
| Entity Type | Individual |
| Full Name | MS. KELLY MCLEAN |
| Credential | FNP-C |
| Practice Address |
564 Niagara St Buffalo NY 14201 |
| Mailing Address |
564 Niagara St Buffalo NY 14201-1108 |
| Practice Telephone | 7168820366 |
| Mailing Telephone | 7168820366 |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 633253 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
344322 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1315 Jefferson Ave, Buffalo, NY 142082102 | 7163323797 | |
| 564 Niagara St, Buffalo, NY 14201 | 7168820366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956530 | Kelly Celeste Mclean | Registered Nurse | 417 Broadway Ave, Pueblo, CO 81004-2127 | 2020-03-06 |
| 1780091918 | Kelly Mclean | Physician Assistant | 257 Nc Highway 125, Roanoke Rapids, NC 27870-6455 | 2014-07-21 |
| 1720393515 | Kelly Denise Mclean | Massage Therapist | 7070 Austrian Pine Way, #4, Portage, MI 49024-3972 | 2010-08-17 |
| 1407978323 | Kelly Marie Mclean | Pharmacist | 11007 126th Ave Ne, Kirkland, WA 98033-4642 | 2007-04-03 |
| 1871502385 | Kelly A Mclean | Social Worker | 2 Springbrook Drive, Biddeford, ME 04005 | 2006-08-05 |
| 1942237318 | Kelly Marie Mclean | Surgery | 2123 Auburn Ave, Cincinnati, OH 45219-2906 | 2006-06-28 |
| Street Address |
564 NIAGARA ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720046253 | Michael D Aquino | Podiatrist | 564 Niagara St, Buffalo, NY 14201-1108 | 2006-05-03 |
| 1982205183 | Vauhn- Dane Dane Murray | Social Worker | 564 Niagara St, Buffalo, NY 14201-1108 | 2020-11-04 |
| 1649884263 | Urban Family Practice PC | Clinic/Center | 564 Niagara St, Buffalo, NY 14201-1108 | 2020-09-01 |
| 1528695525 | Lizmarie Dip | Registered Nurse | 564 Niagara St, Buffalo, NY 14201-1108 | 2020-03-27 |
| 1528695509 | Katelyn Wedel | Registered Nurse | 564 Niagara St, Buffalo, NY 14201-1108 | 2020-03-27 |
| 1447886700 | Raynaldo Betances | Physician Assistant | 564 Niagara St, Buffalo, NY 14201-1108 | 2020-03-19 |
| 1255893053 | Nallali Mendez-shaibi | Social Worker | 564 Niagara St, Buffalo, NY 14201-1108 | 2019-04-02 |
| 1861994683 | Casey Leigh Feeney | Family Medicine | 564 Niagara St, Buffalo, NY 14201 | 2018-03-07 |
| 1245739333 | Brendan Farnand | Family Medicine | 564 Niagara St, Buffalo, NY 14201-1108 | 2018-02-05 |
| 1366953713 | Greater Buffalo United Association Inc | Clinic/Center | 564 Niagara St, Buffalo, NY 14201-1108 | 2017-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619592201 | Linda Berkoh-asamoah | Nurse Practitioner | Evergreen Health Services, 206 S. Elmwood Avenue, Buffalo, NY 14201 | 2020-06-10 |
| 1790223303 | Walaa Kadhum | Social Worker | 340 Niagara Street, Buffalo, NY 14201 | 2017-02-02 |
| 1285171025 | Santina Grace Phillips | Counselor | 10 Symphony Circle, Buffalo, NY 14201 | 2017-01-31 |
| 1073976759 | Jana Riesterer | Social Worker | 254 Virginia Street, Buffalo, NY 14201 | 2016-03-31 |
| 1710309414 | Chs N.y. Medical P.C. | General Practice | 10 Sheridan Rd, Buffalo, NY 14201 | 2014-01-15 |
| 1467722314 | Kristin Nicole Halter | Counselor | 591 Niagara Street, Buffalo, NY 14201 | 2012-01-10 |
| 1538446844 | Robert Martin Kennuth | Specialist/Technologist | 329 Porter Ave, D'youville College, Buffalo, NY 14201 | 2011-11-15 |
| 1902115033 | James W Burcher | Registered Nurse | 430 Niagara, Buffalo, NY 14201 | 2010-10-07 |
| 1336468115 | Jane Leslie Burgio | Speech-Language Pathologist | 315 Carolina St, Buffalo, NY 14201 | 2010-05-19 |
| 1376787044 | Jessica Christina | Licensed Practical Nurse | 85 Johnson Park, Buffalo, NY 14201 | 2009-04-26 |
| Find all providers in zip 14201 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176590 | Karen A Frost | Nurse Practitioner | 11 Donlen Dr, Buffalo, NY 14225-2525 | 2020-08-28 |
| 1922624725 | Sarah Elizabeth Scullion | Nurse Practitioner | 410 Abbott Rd, Buffalo, NY 14220-1634 | 2020-06-18 |
| 1619592201 | Linda Berkoh-asamoah | Nurse Practitioner | Evergreen Health Services, 206 S. Elmwood Avenue, Buffalo, NY 14201 | 2020-06-10 |
| 1538795083 | Marissa El Hawa | Nurse Practitioner | 308 Parkdale Ave, Buffalo, NY 14213-1431 | 2020-03-17 |
| 1659921609 | Ashley Lynn Ferguson | Nurse Practitioner | 8 Rose Dr, Buffalo, WY 82834-9312 | 2019-09-11 |
| 1093376121 | Patrisha Jane Neff | Nurse Practitioner | 12009 Mineral Ave, Buffalo, OH 43722 | 2019-06-28 |
| 1699336230 | Taylor Jean Tamburlin | Nurse Practitioner | 2240 N Forest Rd, Buffalo, NY 14221-1357 | 2019-06-25 |
| 1447815436 | Susan My Nghe | Nurse Practitioner | 1458 Sheridan Dr, Buffalo, NY 14217-1249 | 2019-05-05 |
| 1457914228 | Scot Lee Yarnell | Nurse Practitioner | 310 S Pacific St, Buffalo, KS 66717-2140 | 2019-04-17 |
| 1679021158 | Dawn Harrison | Nurse Practitioner | 935 Delaware Ave., Suite 300, Buffalo, NY 14209 | 2016-09-14 |
| Find all providers in BUFFALO | ||||
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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.