MARIA KELLY (NPI# 1205394764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205394764 |
Entity Type | Individual |
Full Name | MARIA KELLY |
Credential | NP-C |
Practice Address |
2901 Brooks St Missoula MT 59801-7703 |
Mailing Address |
Po Box 7609 Missoula MT 59807-7609 |
Practice Telephone | 4067210918 |
Practice Fax Number | 4068297830 |
Mailing Telephone | 4067215600 |
Enumeration Date | 2019-03-04 |
Last Update Date | 2020-08-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | NUR-APRN-LIC-143 | MT | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
NUR-APRN-LIC-143 | MT | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
500 W Broadway St, Missoula, MT 598024008 | 4067215600 | 4063297369 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194866434 | Maria D. Kelly | Radiology | 1230 Grove Park Ct, Earlysville, VA 22936-2840 | 2007-02-09 |
1770950719 | Maria Kelly | Nurse Practitioner | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2015-08-25 |
1821312414 | Maria Elizabeth Kelly | Pharmacist | 16601 E Centretech Pkwy, Aurora, CO 80011-9045 | 2010-03-25 |
1033448972 | Maria Virginia Kelly | Acupuncturist | 6515 Kennedy Blvd E, Ig, West New York, NJ 07093-4231 | 2009-12-23 |
1790968881 | Maria A Kelly | Counselor | 425 E Main St Ste 600, Othello, WA 99344-1146 | 2007-12-11 |
1609899103 | Maria Kelly | Physical Therapist | 11122b N Cedarburg Rd, Mequon, WI 53092-4357 | 2006-07-25 |
1376583336 | Maria N Kelly | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-07 |
Street Address |
2901 BROOKS ST |
City | MISSOULA |
State | MT |
Zip Code | 59801-7703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912934720 | Mark S Woltanski | Family Medicine | 2901 Brooks St, Missoula, MT 59801-7722 | 2006-06-27 |
1639550684 | Katelyn Kay Mcneill | Dentist | 2901 Brooks St, Missoula, MT 59801-7722 | 2015-06-16 |
1639558315 | Kimberlee Ann Pollock | Massage Therapist | 2901 Brooks St, Ste B9, Missoula, MT 59801-7722 | 2015-05-27 |
1275877912 | Sara Marie Zehnpfennig | Nurse Practitioner | 2901 Brooks St, Missoula, MT 59801-7722 | 2012-11-19 |
1740515469 | Dale R. Thoman, O.d. Pllc | Optometrist | 2901 Brooks St, (inside Lenscrafters), Missoula, MT 59801-7722 | 2009-10-14 |
1619144821 | Western Montana Clinic PC | Clinic/Center | 2901 Brooks St, Missoula, MT 59801-7722 | 2008-05-15 |
1700097607 | Gregory Swica | Dentist | 2901 Brooks St, Sapphire Dental Group, Missoula, MT 59801-7722 | 2007-05-24 |
1336294404 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2901 Brooks St, Southgate Mall, Missoula, MT 59801-7722 | 2007-01-25 |
1386759744 | Rowan P Mcquarrie | Dentist | 2901 Brooks St, Southgate Mall, Missoula, MT 59801-7722 | 2006-08-19 |
1174546857 | Carla Catherine Fritz | Family Medicine | 2901 Brooks St, Missoula, MT 59801-7722 | 2006-07-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
Find all providers in zip 59801 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720687577 | Magdalene M Collins | Nurse Practitioner | 2541 Overlook Blvd, Helena, MT 59601-1413 | 2020-10-22 |
1326403510 | Teresa Dutro | Nurse Practitioner | 6340 Alamosa Ln, Bozeman, MT 59718-9563 | 2015-12-15 |
1568082808 | Lauren M Hastings | Nurse Practitioner | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2020-04-16 |
1326679291 | Leigh Ellen Gipe | Nurse Practitioner | 801 N 29th St, Billings, MT 59101-0905 | 2020-01-30 |
1114580701 | Martha Leigh Nugent | Nurse Practitioner | 214 14th Ave Sw, Sidney, MT 59270-3521 | 2019-04-18 |
1609377803 | Aimee Zupicich | Nurse Practitioner | 350 Heritage Way Ste 2100, Kalispell, MT 59901-3167 | 2018-02-22 |
1376075309 | Kayleigh Moldenhauer | Nurse Practitioner | 3687 Veterans Dr., Fort Harrison, MT 59636-1500 | 2017-03-29 |
1538539390 | Donna M. Vantassel | Nurse Practitioner | 408 Wendell Ave, Lewistown, MT 59457-2261 | 2015-10-05 |
1861746737 | Leanne M Mcfarland | Nurse Practitioner | 401 S Alabama St Ste 9, Butte, MT 59701-2358 | 2012-10-31 |
1770859605 | Kristen Marie Jaster | Nurse Practitioner | 2550 E Broadway St, Helena, MT 59601-4905 | 2012-03-26 |
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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.