KELLY K DEBROSSE (NPI# 1073070421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073070421 |
Entity Type | Individual |
Full Name | KELLY K DEBROSSE |
Credential | APRN-CNP |
Practice Address |
1108 Vester Ave Springfield OH 45503-1302 |
Practice Telephone | 9372476305 |
Mailing Telephone | 9373997100 |
Mailing Fax Number | 9373997355 |
Enumeration Date | 2019-02-21 |
Last Update Date | 2020-06-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
APRN.CNP.024319 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
651 S Limestone St, Springfield, OH 455051965 | 9373287260 | 9373287258 |
Street Address |
1108 VESTER AVE |
City | SPRINGFIELD |
State | OH |
Zip Code | 45503-1302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568469914 | Richard Gregory Mcneely | Obstetrics & Gynecology | 1108 Vester Ave, Springfield, OH 45503-1302 | 2005-06-30 |
1356741664 | Jennifer L Rust | Nurse Practitioner | 1108 Vester Ave, Springfield, OH 45503-1302 | 2014-08-25 |
1881873685 | Richard G Mcneely Do LLC | Obstetrics & Gynecology | 1108 Vester Ave, Springfield, OH 45503 | 2007-10-29 |
1255545141 | Christy Campbell Smalley | Obstetrics & Gynecology | 1108 Vester Ave, Springfield, OH 45503-1302 | 2007-05-09 |
1578660171 | Steven T Patterson Do LLC | Obstetrics & Gynecology | 1108 Vester Ave, Springfield, OH 45503 | 2006-09-19 |
1891898276 | Ob Gyn Ltd | Obstetrics & Gynecology | 1108 Vester Ave, Springfield, OH 45503 | 2006-09-07 |
1639272016 | Steven Todd Patterson | Obstetrics & Gynecology | 1108 Vester Ave, Springfield, OH 45503 | 2006-09-07 |
1548363922 | Thomas E Dunaway Md LLC | Obstetrics & Gynecology | 1108 Vester Ave, Springfield, OH 45503 | 2006-09-07 |
1831292218 | Shawn S Osterholt Md LLC | Obstetrics & Gynecology | 1108 Vester Ave, Springfield, OH 45503 | 2006-09-07 |
1740383124 | Shawn Steven Osterholt | Obstetrics & Gynecology | 1108 Vester Ave, Springfield, OH 45503-1302 | 2006-09-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093182727 | Future Plan LLC Dba Home Instead Senior Care | In Home Supportive Care | 333 Mt Vernon Ave, Springfield, OH 45503 | 2015-08-28 |
1740665280 | Paulette Thomas | Occupational Therapy Assistant | 722 Patrick Road, Springfield, OH 45503 | 2015-07-27 |
1912391400 | Nanditha Alamelu Ranganathan | Student in an Organized Health Care Education/Training Program | 2655 Ballydoyle Dr., Springfield, OH 45503 | 2015-03-24 |
1598102568 | Careplus Home Healthcare | Registered Nurse | 802 N. Limestone St, Spfld, OH 45503 | 2013-05-30 |
1407120033 | Janice Louise Foster | Home Health Aide | 3131 Erter Drive, Springfield, OH 45503 | 2012-02-29 |
1306123112 | David P. Comer | Physician Assistant | 2600 N Limestone St Fl 2, Springfield, OH 45503 | 2011-11-08 |
1689953564 | Family Dental Care | Dentist | 1240 E. Main St, Springfield, OH 45503 | 2011-08-10 |
1942539317 | Latonia Marie Montgomery | Licensed Vocational Nurse | 2350 North Limestone #10, Springfield, OH 45503 | 2009-12-15 |
1518139385 | Springfield Eye Group LLC | Optometrist | 1674 North Limestone St, Springfield, OH 45503 | 2008-04-01 |
1457543951 | Kara Nicole Miller | Physician Assistant | 2600 N. Limestone, 2nd Floor, Springfield, OH 45503 | 2007-08-17 |
Find all providers in zip 45503 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356956304 | Andrea Marie Sleeth | Nurse Practitioner | 3329 W Sexton St, Springfield, MO 65810-1080 | 2020-09-15 |
1063704815 | Robyn Carmody | Nurse Practitioner | 2308a Memorial Blvd, Springfield, TN 37172-3929 | 2011-05-12 |
1164742987 | Lekha Sreekumar | Nurse Practitioner | 884 S Springfield Ave Apt 11, Springfield, NJ 07081-3320 | 2010-06-03 |
1427231166 | Rosemary Claire Kratovil | Nurse Practitioner | 39 Mulberry Street, Upper Level, Springfield, MA 01105 | 2007-12-17 |
1831113570 | Debora G. Barnes | Nurse Practitioner | 1335 E Independence St Ste B, Springfield, MO 65804-4213 | 2006-07-26 |
1437156601 | Sharon Kay Giboney | Nurse Practitioner | 1000 E Primrose St, Suite #270, Springfield, MO 65807-5154 | 2005-07-03 |
1518409069 | Shayla Crawford | Nurse Practitioner | 1965 S Fremont Ave Ste 270, Springfield, MO 65804 | 2016-11-15 |
1306398409 | Kelly Tull | Nurse Practitioner | 3455 Main St Ste C, Springfield, MA 01107-1187 | 2016-10-25 |
1881058436 | Michelle Gavala | Nurse Practitioner | 193 Mountain Ave, Springfield, NJ 07081-1755 | 2016-04-11 |
1922468305 | Kia Danielle Washington | Nurse Practitioner | 440 E Tampa St, Springfield, MO 65806-1131 | 2016-02-29 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 45503 |
Please comment or provide details below to improve the information on KELLY K DEBROSSE.
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.