GUILLERMO ANTONIO KELLY (NPI# 1184251845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184251845 |
| Entity Type | Individual |
| Full Name | GUILLERMO ANTONIO KELLY |
| Practice Address |
1901 Veterans Memorial Dr Temple TX 76504-7451 |
| Mailing Address |
1 Gabriels Bluff Dr Apt 2304 Georgetown TX 78626-2598 |
| Practice Telephone | 2547784811 |
| Mailing Telephone | 9154741893 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 69132 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1901 VETERANS MEMORIAL DR |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504-7451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641017 | Jennifer D. Faulkner | Pharmacist | 1901 Veterans Memorial Dr, Mhc 116, Temple, TX 76504-7451 | 2005-07-07 |
| 1144837469 | Raymon Lee Hankins | Pharmacist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-09-30 |
| 1396352415 | Allison Grace Morrow | Social Worker | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-09-24 |
| 1114533460 | Kimberly Tuckness | Dietitian, Registered | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-09-22 |
| 1649883950 | Michelle Lee Carroll | Respiratory Therapist, Registered | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-08-26 |
| 1598374142 | Nathaniel Thomas Baker V | Pharmacist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-07-29 |
| 1902424856 | Sarah Bockman | Pharmacist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-07-08 |
| 1932726064 | Kaitlyn Quinn Morgan | Pharmacist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-07-06 |
| 1649897877 | Amber Leigh Axline | Social Worker | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-07-03 |
| 1497371371 | Jericho Yates | Dietitian, Registered | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
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| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609231455 | Yolanda Myles | Social Worker | 4621 Stratford Ct, Temple, TX 76502-7346 | 2015-12-21 |
| 1194142687 | Brooke Michelle Udy | Social Worker | 1901 Veterans Memorial Dr # 122, Temple, TX 76504-7451 | 2014-03-24 |
| 1265728752 | Cherie Renee Mclean | Social Worker | 4304 Briarwood Dr, Temple, TX 76502-1130 | 2011-06-22 |
| 1174718258 | Ruth M Hood | Social Worker | 1901 Memorial Drive, Temple, TX 76504 | 2007-09-11 |
| 1144352733 | Heather Mc Math Cox | Social Worker | 3009 Ira Young Dr Apt 1324, Temple, TX 76504-6370 | 2007-03-10 |
| 1134173248 | Central Texas Veterans Healthcare System | Social Worker | 5105 Waterford Dr, Temple, TX 76502-7320 | 2006-05-22 |
| 1942209895 | Brenda L Smith | Social Worker | 601 Pendleton St, Temple, TX 76504-2947 | 2005-07-21 |
| 1396352415 | Allison Grace Morrow | Social Worker | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-09-24 |
| 1649897877 | Amber Leigh Axline | Social Worker | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-07-03 |
| 1194289470 | Bailey Valenzuela | Social Worker | 4312 S 31st St, Temple, TX 76502-3313 | 2019-01-30 |
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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.