MS. KELLY O'DONNELL (NPI# 1114551397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114551397 |
| Entity Type | Individual |
| Full Name | MS. KELLY O'DONNELL |
| Credential | LMT |
| Practice Address |
1 Mount Mckinley Ave Farmingville NY 11738-2107 |
| Mailing Address |
386 Erie St Holbrook NY 11741-2927 |
| Practice Telephone | 6317664235 |
| Mailing Telephone | 6317664235 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 311363-1 | NY | Nursing Service Providers |
| Y | 225700000X | Massage Therapist | 012679-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316251689 | Kelly N O'donnell | Speech-Language Pathologist | 5831 S. Rutherford Ave., Chicago, IL 60638 | 2010-07-29 |
| 1508495912 | Kelly O'donnell | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-04-07 |
| 1790249464 | Kelly Marie O'donnell | Social Worker | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2019-01-28 |
| 1689156143 | Kelly O'donnell | Social Worker | 25 Railroad Sq, Haverhill, MA 01832-5721 | 2018-08-31 |
| 1487101242 | Kelly O'donnell | Specialist/Technologist | 1441 Schoenersville Rd, Bethlehem, PA 18018-1864 | 2016-09-08 |
| 1215388822 | Kelly O'donnell | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2016-06-24 |
| 1174999635 | Kelly O'donnell | Counselor | 3705 Latrobe Dr, Suite 340, Charlotte, NC 28211-4824 | 2015-08-18 |
| 1831317759 | Kelly Kay O'donnell | Occupational Therapist | 1201 Park St, Bellevue, IA 52031-1911 | 2007-04-23 |
| 1619997772 | Kelly O'donnell | Anesthesiology | 166 Defense Hwy, Suite 101, Annapolis, MD 21401-8919 | 2006-07-20 |
| Street Address |
1 MOUNT MCKINLEY AVE |
| City | FARMINGVILLE |
| State | NY |
| Zip Code | 11738-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710069398 | Richard A Dark | Chiropractor | 1 Mount Mckinley Ave, Farmingville, NY 11738-2107 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696408 | Kimberly Barbara Mccleary | Registered Nurse | 56 Woodycrest Drive, Farmingville, NY 11738 | 2018-04-19 |
| 1992210231 | Cs Medical Associates, PC | Family Medicine | 100 Granny Road, Suite 2, Farmingville, NY 11738 | 2017-12-08 |
| 1558882522 | Mili Biju | Registered Nurse | 400h Horseblock Road, Suite H, Farmingville, NY 11738 | 2017-06-29 |
| 1184083040 | Patrick O'reilly | Speech-Language Pathologist | 1 Mount Bear Ct, Farmingville, NY 11738 | 2016-02-19 |
| 1780055004 | Nicole Coscia | Specialist | 62 Roberta Ave, Farmingville, NY 11738 | 2015-10-13 |
| 1619313178 | Grace Propper | Nurse Practitioner | 2880 North Ocean Ave, Farmingville, NY 11738 | 2013-05-10 |
| 1952619165 | Shari Ann Pittaro | Occupational Therapy Assistant | 17 1st St, Farmingville, NY 11738 | 2010-09-22 |
| 1134377815 | Sylvia Sayer | Social Worker | 90 Bershire Drive, Farmingville, NY 11738 | 2008-09-05 |
| 1053590018 | Amy G Berk | Registered Nurse | 12 Columbus Ave, Farmingville, NY 11738 | 2007-10-26 |
| 1912069147 | Kathy Rey | Physician Assistant | 450 Clarkson Ave Box 49, Suny-downstate Medical Center, Brooklyn, NY 11738 | 2006-12-14 |
| Find all providers in zip 11738 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528531381 | Danielle Christina Ormsby | Massage Therapist | 41 Roberta Ave, Farmingville, NY 11738-1456 | 2019-01-04 |
| 1598145781 | Nicolle Morici | Massage Therapist | 35 Faculty Ln, Farmingville, NY 11738-2245 | 2015-06-03 |
| 1831458421 | Christopher E. O'sullivan | Massage Therapist | 400 Horseblock Rd, Suite E, Farmingville, NY 11738-1252 | 2012-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861354 | Stephen Quinn | Massage Therapist | 72 Steuben Rd, Garrison, NY 10524-7417 | 2020-11-06 |
| 1750982567 | Moises Payero | Massage Therapist | 407 Beach 20th St Apt 3b, Far Rockaway, NY 11691-3638 | 2020-11-06 |
| 1447851589 | Emily Nicole Bagnasco | Massage Therapist | 827 S 5th St, Lindenhurst, NY 11757-5625 | 2020-11-04 |
| 1053912162 | Chanel Marie Poole | Massage Therapist | 1234 Abbott Rd Ste 230, Lackawanna, NY 14218-1946 | 2020-11-04 |
| 1144821562 | Deping Song | Massage Therapist | 4002 Bowne St, #228, Flushing, NY 11354-6142 | 2020-11-03 |
| 1881295400 | Yoshiko Yamamoto | Massage Therapist | 4914 43rd Ave Apt 3, Woodside, NY 11377-4598 | 2020-11-02 |
| 1780285254 | Devante Quareed Thompson | Massage Therapist | 8944 Metropolitan Ave # 89-44, Rego Park, NY 11374-5331 | 2020-11-02 |
| 1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
| 1972102655 | Maria Carmen Tapia | Massage Therapist | 14749 72nd Dr Apt 3d, Flushing, NY 11367-2533 | 2020-10-22 |
| 1346849262 | Reddy for Acupuncture | Massage Therapist | 2807 Merrick Rd, Bellmore, NY 11710-5724 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGVILLE |
| Zip Code | 11738 |
Please comment or provide details below to improve the information on MS. KELLY O'DONNELL.
| 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.