MS. JENNIFER DANELLE KELLEY (NPI# 1104975101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104975101 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER DANELLE KELLEY |
| Credential | MA |
| Practice Address |
1114 Pacific Ave 3rd Floor Everett WA 98201-4231 |
| Practice Telephone | 4252585277 |
| Practice Fax Number | 4252585275 |
| Mailing Telephone | 4252585277 |
| Mailing Fax Number | 4252585275 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP00006033 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366052136 | Jennifer Marie Kelley | Nurse Practitioner | 801 Forest Lake Dr, Lexington, KY 40515-6299 | 2020-08-05 |
| 1215405659 | Jennifer Kelley | Student in an Organized Health Care Education/Training Program | 1811 S Black Ave Apt B, Bozeman, MT 59715-5768 | 2018-11-03 |
| 1649789264 | Jennifer Kelley | Counselor | 1507 Riverside Ave Ste 202, Fort Collins, CO 80524-4382 | 2017-09-26 |
| 1104359876 | Jennifer Elizabeth Kelley | Family Medicine | 2200 Fowler Grove Blvd Ste 140, Winter Garden, FL 34787-5597 | 2017-04-09 |
| 1033666730 | Jennifer Kelley | Counselor | 712 N 8th St, Carlton, OR 97111-1233 | 2016-09-09 |
| 1043618382 | Jennifer Nicole Kelley | Specialist/Technologist | 520 Lizzie Pl E, West Fargo, ND 58078-8500 | 2014-12-19 |
| 1922244920 | Jennifer Lynn Kelley | Counselor | 414 Calvert Rd, Stevensville, MD 21666-2620 | 2008-12-21 |
| 1750407433 | Jennifer Emily Kelley | Occupational Therapy Assistant | 425 Phillips Hill Rd, Coventry, RI 02816-4841 | 2007-03-22 |
| 1174563019 | Jennifer Lynn Kelley | Advanced Practice Midwife | 4200 Whitehall Dr Ste 350, Ann Arbor, MI 48105-9694 | 2006-06-08 |
| 1659939205 | Jennifer Ann Kelley | Social Worker | 621 S Monroe St, Monroe, MI 48161-1440 | 2019-05-30 |
| Street Address |
1114 PACIFIC AVE 3RD FLOOR |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710180831 | Michelle Colleen Brunson | Counselor | 1114 Pacific Ave, Everett, WA 98201-4231 | 2007-06-06 |
| 1306998869 | Catherine Marie Dahl | Counselor | 1114 Pacific Ave, 3rd Floor, Everett, WA 98201-4231 | 2007-01-17 |
| 1265582126 | Richard Holmes | Counselor | 1114 Pacific Ave, Everett, WA 98201-4231 | 2007-01-11 |
| 1144379058 | Sabrina Deseree Chandler | Counselor | 1114 Pacific Ave, 3rd Floor, Everett, WA 98201-4231 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664172 | Deidre Michelle Greene | Counselor | 13105 21st Dr Se Apt E307, Everett, WA 98208-7173 | 2019-11-25 |
| 1356859623 | Victor Cleveland | Counselor | 10315 19th Ave Se Ste 112, Everett, WA 98208-4268 | 2018-01-19 |
| 1386155893 | Kristin Zarrello | Counselor | 11008 20th Dr Se, Everett, WA 98208-5241 | 2017-10-24 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1619401973 | David Alexander | Counselor | 10905 3rd Ave Se, Everett, WA 98208-7020 | 2017-04-13 |
| 1982152955 | Adekunbi Afusat Olukoya | Counselor | 8625 Evergreen Way Ste 108, Everett, WA 98208-2647 | 2016-09-19 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1891157798 | Pamela Hubbard | Counselor | 3501 Colby Ave Ste 105, Everett, WA 98201-4795 | 2016-03-22 |
| 1881052280 | Jolene Eva Janacek | Counselor | 1811 Mcdougall Ave, Everett, WA 98201-2456 | 2016-02-01 |
| Find all providers in EVERETT | ||||
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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.