KELLY MICHELLE LARA (NPI# 1205470721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205470721 |
| Entity Type | Individual |
| Full Name | KELLY MICHELLE LARA |
| Practice Address |
405 Idaho St Ste 215 Elko NV 89801-3753 |
| Practice Telephone | 7757789960 |
| Mailing Telephone | 7757789960 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083008940 | Kelly Andrew Lara | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350-1801 | 2015-03-27 |
| Street Address |
405 IDAHO ST STE 215 |
| City | ELKO |
| State | NV |
| Zip Code | 89801-3753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003310343 | Jessica Flint | Technician | 405 Idaho St Ste 215, Elko, NV 89801-3753 | 2018-03-21 |
| 1659907053 | Kaetlin Shyanne Hierholzer | Technician | 405 Idaho St Ste 215, Elko, NV 89801-3753 | 2020-03-17 |
| 1578197539 | Debra Susan Robinson | Technician | 405 Idaho St Ste 215, Elko, NV 89801-3753 | 2020-02-28 |
| 1689207375 | Victoria Hills | Technician | 405 Idaho St Ste 215, Elko, NV 89801-3753 | 2020-02-20 |
| 1154953131 | Trina Louise Heppler | Technician | 405 Idaho St Ste 215, Elko, NV 89801-3753 | 2020-02-07 |
| 1366082968 | Elizabeth M Buhl | Technician | 405 Idaho St Ste 215, Elko, NV 89801-3753 | 2020-01-10 |
| 1245875970 | Alix M. Mejia | Technician | 405 Idaho St Ste 215, Elko, NV 89801-3753 | 2019-11-18 |
| 1811538101 | April L. Young | Technician | 405 Idaho St Ste 215, Elko, NV 89801-3753 | 2019-10-08 |
| 1366091712 | Livier Garcia | Technician | 405 Idaho St Ste 215, Elko, NV 89801-3753 | 2019-09-09 |
| 1730733262 | Michon Shae Hernandez | Technician | 405 Idaho St Ste 215, Elko, NV 89801-3753 | 2019-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043780638 | Ashleigh Unique Hopson | Behavior Technician | 764 S 5th St #23, Elko, NV 89801 | 2018-11-27 |
| 1457829822 | Asuzena Cruz Lopez | Behavior Technician | 250 Lamoille Hw, Suite 103, Elko, NV 89801 | 2018-11-05 |
| 1326542770 | Iona Michelle Weeks | Nurse Practitioner | 1993 Errecart Blvd., Elko, NV 89801 | 2018-03-21 |
| 1720588395 | Arturo Ruiz Jr. | Behavior Technician | 251 West River #26, Elko, NV 89801 | 2018-02-20 |
| 1942748231 | Mhm Solution Inc | Early Intervention Provider Agency | 2350 North 5th Street, Elko, NV 89801 | 2017-02-07 |
| 1861842064 | Daniel Honneyman | Emergency Medicine | Northeastern Regional Hospital, 2001 Errecart Blvd, Elko, NV 89801 | 2016-06-17 |
| 1265898068 | Full Range Physical Therapy, LLC | Clinic/Center | 620 S. 12th St. Ste. 110, Elko, NV 89801 | 2016-01-08 |
| 1932577889 | Brandie Lee Oros | Nurse Practitioner | 160 12th Street, Elko, NV 89801 | 2015-09-09 |
| 1770900441 | Sarah Jean Martinez | Physical Therapist | 620 S. 12th St., Ste. 110, Elko, NV 89801 | 2014-03-19 |
| 1841627916 | Ron Zedek Md PC | Counselor | 1250 Lamoille Ave Ste 103, Elko, NV 89801 | 2013-10-03 |
| Find all providers in zip 89801 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776065 | Irene Eure | Technician | 475 Wilson Ave, Elko, NV 89801-4149 | 2020-10-08 |
| 1124639521 | Diane Hulford | Technician | 2050 Idaho St Apt 19, Elko, NV 89801-2627 | 2020-08-11 |
| 1811514557 | Tessa Pope | Technician | 950 Metzler Rd Apt 7, Elko, NV 89801-4366 | 2020-06-29 |
| 1265052419 | Gayl Sue Tieben | Technician | 1250 Lamoille Hwy Ste 416, Elko, NV 89801-4397 | 2020-04-17 |
| 1073148615 | Roseann Littlejohn | Technician | 778 Commercial St Apt 1, Elko, NV 89801-3876 | 2020-03-04 |
| 1760026306 | Rebecca Lott | Technician | 129 W Idaho St, Elko, NV 89801-3067 | 2019-11-06 |
| 1811539091 | Ashtyn Creamer | Technician | 1250 Lamoille Hwy Ste 309, Elko, NV 89801-4397 | 2019-10-09 |
| 1003310343 | Jessica Flint | Technician | 405 Idaho St Ste 215, Elko, NV 89801-3753 | 2018-03-21 |
| 1174122402 | Caitlyn Brooke Cosper | Technician | 1250 Lamoille Hwy Ste 416, Elko, NV 89801-4397 | 2020-10-19 |
| 1427655299 | Cecelia Marie Whisler | Technician | 1250 Lamoille Hwy Ste 416, Elko, NV 89801-4397 | 2020-10-05 |
| Find all providers in ELKO | ||||
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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.