JACQUELINE KELLEY (NPI# 1245644780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245644780 |
| Entity Type | Individual |
| Full Name | JACQUELINE KELLEY |
| Practice Address |
1309 W 17th St Ste 101 Sioux Falls SD 57104-8805 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053288000 |
| Practice Fax Number | 6053288001 |
| Mailing Telephone | 6053286585 |
| Mailing Fax Number | 6053286512 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R035299 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265915714 | Jacqueline Mary Kelley | Registered Nurse | 591 Spring Grove Dr, Tallmadge, OH 44278-1341 | 2018-09-11 |
| 1932530276 | Jacqueline Ann Kelley | Nurse Practitioner | 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 | 2013-12-12 |
| Street Address |
1309 W 17TH ST STE 101 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57104-8805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285663757 | Michelle Renee Healy | Physician Assistant | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2006-06-30 |
| 1710482450 | Jill Waggoner | Nurse Practitioner | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2018-03-26 |
| 1376053678 | Lili Wat Wilson | Nurse Practitioner | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2017-10-02 |
| 1275042707 | Shauna Marie Jacobs | Nurse Practitioner | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2017-09-27 |
| 1164830865 | Matthew Graham | Nurse Practitioner | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2014-07-25 |
| 1164836318 | Michelle Janania Martinez | Student in an Organized Health Care Education/Training Program | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2014-06-16 |
| 1972844793 | Sanford Clinic | Pharmacy | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2013-03-04 |
| 1174881015 | Avigayil East | Nurse Practitioner | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2012-04-29 |
| 1548454291 | Steven Francis Powell | Internal Medicine | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2007-09-05 |
| 1184743148 | Keely Marie Hack | Internal Medicine | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1033637210 | Anna Peasley | Speech-Language Pathologist | 710 W 18th St, Sioux Falls, SD 57104 | 2017-09-07 |
| 1699204313 | Sioux Falls Primary Home Care Services LLC | In Home Supportive Care | 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 | 2017-06-06 |
| 1093258808 | Megan Regina Wexler | Social Worker | 4510 N Lewis Ave, Sioux Falls, SD 57104 | 2016-11-28 |
| 1831645498 | Ryan Ortiz | Specialist/Technologist | 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 | 2016-09-01 |
| 1881140622 | Kristine Carol Smith | Occupational Therapist | 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 | 2016-08-31 |
| 1215299292 | Jolene Mitchell | Preventive Medicine | 900 E 54th St N Ste 100, Sioux Falls, SD 57104 | 2012-06-14 |
| 1871874651 | Christine Marie Burg | Pharmacist | 2503 East 54th Street N., Medvantx Pharmacy Services, Sioux Falls, SD 57104 | 2011-09-07 |
| Find all providers in zip 57104 | ||||
| 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 |
|---|---|---|---|---|
| 1366059057 | Minx Damron Fite | Nurse Practitioner | 701 S Cloudas Ave, Sioux Falls, SD 57103-2421 | 2020-09-26 |
| 1164035945 | Channing Nordin | Nurse Practitioner | 7421 W 50th St, Sioux Falls, SD 57106-7647 | 2020-08-31 |
| 1790312478 | Spencer Robert Taylor | Nurse Practitioner | 5919 S Remington Pl Ste 200, Sioux Falls, SD 57108-5143 | 2020-03-24 |
| 1639678956 | Carrie Hunt | Nurse Practitioner | 1305 West 18th Street, Emergency Department, Sioux Falls, SD 57105 | 2018-02-02 |
| 1194177691 | Tracy Salameh | Nurse Practitioner | 620 E 54th St N, Sioux Falls, SD 57104-0641 | 2016-07-07 |
| 1396089900 | Sanford Clinic | Nurse Practitioner | 1309 W 17th St Ste 102, Sioux Falls, SD 57104-4663 | 2012-11-20 |
| 1205160652 | Tiffanie Renee Vaneimeren | Nurse Practitioner | 808 W Chicory Ln, Sioux Falls, SD 57108-2808 | 2009-10-01 |
| 1285855155 | Kelly S Hefti | Nurse Practitioner | 900 E 54th St, Ste 200, Sioux Falls, SD 57104 | 2007-05-01 |
| 1962541854 | Susan E Weaver | Nurse Practitioner | 2020 S Norton Ave, Sioux Falls, SD 57105-2835 | 2007-02-06 |
| 1992771760 | Melissa Sheree Hoogeveen | Nurse Practitioner | 1000 E. 23rd St., Ste. 230, Sioux Falls, SD 57105-2122 | 2006-02-23 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57104 |
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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.