MR. LEVI A KELLY (NPI# 1194044776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194044776 |
| Entity Type | Individual |
| Full Name | MR. LEVI A KELLY |
| Credential | CRNA |
| Practice Address |
315 S Osteopathy Ave Kirksville MO 63501-6401 |
| Mailing Address |
1007 Kings Rd Kirksville MO 63501-2627 |
| Practice Telephone | 6607851098 |
| Practice Fax Number | 6606650333 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 2005008072 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
315 S OSTEOPATHY AVE |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932185154 | Sheri E Brinser | Anesthesiology | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2005-12-20 |
| 1700487808 | Dominick Jay Wright | Family Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-11-04 |
| 1205444999 | Jared Huffman | Neuromusculoskeletal Medicine & OMM | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-19 |
| 1720606023 | Ripley Emergency Group, LLC | Physician Assistant | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-13 |
| 1053939363 | Katherine Lynne Holbrook | Family Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-13 |
| 1013535988 | Olaf Js Samuelson | Family Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-08 |
| 1285252973 | Cameron Sinclair Olsen | Internal Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-08 |
| 1710505557 | Sydney Priest | Family Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-08 |
| 1407473614 | Courtney Plachno | Neuromusculoskeletal Medicine & OMM | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-03 |
| 1730706243 | Melissa Anne Mann | Internal Medicine | 315 S Osteopathy Ave, Attn Dme Office, Kirksville, MO 63501-6401 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689984783 | John L Williams | Nurse Anesthetist, Certified Registered | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2010-10-07 |
| 1023146453 | Anne P. Mahan | Nurse Anesthetist, Certified Registered | 800 W Jefferson St, Northeast Regional Medical Center, Kirksville, MO 63501-1443 | 2007-02-28 |
| 1194853515 | Charlotte M Cowan | Nurse Anesthetist, Certified Registered | 800 W Jefferson St, Northeast Regional Medical Center, Kirksville, MO 63501-1443 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285251066 | Yousra Amor | Nurse Anesthetist, Certified Registered | St Luke's Des Peres Hospital, 2345 Dougherty Ferry Rd, St Louis, MO 63122-3313 | 2020-06-29 |
| 1457970899 | William Moran | Nurse Anesthetist, Certified Registered | 910 Daffodil Ridge Dr, O Fallon, MO 63366-7760 | 2020-04-15 |
| 1437784329 | Apollo Medical Group of Lee's Summit LLC | Nurse Anesthetist, Certified Registered | 2861 Ne Independence Ave Ste 101, Lees Summit, MO 64064-2379 | 2020-03-11 |
| 1780228155 | Olde Cabin Anesthesia | Nurse Anesthetist, Certified Registered | 11525 Olde Cabin Rd Ste 101, Creve Coeur, MO 63141-7146 | 2019-10-29 |
| 1831652049 | Kristin S Turner | Nurse Anesthetist, Certified Registered | 8991 State Highway 171, Carl Junction, MO 64834-6148 | 2019-04-14 |
| 1629536271 | Cameron David Hayter | Nurse Anesthetist, Certified Registered | 1951 N Citation Ave, Springfield, MO 65802-5406 | 2019-03-03 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1548767783 | Chynna Janae Lorusso | Nurse Anesthetist, Certified Registered | 5321 Shaw Ave, Saint Louis, MO 63110-3023 | 2018-04-12 |
| 1689108839 | Todd Aaron Macdonald | Nurse Anesthetist, Certified Registered | 2119 Highlander Dr, Joplin, MO 64804-7005 | 2017-04-14 |
| 1164883468 | James Dwain Holden | Nurse Anesthetist, Certified Registered | 22888 County Road 283, Puxico, MO 63960-7338 | 2016-03-14 |
| Find all providers with the same taxonomy | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
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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.