MARY GAY KELLEY (NPI# 1164416277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164416277 |
| Entity Type | Individual |
| Full Name | MARY GAY KELLEY |
| Credential | NURSE PRACTITIONER |
| Practice Address |
12425 W Bell Rd Suite 200 Surprise AZ 85378-9006 |
| Practice Telephone | 6233747774 |
| Practice Fax Number | 6232401110 |
| Mailing Telephone | 6233747774 |
| Mailing Fax Number | 6232401110 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2011-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP2547 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP0029 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 293709 | 05 | |
| AZ | MEDICARE RR | P00457902 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235774696 | Mary Kathleen Kelley | Counselor | 11800 Sunset Hills Rd Unit 604, Reston, VA 20190-4783 | 2019-11-08 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1861806119 | Mary E Kelley | Registered Nurse | 298 Whipple Tree Dr, Yoncalla, OR 97499-9749 | 2014-06-15 |
| 1487903712 | Mary Ellen Kelley | Clinical Nurse Specialist | 5141 Michael Anthony Ln, Cincinnati, OH 45247-7945 | 2012-08-31 |
| 1508175282 | Mary A. Kelley | Occupational Therapist | 1 Gilbert Rd, New Hartford, NY 13413-2414 | 2010-09-29 |
| 1225274822 | Mary Campbell Kelley | Nurse Anesthetist, Certified Registered | 1215 21st Ave S Ste 3108, Mce 3108, Nashville, TN 37232-0014 | 2009-01-02 |
| 1891947743 | Mary Catherine Kelley | Acupuncturist | 28236 Wildlife Ln, Brooksville, FL 34602-7456 | 2008-10-22 |
| 1467602284 | Mary Virginia Kelley | Physical Therapist | 4584 Newport Ave, San Diego, CA 92107-2924 | 2008-09-29 |
| 1740489285 | Mary C Kelley | Registered Nurse | 6333 Troy Sidney Rd, Piqua, OH 45356-9213 | 2007-07-14 |
| 1730797457 | Mary T Kelley | Occupational Therapist | 2600 W Hudson Rd Ste B, Rogers, AR 72756-2084 | 2020-07-20 |
| Street Address |
12425 W BELL RD SUITE 200 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85378-9006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467731885 | Medirad, LLC | Family Medicine | 12425 W Bell Rd, Suite 200, Surprise, AZ 85378-9006 | 2011-08-16 |
| 1528355823 | Deanna Carol Turner-garcia | Nurse Practitioner | 12425 W Bell Rd, Suite 200, Surprise, AZ 85378-9002 | 2011-07-07 |
| 1962705616 | Discharge Md, LLC | Family Medicine | 12425 W Bell Rd, Suite 200, Surprise, AZ 85378-9002 | 2010-12-17 |
| 1154634392 | Adora Property Management, LLC | Residential Treatment Facility, Physical Disabilities | 12425 W Bell Rd, Ste 200, Surprise, AZ 85374-9002 | 2010-07-16 |
| 1427086644 | Nicole A Raymond | Physical Therapist | 12425 W Bell Rd, 200, Surprise, AZ 85378-9002 | 2006-06-28 |
| 1013985639 | James A Leroy | Psychologist | 12425 W Bell Rd, Suite 200, Surprise, AZ 85378-9006 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467947101 | Destiny Springs Healthcare, LLC | Psychiatric Hospital | 17300 N. Dysart Road, Surprise, AZ 85378 | 2018-06-26 |
| 1881013480 | Amanda Brimlow | Specialist | 12425 West Bell Rd, Suite 200, Surprise, AZ 85378 | 2014-04-10 |
| 1598193104 | Kalin Marie Harding | Nurse Practitioner | 12425 W. Bell Rd., Suite 106, Suprise, AZ 85378 | 2013-10-16 |
| 1043651540 | Rachel Sara Herrin | Internal Medicine | 12665 W. Smokey Dr., #140, Surprise, AZ 85378 | 2013-07-12 |
| 1962756528 | Daniel Allen Dryer | Registered Nurse | 11607 W. Mingus Mt. Ct., Surprise, AZ 85378 | 2012-11-05 |
| 1124374715 | Rabeca Vatamaniuc | Home Health Aide | 11151 W Lily Mckinley Dr, Surprise, AZ 85378 | 2012-08-01 |
| 1710073457 | Arizona's Children Association | Clinic/Center | 11321 West Bell Road, Suite 401, Surprise, AZ 85378 | 2006-10-04 |
| 1538429121 | Sr Billing | Anesthesiology | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378 | 2012-05-17 |
| 1457515579 | Madhuri Dhupati & Associates Md PC. | Clinic/Center | 12647 W Smokey Dr Ste 119, Surprise, AZ 85378 | 2008-07-17 |
| 1205267119 | Post-acute Physicians of Arizona Pllc | Physical Medicine & Rehabilitation | 13060 W Bell Rd, Surprise, AZ 85378-1200 | 2013-12-02 |
| Find all providers in zip 85378 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425123 | Erin Jean Mcmanus-tomanek | Nurse Practitioner | 12851 N 142nd Ave, Surprise, AZ 85379-9502 | 2020-10-21 |
| 1154928463 | Willie Sellers | Nurse Practitioner | 15354 W Charter Oak Rd, Surprise, AZ 85379-9184 | 2020-10-08 |
| 1508381880 | Marcie Marie Camblin | Nurse Practitioner | 16551 N Naegel Dr, Surprise, AZ 85374-5411 | 2017-08-08 |
| 1194781211 | Anne Marie Gerth | Nurse Practitioner | 15810 N 137th Ave, Surprise, AZ 85374-5300 | 2006-04-26 |
| 1376903138 | Arizona Lung Sleep and Valley Fever Institute | Nurse Practitioner | 14961 W Bell Rd, #175, Surprise, AZ 85374-3200 | 2016-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760090427 | Debra Shannon Witthar | Nurse Practitioner | 10515 W Santa Fe Dr Bldg B, Sun City, AZ 85351-3020 | 2020-07-20 |
| 1255955506 | Christy J Holloway | Nurse Practitioner | 2645 E Southern Ave, Tempe, AZ 85282-7649 | 2020-06-02 |
| 1013552124 | Alliance With The Covenant of The Trinity Arizona Inc | Nurse Practitioner | 2 N Central Ave Fl 18, Phoenix, AZ 85004-2322 | 2019-11-12 |
| 1184197691 | Waheed Olawoyin Olabode | Nurse Practitioner | 12853 S 184th Ave, Goodyear, AZ 85338-2642 | 2019-01-08 |
| 1508105727 | Geriatric Health Services, Plc | Nurse Practitioner | 1013 W Longhorn Rd, Payson, AZ 85541-4282 | 2013-02-07 |
| 1194070227 | Debra Rouse Haber | Nurse Practitioner | 755 S Grapevine Loop, Benson, AZ 85602-7430 | 2012-07-15 |
| 1346504818 | Your Nurse Practitioner LLC | Nurse Practitioner | 6261 Boothwyn St, Prescott Valley, AZ 86314-6726 | 2012-06-29 |
| 1023222551 | Mary L Froehlich | Nurse Practitioner | 2930 E Camelback Rd, Phoenix, AZ 85016-4411 | 2007-05-10 |
| 1396898458 | The Elderly Advocate Inc. | Nurse Practitioner | 4040 E Mcdowell Rd, Suite # 214, Phoenix, AZ 85008-4414 | 2007-01-19 |
| 1104867589 | Karin E Ohlson | Nurse Practitioner | 13531 E Whitehorse Trl, Vail, AZ 85641-6194 | 2006-06-09 |
| 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.