MRS. JULIE MARIE KELLY (NPI# 1104435999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104435999 |
| Entity Type | Individual |
| Full Name | MRS. JULIE MARIE KELLY |
| Credential | MSN, APRN, NP-C |
| Practice Address |
1615 S Eucalyptus Ave Ste 210 Broken Arrow OK 74012-5993 |
| Practice Telephone | 9182546822 |
| Mailing Telephone | 9182546822 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
R0127657 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700443074 | Julie Ann Kelly | Speech-Language Pathologist | 1619 W Fredonia Ave, Peoria, IL 61606-1664 | 2019-05-22 |
| 1952823049 | Julie Kathleen Kelly | Acupuncturist | 1177 S Pennsylvania St, Denver, CO 80210-1529 | 2017-07-11 |
| 1376605469 | Julie A Kelly | Occupational Therapist | 1803 Kepner Dr, Anchorage, AK 99504-3061 | 2006-12-14 |
| 1063521763 | Julie C. Kelly | Counselor | 3307 Broadway, Suite 200, Sacramento, CA 95817-2821 | 2006-08-29 |
| 1841291549 | Julie L Kelly | Audiologist | 1930 Myrtle Ave Ste A, Eureka, CA 95501-1406 | 2005-08-03 |
| 1275962854 | Julie Kelly | Nurse Practitioner | 3153 Canada Ct, Lake Worth, FL 33461-5517 | 2013-11-05 |
| 1982868428 | Julie Marie Kelly | Physician Assistant | 265 Posada Ln, Templeton, CA 93465-4056 | 2008-07-14 |
| 1871754606 | Julie Margaret Kelly | Social Worker | 1750 S Telegraph Rd Ste 101, Bloomfield Hills, MI 48302-0177 | 2008-06-24 |
| 1073691713 | Julie L. Kelly | Obstetrics & Gynecology | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| Street Address |
1615 S EUCALYPTUS AVE STE 210 |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-5993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609316264 | Tiffany Tyler | Nurse Practitioner | 5050 E Kenosha St, Broken Arrow, OK 74014-6711 | 2017-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492618 | Jessica Kearney | Nurse Practitioner | 8116 Nw 161st Ter, Edmond, OK 73013-5510 | 2020-09-17 |
| 1346852191 | Oludari Olutokunbo Olajide | Nurse Practitioner | 10700 N Council Rd Apt 3, Oklahoma City, OK 73162-4366 | 2020-08-21 |
| 1124638192 | Amanda Rushing | Nurse Practitioner | 705 E Atlanta Ave, Davis, OK 73030-2982 | 2020-08-05 |
| 1750999413 | Staci Y Williams | Nurse Practitioner | 5606 Sw Lee Blvd Ste 203, Lawton, OK 73505-9651 | 2020-07-20 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1578184560 | Heather Elaine Fry | Nurse Practitioner | 1908 E Gore Blvd Ste A, Lawton, OK 73501-6129 | 2020-04-30 |
| 1972137511 | Danielle Nicole Hurd | Nurse Practitioner | 1532 N Boston Pl, Tulsa, OK 74106-4104 | 2020-02-22 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1053968818 | Erin Olmsted | Nurse Practitioner | 3400 W Tecumseh Rd Ste 105, Norman, OK 73072-1810 | 2019-08-26 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
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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.