KELLY CELESTE MCLEAN (NPI# 1154956530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154956530 |
| Entity Type | Individual |
| Full Name | KELLY CELESTE MCLEAN |
| Credential | RN, BSN |
| Practice Address |
417 Broadway Ave Pueblo CO 81004-2127 |
| Practice Telephone | 7195684977 |
| Mailing Telephone | 7195684977 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
1657498 | CO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1063804920 | Kelly Mclean | Registered Nurse | 564 Niagara St, Buffalo, NY 14201 | 2015-03-02 |
| 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 |
417 BROADWAY AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260816 | Saleema Huma Naitaqi | Registered Nurse | 8438 E Louisiana Ave, Denver, CO 80247-3084 | 2020-09-21 |
| 1700491628 | Claire Noser | Registered Nurse | 239 Sylvestor Pl, Highlands Ranch, CO 80129-6202 | 2020-09-09 |
| 1275145328 | Anna K Hoppe | Registered Nurse | 3363 W 30th Ave, Denver, CO 80211-3615 | 2020-08-19 |
| 1992328926 | Rachel Watson | Registered Nurse | 2535 Stone Creek Rd, Colorado Springs, CO 80908-4504 | 2020-05-26 |
| 1184252702 | Jianqun Zeng | Registered Nurse | 1404 S California Ave, Loveland, CO 80537-7126 | 2020-03-30 |
| 1013552959 | Therssa Nino | Registered Nurse | 13120 E 19th Ave # Mcc28819, Aurora, CO 80045-2567 | 2019-11-14 |
| 1275054025 | Joanne Louise Wilson | Registered Nurse | 453 Van Gordon St Apt 5207, Lakewood, CO 80228-1261 | 2017-07-02 |
| 1386042406 | Kerri Reid | Registered Nurse | 13070 E 19th Ave Rm 3101, Clinical Education Center. Education Building 1, Aurora, CO 80045-2566 | 2014-12-06 |
| 1619372729 | Boyd Loehr | Registered Nurse | 3518 Dexter Ct, Denver, CO 80207-1050 | 2014-10-31 |
| 1760801914 | Suzanna Miller | Registered Nurse | 11500 W Security Ave, Lakewood, CO 80215-4422 | 2014-04-15 |
| Find all providers with the same taxonomy | ||||
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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.