KELSEY L GONZALEZ (NPI# 1215403670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215403670 |
| Entity Type | Individual |
| Full Name | KELSEY L GONZALEZ |
| Practice Address |
301 N Sidney Ave Russellville AR 72801-4383 |
| Practice Telephone | 4798905494 |
| Mailing Telephone | 4798905494 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | AR | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821460775 | Kelsey Gonzalez | Dietitian, Registered | 1599 Green St Apt 205, San Francisco, CA 94123-5139 | 2015-10-30 |
| Street Address |
301 N SIDNEY AVE |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-4383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497088918 | Shawna Walter | Physical Therapist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2009-09-16 |
| 1093316416 | Robyn Ann Robbins | Registered Nurse | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2020-11-03 |
| 1992319800 | Anna Nicole Himstedt | Speech-Language Pathologist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2020-09-08 |
| 1447869417 | Heather Marie Jones | Day Training/Habilitation Specialist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2020-07-27 |
| 1972112290 | Ashton Nicole Amos | Speech-Language Pathologist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2020-07-23 |
| 1679181994 | Emily Savannah Brown | Speech-Language Pathologist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2020-07-22 |
| 1306467659 | Alexis B Reed | Registered Nurse | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2020-04-28 |
| 1598311292 | Caroline Grace Davis | Speech-Language Pathologist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2019-08-18 |
| 1952969784 | Correy Elizabeth Moyer | Speech-Language Pathologist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2019-06-05 |
| 1548826118 | Ryan Matthew Rooke | Occupational Therapy Assistant | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2019-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538677869 | Regina Sloan | Day Training/Habilitation Specialist | 920 University Dr, Russellville, AR 72801-4303 | 2018-01-22 |
| 1447869417 | Heather Marie Jones | Day Training/Habilitation Specialist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2020-07-27 |
| 1467960781 | Ashley Haney | Day Training/Habilitation Specialist | 920 University Dr, Russellville, AR 72801-4303 | 2018-01-22 |
| 1619483229 | Jennifer Metz | Day Training/Habilitation Specialist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2017-12-19 |
| 1285149203 | Sonya Roach | Day Training/Habilitation Specialist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2017-12-13 |
| 1154836161 | Kimberly Fountain | Day Training/Habilitation Specialist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2017-12-13 |
| 1548774920 | Patti 'suzy' Suzanne Young | Day Training/Habilitation Specialist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2017-11-21 |
| 1013420488 | Melia Johnsgard | Day Training/Habilitation Specialist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2017-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396375796 | Diana L Beck | Day Training/Habilitation Specialist | 1008 W Childress St, Morrilton, AR 72110-1708 | 2020-01-24 |
| 1194230169 | Amanda Morgan | Day Training/Habilitation Specialist | 272 School Ave, West Fork, AR 72774-3124 | 2017-12-12 |
| 1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
| 1871016923 | Emily A Huddleston | Day Training/Habilitation Specialist | 1801 N Buerkle St, Stuttgart, AR 72160-2519 | 2017-07-20 |
| 1255866604 | Race Cunningham | Day Training/Habilitation Specialist | 2871 American St, Springdale, AR 72764-6938 | 2017-04-24 |
| 1619417896 | Amy Pinkston | Day Training/Habilitation Specialist | 149 Old Trestle Ln, Batesville, AR 72501-9597 | 2017-03-07 |
| 1891155719 | Karen Hartsfield | Day Training/Habilitation Specialist | 524 Self Ln, Newark, AR 72562-9615 | 2016-03-04 |
| 1821458738 | Sarah Sexton | Day Training/Habilitation Specialist | 1334 Red Deer Trl, Salem, AR 72576-5510 | 2016-03-04 |
| 1063885002 | Jaime Smith | Day Training/Habilitation Specialist | 56 Buck Ln, Poughkeepsie, AR 72569-9150 | 2015-11-12 |
| 1942673983 | Rhonda Strain | Day Training/Habilitation Specialist | 352 Curia Creek Ln Apt 6, Cave City, AR 72521-9031 | 2015-11-12 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
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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.