MRS. KELLY MARIE BELLAMY-DIXON (NPI# 1235133026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235133026 |
| Entity Type | Individual |
| Full Name | MRS. KELLY MARIE BELLAMY-DIXON |
| Credential | CRNA |
| Practice Address |
2701 Blair Mill Rd Willow Grove PA 19090-1041 |
| Mailing Address |
Po Box 147 Fort Washington PA 19034-0147 |
| Practice Telephone | 2154438505 |
| Mailing Telephone | 2018042800 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
TP006194C | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN293770L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2701 BLAIR MILL RD |
| City | WILLOW GROVE |
| State | PA |
| Zip Code | 19090-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538161591 | Abington Surgical Center, P.C. | Specialist | 2701 Blair Mill Rd, Ste 35, Willow Grove, PA 19090-1041 | 2005-06-02 |
| 1417598491 | Melissa Anne Wagner | Nurse Practitioner | 2701 Blair Mill Rd, Suite 20, Willow Grove, PA 19090 | 2019-10-01 |
| 1447524533 | Desiree M Trader-kent | Nurse Practitioner | 2701 Blair Mill Rd, Suite 20, Willow Grove, PA 19090-1041 | 2012-03-07 |
| 1942536909 | Lorileen C Bautista | Nurse Practitioner | 2701 Blair Mill Rd, Willow Grove, PA 19090-1041 | 2009-10-27 |
| 1306009618 | Rebecca Mulry Straubel | Nurse Practitioner | 2701 Blair Mill Rd, Northwood Bldg Suite C, Willow Grove, PA 19090-1041 | 2008-07-07 |
| 1083898787 | Keystone Mobile Partners, Lp | Clinic/Center | 2701 Blair Mill Rd, Ste. 30, Willow Grove, PA 19090-1041 | 2007-12-18 |
| 1134315369 | Montgomery County Advanced Medical Imaging, LLC | Clinic/Center | 2701 Blair Mill Rd, Blairwood Bldg. Suite 9, Willow Grove, PA 19090-1041 | 2007-09-20 |
| 1093909533 | Jessica M. Klemens | Obstetrics & Gynecology | 2701 Blair Mill Rd, Suite C, Willow Grove, PA 19090-1041 | 2007-08-28 |
| 1619167459 | Urology for Children | Specialist | 2701 Blair Mill Rd, Ste 6, Willow Grove, PA 19090-1041 | 2007-07-27 |
| 1407064165 | Kevin R Booth | Psychiatry & Neurology | 2701 Blair Mill Rd, Ste 8, Willow Grove, PA 19090-1041 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122495 | Orna Kempler Azulay | Speech-Language Pathologist | 3515 W Moreland Rd, Willow Grove, PA 19090 | 2020-07-31 |
| 1396205654 | Randi Lynn Murat | Physical Therapist | 2500 W Moreland Rd Ste 2103, Willow Grove, PA 19090 | 2019-03-22 |
| 1780173690 | Garden Spring Center Snf LLC | Skilled Nursing Facility | 1113 North Easton Road, Willow Grove, PA 19090 | 2018-05-07 |
| 1740778976 | Dean Depice | Chiropractor | 1031 North York Rd, Willow Grove, PA 19090 | 2018-04-24 |
| 1679081095 | Darnell Marie Lorick | Registered Nurse | 1553 Rothley Ave, Willow Grove, PA 19090 | 2018-01-19 |
| 1750809364 | Eileen Black | Counselor | 4 Neshaminy Interplex Suite 202, Trevose, PA 19090 | 2017-09-03 |
| 1538615760 | Sarah Herstich | Social Worker | 208 N Easton Rd, Willow Grove, PA 19090 | 2016-08-28 |
| 1902252091 | Christina Amodei | Physical Therapist | 2519 Maryland Rd #250, Willowgrove, PA 19090 | 2016-05-09 |
| 1568838340 | Insights Counseling & Consulting LLC | Counselor | 2300 Computer Ave., C13, Willow Grove, PA 19090 | 2015-08-17 |
| 1376949016 | Courtney M Dedda | Physical Therapist | 1003 Easton Rd Ste 105c, Willow Grove, PA 19090 | 2014-11-07 |
| Find all providers in zip 19090 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121437 | Eleanor Irene Stanford | Nurse Anesthetist, Certified Registered | 271 Blair Mill Road, Willow Grove, PA 19090 | 2005-06-01 |
| 1871567206 | Reginald L Bell | Nurse Anesthetist, Certified Registered | 2701 Blair Mill Rd, Willow Grove, PA 19090-1041 | 2006-02-14 |
| 1629053863 | Linda Marie Mccoy-davis | Nurse Anesthetist, Certified Registered | 2701 Blair Mill Rd, Suite 35, Willow Grove, PA 19090-1041 | 2005-12-09 |
| 1003891243 | Louise Edna Hoover | Nurse Anesthetist, Certified Registered | 2701 Blair Mill Rd, Suite 35, Willow Grove, PA 19090-1041 | 2005-12-09 |
| 1801890561 | John David Williams | Nurse Anesthetist, Certified Registered | 2701 Blair Mill Rd, Ste 35, Willow Grove, PA 19090-1041 | 2005-06-10 |
| 1366446114 | Joyce Dean | Nurse Anesthetist, Certified Registered | 2701 Blair Mill Rd, Ste 35, Willow Grove, PA 19090-1041 | 2005-06-09 |
| 1578567368 | Nancy Janice Buonpastore | Nurse Anesthetist, Certified Registered | 2701 Blair Mill Rd, Ste 35, Willow Grove, PA 19090-1041 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091290 | Pennsylvania Anesthesia Coalition | Nurse Anesthetist, Certified Registered | 41 Pacific Ave, Sinking Spring, PA 19608-9789 | 2020-10-17 |
| 1093312951 | Bozena Agnieszka Brooks Larsen | Nurse Anesthetist, Certified Registered | Upmc Presbyterian, 200 Lothrop Street, Pittsburgh, PA 15213 | 2020-10-05 |
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1790391001 | Alexandria Klumpp | Nurse Anesthetist, Certified Registered | 50 Weidner Dr, Morgantown, PA 19543-9332 | 2020-09-22 |
| 1356964159 | Michelle Copija | Nurse Anesthetist, Certified Registered | Society Hill Anesthesia Consultants, P.C., 301 S. 8th St Suite 2l, Philadelphia, PA 19106 | 2020-05-27 |
| 1992327746 | Tower Health Medical Group | Nurse Anesthetist, Certified Registered | 1 Granite Point Dr Ste 200, Wyomissing, PA 19610-1992 | 2020-05-15 |
| 1912527045 | Edgeworth Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 301 Ohio River Blvd Ste 100, Sewickley, PA 15143-1300 | 2020-04-18 |
| 1366073991 | Monica Renee Bentzen | Nurse Anesthetist, Certified Registered | 431 Franklin Ave, Pittsburgh, PA 15221-2823 | 2020-02-02 |
| 1598305930 | Dustin Christine Nichols | Nurse Anesthetist, Certified Registered | 5267 Holmes St Apt 205, Pittsburgh, PA 15201-2468 | 2020-01-14 |
| 1952949604 | Brian Eugene Oconnell Jr. | Nurse Anesthetist, Certified Registered | 126 Cornwallis Dr, Mckeesport, PA 15135-3145 | 2019-12-12 |
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| City | WILLOW GROVE |
| Zip Code | 19090 |
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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.