MS. ELIZABETH KATHLEEN KELLEY (NPI# 1194914499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194914499 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH KATHLEEN KELLEY |
| Other Name | MS. ELIZABETH KATHLEEN KELLEY |
| Credential | LPN/RCS |
| Practice Address |
W4764 Hidden Pine Ln Shawano WI 54166-1650 |
| Practice Telephone | 9208582682 |
| Practice Fax Number | 7157452957 |
| Mailing Telephone | 9208582682 |
| Mailing Fax Number | 7157452957 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 27691-031 | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38275700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891165635 | Elizabeth Kelley | Counselor | Po Box 365, Oneida, WI 54155-0365 | 2015-10-06 |
| 1457768186 | Elizabeth Anne Kelley | Specialist/Technologist | 3913 Doeskin Dr, Apex, NC 27539-8652 | 2014-07-15 |
| 1306941356 | Elizabeth Kelley | Pharmacist | 5875 Bremo Rd Ste 209, Richmond, VA 23226-1934 | 2006-09-14 |
| 1699309724 | Elizabeth Kelley | Physician Assistant | 1574 Medical Center Pkwy Ste 104, Murfreesboro, TN 37129-3761 | 2020-02-27 |
| 1124670617 | Elizabeth Kelley | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-07-15 |
| 1750879953 | Elizabeth Kelley | Counselor | 1080 N 7th St, San Jose, CA 95112-4425 | 2018-04-24 |
| 1770009193 | Elizabeth Kelley | Student in an Organized Health Care Education/Training Program | 489 Bernardston Rd, Greenfield, MA 01301-1238 | 2017-08-17 |
| 1700261591 | Elizabeth Anne Smith Kelley | Nurse Practitioner | 2214 Gateway Dr, #c, Opelika, AL 36801-1500 | 2015-07-22 |
| 1811305394 | Elizabeth Kelley | Counselor | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2014-07-28 |
| 1679852123 | Elizabeth Hopkins Kelley | Social Worker | 74 East St, Plainville, CT 06062-2367 | 2011-08-15 |
| Street Address |
W4764 HIDDEN PINE LN |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641848 | Nicole Jeannine Klotzbuecher | Optometrist | 150 County Road B, Shawano, WI 54166 | 2017-07-13 |
| 1437605714 | Jennifer Marie Franke | Counselor | 504 Lakeland St, Shawano, WI 54166 | 2016-08-28 |
| 1699017913 | Benjamin D Schlais | Family Medicine | 100 County Hwy B, Shawano, WI 54166 | 2013-03-25 |
| 1154574366 | Luke T Johnson | Speech-Language Pathologist | N3684 River Road, Shawano, WI 54166 | 2008-10-31 |
| 1902054315 | Robert Joseph Bohr Jr. | Physical Therapy Assistant | N6590 Fox Lane, Shawano, WI 54166 | 2008-08-28 |
| 1790945863 | Patricia Rae Ainsworth | Physical Therapist | 1436 South Lincoln Street, Shawano, WI 54166 | 2008-06-12 |
| 1649491820 | Shawano-gresham School District | Local Education Agency (LEA) | 1050 South Union Street, Shawano, WI 54166 | 2007-05-02 |
| 1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
| 1740343086 | John Milton Dovorany | Dentist | 1488 E Green Bay St, Shawano, WI 54166 | 2006-12-18 |
| 1265526305 | Charles E Lamarche | Counselor | 420 E Green Bay St, Ste 201, Shawano, WI 54166 | 2006-10-03 |
| Find all providers in zip 54166 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407379274 | June Wawrzyniakowski | Licensed Practical Nurse | 817 S. Weed St., Shawano, WI 54166-5416 | 2017-07-24 |
| 1710273917 | Tamara C Martens | Licensed Practical Nurse | N6013 Lake Dr, Shawano, WI 54166-3945 | 2011-06-26 |
| 1982937835 | Susan K Scheinert | Licensed Practical Nurse | 145 S. Franklin St., Shawano, WI 54166-2329 | 2009-09-10 |
| 1902862139 | Mila Mae Waukechon | Licensed Practical Nurse | 926 S Washington St, Shawano, WI 54166-3266 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040180 | Ashlee K Regenauer | Licensed Practical Nurse | 1103 Whitewater Ave, Fort Atkinson, WI 53538-2669 | 2020-10-14 |
| 1538767355 | Samantha Jo Dates | Licensed Practical Nurse | N8273 E Friesland Rd, Randolph, WI 53956-9407 | 2020-10-14 |
| 1861090714 | Kayla Ann Grapentine | Licensed Practical Nurse | 2425 Dewey St Unit 28, Manitowoc, WI 54220-6368 | 2020-10-13 |
| 1457966731 | Denise Brown | Licensed Practical Nurse | 1215 Monroe Ave, Racine, WI 53405-2862 | 2020-09-13 |
| 1720690514 | Kaitlynn Sutor | Licensed Practical Nurse | 6102 Pacific Crest Rd, Mcfarland, WI 53558-8741 | 2020-08-21 |
| 1326650227 | Emily J. Szulczewski | Licensed Practical Nurse | 4724 W Greenfield Rd, Janesville, WI 53548-9111 | 2020-08-20 |
| 1881205359 | Michelle Eichenberg | Licensed Practical Nurse | 1028 East St Apt 8, Fort Atkinson, WI 53538-2643 | 2020-08-10 |
| 1205445509 | Kelsey Tenpas | Licensed Practical Nurse | 8232 State Highway 73, Pittsville, WI 54466-9336 | 2020-07-23 |
| 1013535491 | Debra Ann Martens Mcpherrin | Licensed Practical Nurse | 551 Rivershores Dr, West Bend, WI 53090-2531 | 2020-07-11 |
| 1861019952 | Tasha Harris | Licensed Practical Nurse | 1238 Sunfield St, Sun Prairie, WI 53590-2740 | 2020-07-06 |
| 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.