MR. JAMES DAVID KELLY (NPI# 1205951233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205951233 |
| Entity Type | Individual |
| Full Name | MR. JAMES DAVID KELLY |
| Practice Address |
4907 Boone Trail Road Independence Unlimited Duffield VA 24244 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 2764314473 |
| Practice Fax Number | 2764314484 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673696 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221949 | James Edward Kelly Jr. | Occupational Therapist | 45 Montcalm St, Ticonderoga, NY 12883-1343 | 2020-09-25 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1902328032 | James Kelly | Physician Assistant | 8200 Henry Ave Ste G1, Philadelphia, PA 19128-2953 | 2017-07-11 |
| 1245782408 | James Kelly | Psychologist | 170 Pearl St Se, Atlanta, GA 30316-1247 | 2016-11-03 |
| 1104215300 | James Kelly | Physical Therapist | 8937 Woodman Way, Sacramento, CA 95826-2140 | 2015-01-12 |
| 1447543087 | James Anthony Kelly | Family Medicine | 517 North Center St, Sabinal, TX 78881 | 2011-05-16 |
| 1184879983 | James Aaron Kelly | Dentist | 10833 Le Conte Avenue Room A0-156b Chs, Uc Regents Maxillofacial Prosthodontics, Los Angeles, CA 90095-1668 | 2008-11-20 |
| 1598930711 | James Christopher Kelly | Anesthesiology | 222 N 5th St Ste 202, Martins Ferry, OH 43935-1582 | 2008-04-29 |
| 1952592735 | James Gerard Kelly | Licensed Practical Nurse | 120 Loperwood Ln, Lagrange, OH 44050-9756 | 2007-08-06 |
| 1568669653 | James Edward Kelly | Psychiatry & Neurology | 29466-5 Pintail Drive, Easton, MD 21601 | 2007-07-02 |
| Street Address |
4907 BOONE TRAIL ROAD INDEPENDENCE UNLIMITED |
| City | DUFFIELD |
| State | VA |
| Zip Code | 24244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811035165 | Elois P Wampler | Counselor | 4907 Boone Trail Road, Indpendence Unlimited, Duffield, VA 24244 | 2007-02-01 |
| 1376761304 | Junction Center for Independent Living, Inc. | Contractor | 4907 Boone Trail Road, Duffield, VA 24244 | 2007-04-23 |
| 1316062342 | Mark Abraham Keith | Technician, Other | 4907 Boone Trail Road, Independence Unlimited, Duffield, VA 28244 | 2007-03-20 |
| 1184748865 | Deborah Ann Tankersley | Technician, Other | 4907 Boone Trail Road, Duffield, VA 24244 | 2007-03-19 |
| 1376667576 | Linda S Dean | Technician, Other | 4907 Boone Trail Road, Duffield, VA 24244 | 2007-03-16 |
| 1447374657 | Pauline Fraley | Technician, Other | 4907 Boone Trail Road, Duffield, VA 24244 | 2007-03-16 |
| 1053459313 | Sandra L Leonard | Counselor | 4907 Boone Trail Road, Duffield, VA 24244 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144646944 | Family Preservation Services, Inc. | Community/Behavioral Health | 355 Cecil D. Quillen Drive, Duffield, VA 24244 | 2014-03-17 |
| 1063710804 | Family Preservation Services, Inc | Early Intervention Provider Agency | 225 Boone Trail Road, Duffield, VA 24244 | 2011-03-03 |
| 1689998189 | Richard S Nicholas | Naturopath | 121 Advanced Technology Drive, Duffield, VA 24244 | 2010-03-26 |
| 1508042813 | Family Preservation Services, Inc | Community/Behavioral Health | 663 Duff-patt Highway, Duffield, VA 24244 | 2008-01-16 |
| 1225152903 | Jon Delmes Holmes | Technician, Other | 1100 Us Hwy 58, Doffield, VA 24244 | 2007-03-19 |
| 1255455937 | Francis Clark Roach | Technician, Other | 103 Fraley Avenue, Park Place, Duffield, VA 24244 | 2007-03-19 |
| 1902920036 | Lawrence Ray Castle | Counselor | 4907 Boonetrail Rd, Independence Unlimited, Duffield, VA 24244 | 2007-03-16 |
| 1598803892 | Brandi Suzette Dingus | Counselor | 1100 Hwy 58, Duffield, VA 24244 | 2007-02-01 |
| 1235280892 | Frontier Health | Day Training, Developmentally Disabled Services | 4907 Boone Trail Rd, Duffield, VA 24244 | 2007-01-12 |
| 1194886788 | Frontier Health | Case Management | 1100 Us Highway 58, Duffield, VA 24244 | 2006-12-13 |
| Find all providers in zip 24244 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255455937 | Francis Clark Roach | Technician, Other | 103 Fraley Avenue, Park Place, Duffield, VA 24244 | 2007-03-19 |
| 1750405460 | Julia Eve Shubert | Technician, Other | 137 Fraley Avenue, Hillcrest, Duffield, VA 24218 | 2007-03-19 |
| 1306962527 | Frances Alice Culbertson | Technician, Other | 4907 Boone Trail Rd, Independence Unlimited, Duffield, VA 24244 | 2007-03-21 |
| 1467578682 | Stephanie Jo Stanley | Technician, Other | 103 Fraley Ave, Duffield, VA 24244 | 2007-03-21 |
| 1376669598 | Nina M Holmes | Technician, Other | 137 Fraley Ave, Hillcrest, Duffield, VA 24244 | 2007-03-21 |
| 1265557201 | Linda Joyee Malle | Technician, Other | 103 Fraley Avenue, Park Place, Duffield, VA 24244 | 2007-03-20 |
| 1417072430 | Zeni Matilda Gibson Peak | Technician, Other | 103 Fraley Ave, Duffield, VA 24244 | 2007-03-20 |
| 1316062342 | Mark Abraham Keith | Technician, Other | 4907 Boone Trail Road, Independence Unlimited, Duffield, VA 28244 | 2007-03-20 |
| 1225153257 | Julia Faye Lewis | Technician, Other | 103 Fraley Ave, Park Place, Duffield, VA 24244 | 2007-03-20 |
| 1073638029 | April Dawn Aistrop | Technician, Other | 103 Fraley Avenue, Duffield, VA 24244 | 2007-03-20 |
| Find all providers in DUFFIELD | ||||
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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.