MISS KELLY JEAN HALL (NPI# 1205932191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205932191 |
| Entity Type | Individual |
| Full Name | MISS KELLY JEAN HALL |
| Credential | DPM |
| Practice Address |
17191 Bothell Way Ne Ste. 103 Seattle WA 98155-5534 |
| Practice Telephone | 2063655484 |
| Practice Fax Number | 2063655714 |
| Mailing Telephone | 2063655484 |
| Mailing Fax Number | 2063655714 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2009-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO00000617 | WA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | AETNA | 5815682 | 01 |
| WA | 1106699 | 05 | |
| WA | REGENCE | HA0967 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553892 | Kelly Ruth Hall | Nurse Practitioner | 1680 Community Beach Rd, Odin, IL 62870-2100 | 2019-08-15 |
| 1285124057 | Kelly L Hall | Speech-Language Pathologist | 1340 W Outer 21 Rd, Arnold, MO 63010-3247 | 2018-05-16 |
| 1518417880 | Kelly Lynn Hall | Pharmacist | 7602 E Chaparral Rd, Scottsdale, AZ 85250-7754 | 2016-10-10 |
| 1043693112 | Kelly Hall | Speech-Language Pathologist | 7615 Se 19th Ave, Portland, OR 97202-6206 | 2015-07-07 |
| 1366707903 | Kelly Hall | Social Worker | 30434 Avera Creek Dr, Spring, TX 77386-3456 | 2012-07-10 |
| 1972875342 | Kelly Mcmahon Hall | Dietitian, Registered | 1122 W 18th St, Houston, TX 77008-3341 | 2012-02-01 |
| 1194955179 | Kelly Hall | Occupational Therapist | 400 Hickory St Nw Ste 302, Albany, OR 97321-1700 | 2009-07-23 |
| 1831398940 | Kelly Dailey Hall | Speech-Language Pathologist | 109 Penny Road, Greensboro, NC 27260 | 2007-07-18 |
| 1437297496 | Kelly M Hall | Respite Care | Sierra Verde Ranch 4, Lot 190, Seligman, AZ 86337-0599 | 2007-02-02 |
| 1881731917 | Kelly Hall | Nurse Practitioner | 705 Us Highway 80 W, Demopolis, AL 36732-4113 | 2007-01-30 |
| Street Address |
17191 BOTHELL WAY NE STE. 103 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98155-5534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922575703 | Dale Worrell | Counselor | Center for Human Services, 17018 15th Ave Ne, Shoreline, WA 98155 | 2018-10-30 |
| 1770060568 | Jason Freed | Occupational Therapist | 1250 Ne 145th St., Shoreline, WA 98155 | 2018-07-24 |
| 1497208771 | Mirit Markowitz | Counselor | 14803 15 Ave Ne, Seattle, WA 98155 | 2016-08-03 |
| 1003207788 | Jessica Hinckley | Counselor | 17018 15tth Ave Ne, Shoreline, WA 98155 | 2015-02-17 |
| 1407119001 | Erika Tydor | Optometrist | 18021 15th Ave Ne Suite 100, Shoreline, WA 98155 | 2012-06-19 |
| 1891075917 | Kieran Joseph Mcmanimon | Massage Therapist | 18724 35th Ave Ne, Lake Forest Park, WA 98155 | 2011-08-20 |
| 1376841270 | Kym Kolb | Massage Therapist | 17908 15th Ave Ne, Shoreline, WA 98155 | 2011-03-02 |
| 1205069333 | Acclaim Body Care, LLC | Massage Therapist | 17517 15th Ave., Suite B, Shoreline, WA 98155 | 2009-08-24 |
| 1881834570 | Jason Sailesh Dave | Naturopath | 2871 University St, Seattle, WA 98155 | 2009-02-20 |
| 1396918975 | Ashleigh Veronique Schultz | Counselor | 216 Ne 175th Street, Shoreline, WA 98155 | 2008-04-04 |
| Find all providers in zip 98155 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003449430 | Seniorwell Pod of Washington LLC | Podiatrist | 506 Secord Avenue, Suite 1400, Seattle, WA 98104-2329 | 2020-02-13 |
| 1194085043 | Sara Mahmood | Podiatrist | 1560 N 115th St Ste 102, Seattle, WA 98133-8414 | 2012-05-25 |
| 1700108651 | Alexis A Mckeown | Podiatrist | 1950 Alaskan Way 526, Seattle, WA 98101-1078 | 2010-02-19 |
| 1942442975 | Michaela Ostradicky | Podiatrist | 1702 Dexter Ave N, Seattle, WA 98109-3021 | 2009-04-06 |
| 1174649727 | Glenn David Yocum | Podiatrist | 5407 17th Ave Nw, Seattle, WA 98107-3818 | 2007-03-22 |
| 1770650822 | Kim K. Lau | Podiatrist | 14213 Ambaum Blvd Sw, Seattle, WA 98166 | 2006-11-30 |
| 1649352527 | Anthony Lo | Podiatrist | 515 Minor Ave., Suite 240, Seattle, WA 98104-2133 | 2006-10-19 |
| 1790885358 | Douglas S Hale | Podiatrist | 600 Broadway Ste 220, Seattle, WA 98122-5373 | 2006-09-24 |
| 1154429249 | Stanley G Newell Dpm Ps | Podiatrist | 9501 5th Ave Ne, Seattle, WA 98115-2108 | 2006-09-20 |
| 1831297928 | Erik Christopher Lilja | Podiatrist | 400 N 34th St Ste 203, Seattle, WA 98103-8600 | 2006-09-20 |
| Find all providers in SEATTLE | ||||
Please comment or provide details below to improve the information on MISS KELLY JEAN HALL.
| 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.