KELLEY CARRICO-WELCH (NPI# 1235460957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235460957 |
| Entity Type | Individual |
| Full Name | KELLEY CARRICO-WELCH |
| Credential | ARNP |
| Practice Address |
11969 S Dixie Hwy Sonora KY 42776-9739 |
| Practice Telephone | 2703699706 |
| Practice Fax Number | 2703699263 |
| Mailing Telephone | 2703699706 |
| Mailing Fax Number | 2703699263 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 6300P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11969 S DIXIE HWY |
| City | SONORA |
| State | KY |
| Zip Code | 42776-9739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699725044 | Bonnie Susanne Brown | Family Medicine | 11969 S Dixie Hwy, Sonora, KY 42776-9739 | 2006-05-10 |
| 1558311852 | Family Care Center South Hardin | Nurse Practitioner | 11969 S Dixie Hwy, Sonora, KY 42776-9739 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538704184 | A Plus Family Healthcare LLC | Clinic/Center | 12080 South Dixie Highway, Sonora, KY 42776 | 2019-11-07 |
| 1508114463 | South Dixie Pharmacy LLC | Pharmacy | 12134 South Dixie Highway, Sonora, KY 42776 | 2012-08-27 |
| 1184907230 | Creekside Elementary School Satellite Clinic | Public Health or Welfare | 151 Horseshoe Bend Rd, Sonora, KY 42776-9329 | 2011-09-26 |
| 1972071215 | Cumberland Family Medical Center, Inc. | Nurse Practitioner | 151 Horseshoe Bend Rd, Sonora, KY 42776-9329 | 2018-11-05 |
| 1235336322 | Elizabeth A. Vinson | Physical Therapy Assistant | 2117 Nolin Rd, Sonora, KY 42776-9348 | 2007-07-02 |
| 1952649493 | Katelyn Tabb | Speech-Language Pathologist | 5253 Sonora Hardin Springs Rd, Sonora, KY 42776-9359 | 2013-01-17 |
| 1457801383 | Fruitful Speech, Pllc | Speech-Language Pathologist | 5253 Sonora Hardin Springs Rd, Sonora, KY 42776-9359 | 2016-10-04 |
| 1285160333 | Angela Waller | In Home Supportive Care | 311 Main St, Sonora, KY 42776-9707 | 2017-05-11 |
| 1114535911 | Lea Anne Bunch | Family Medicine | 12080 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-07-17 |
| 1801169016 | Matthew Daniels | Pharmacist | 12134 S Dixie Hwy, Sonora, KY 42776-9739 | 2012-02-18 |
| Find all providers in zip 42776 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194077305 | Joshua William Laird-wilson | Nurse Practitioner | 1000 Greely Road, Sonora Regional Medical Center, Sonora, CA 95370-5200 | 2012-10-11 |
| 1184650673 | Lana Louise Selby | Nurse Practitioner | 19747 Greenley Rd Ste S2, Sonora, CA 95370-5998 | 2006-06-25 |
| 1952322661 | Nancy Kerr-schifrin | Nurse Practitioner | 940 Sylva Ln, Suite E, Sonora, CA 95370-5969 | 2006-07-21 |
| 1558311852 | Family Care Center South Hardin | Nurse Practitioner | 11969 S Dixie Hwy, Sonora, KY 42776-9739 | 2006-05-10 |
| 1174509103 | Julia A Gustafson | Nurse Practitioner | 12811 Covey Cir, Sonora, CA 95370-5935 | 2005-12-21 |
| 1508848177 | Carol A Wiley | Nurse Practitioner | 13975 Mono Way, Suite G, Sonora, CA 95370-2824 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891645 | K Tierney Lanham LLC | Nurse Practitioner | 6431 Regency Ln, Louisville, KY 40207-2309 | 2020-11-06 |
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1124626700 | Mind & Body Wellness | Nurse Practitioner | 105 Bob White Path, Georgetown, KY 40324-6169 | 2020-10-15 |
| 1902404759 | Cassie Parr | Nurse Practitioner | 57 Melissa Branch Rd, Ary, KY 41712-8716 | 2020-10-14 |
| 1649877275 | Kristy Faith Statzer | Nurse Practitioner | 7533 Russellville Rd, Morgantown, KY 42261-9625 | 2020-10-06 |
| 1124635446 | Tori Crabtree | Nurse Practitioner | 1511 Valley Dr, Flatwoods, KY 41139-1889 | 2020-09-30 |
| 1518574235 | Margaret E Lambert | Nurse Practitioner | 2241 Abbeywood Rd, Lexington, KY 40515-1157 | 2020-09-27 |
| 1003422270 | Victoria Weis | Nurse Practitioner | 9301 Dayflower St Ste 100, Prospect, KY 40059-7585 | 2020-09-22 |
| 1598370694 | Candace Jones-martin | Nurse Practitioner | 111 Osbourne Way # 101, Georgetown, KY 40324-8004 | 2020-09-15 |
| 1588274161 | Karyn Michele Bentley | Nurse Practitioner | 210 Hoagland Hill Rd, Mount Washington, KY 40047-7583 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
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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.