DEBORAH A KELLEY (NPI# 1205884863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205884863 |
Entity Type | Individual |
Full Name | DEBORAH A KELLEY |
Other Name | DEBORAH A KLEIN |
Credential | PAC |
Practice Address |
218 Park St Trinidad TX 75163-6060 |
Practice Telephone | 9037782942 |
Mailing Telephone | 9037782942 |
Enumeration Date | 2006-05-05 |
Last Update Date | 2019-11-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 1266-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA08061 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326589748 | Deborah Kelley | Counselor | 1173 Meadowbrook Dr, Amherst, OH 44001-1065 | 2017-03-17 |
1740562644 | Deborah Pauline Kelley | Acupuncturist | 8795 Ralston Rd, 127, Arvada, CO 80002-2364 | 2011-09-15 |
1962580100 | Deborah Ann Kelley | Social Worker | 9990 County Farm Rd, Suite 6, Riverside, CA 92503-3542 | 2006-11-02 |
1124138151 | Deborah J Kelley | Nurse Anesthetist, Certified Registered | 300 Pinellas St, Clearwater, FL 33756-3804 | 2006-08-31 |
1225012677 | Deborah Kelley | Nurse Practitioner | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2005-11-30 |
1225038052 | Deborah M Kelley | Physical Therapist | 4 Commons Ave, Windham, ME 04062-5554 | 2005-07-22 |
Street Address |
218 PARK ST |
City | TRINIDAD |
State | TX |
Zip Code | 75163-6060 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679548366 | John L Sawtelle | Family Medicine | 218 Park St, Trinidad, TX 75163-6060 | 2006-02-17 |
1699324202 | Dlkpac Pllc | Family Medicine | 218 Park St, Trinidad, TX 75163-6060 | 2019-09-06 |
1194951517 | John L Sawtelle Do Pa | Clinic/Center | 218 Park St, Trinidad, TX 75163-6060 | 2009-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144418344 | Gale Melvin Macziewski Jr. | Chiropractor | 815 Royal Blvd, Suite 1, Trinidad, TX 75163 | 2007-10-12 |
1568505519 | Trinidad I.s.d. | Local Education Agency (LEA) | 105 W. Eaton, Trinidad, TX 75163 | 2007-02-15 |
1912947805 | Wallace Grey Newman | Dentist | 4960 State Hwy 274, Trinidad, TX 75163 | 2006-06-07 |
1649772153 | Tammi S Birch | Registered Nurse | 224 Morning Dove Rd, Trinidad, TX 75163-2103 | 2018-03-01 |
1578640868 | Tim Peele | Chiropractor | 324 Comet Ranch Rd, Trinidad, TX 75163-4040 | 2006-11-01 |
1962707356 | Barbie Owen Bayless | Physical Therapist | 324 Comet Ranch Rd, Trinidad, TX 75163-4040 | 2011-01-18 |
1700839016 | Charles Byron Smith | Family Medicine | 209 Rosemary Dr, Trinidad, TX 75163-5109 | 2006-05-18 |
1144850637 | Tammy Womack | Nurse Practitioner | 406 E Eaton St, Trinidad, TX 75163-7165 | 2020-01-23 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972589372 | Las Animas Emergency Group LLC | Physician Assistant | 410 Benedicta Ave, Trinidad, CO 81082-2005 | 2005-12-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
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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.