KELLI ZACKARY (NPI# 1255714341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255714341 |
| Entity Type | Individual |
| Full Name | KELLI ZACKARY |
| Credential | R.N. |
| Practice Address |
3521b Cannon Dr Twentynine Palms CA 92277-9470 |
| Practice Telephone | 8087829946 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
668899 | CA | Nursing Service Providers |
| Street Address |
3521B CANNON DR |
| City | TWENTYNINE PALMS |
| State | CA |
| Zip Code | 92277-9470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1932755352 | Candace Irene Myer | Registered Nurse | Mcagcc Mccs Stepping Stones, Del Zalle Dr Building 693, Twentynine Palms, CA 92277 | 2019-08-12 |
| 1831759018 | Courtney Vindigni | Student in an Organized Health Care Education/Training Program | Twentynine Palms, Fpo, AA 92277 | 2019-06-19 |
| 1841857612 | Jasmine E Gomez | Behavior Technician | 8315 Argos Rd, Unit A, 29 Palms, CA 92277 | 2019-05-28 |
| 1861961955 | Golam Subhani Chowdhury | Physician Assistant | 1st Marine Division 7th Marine Regiment, Twentynine Palms, CA 92277 | 2018-11-19 |
| 1093283202 | James Degracie | Dentist | 1519 Griffin Rd, Twentynine Palms, CA 92277 | 2018-11-06 |
| 1659829141 | Sang Eun Lee Dental Corp | Dentist | 72724 Twentynine Palms Hwy #102, Twentynine Palms, CA 92277 | 2016-09-14 |
| 1396115374 | Sarah Camille Paje | Dentist | 1591 Griffin Road, Twentynine Palms, CA 92277 | 2015-10-02 |
| 1053733527 | Hi-desert Memorial Health Care District | Clinic/Center | 72724 29 Palms Hwy Ste 103, 29 Palms, CA 92277 | 2014-01-17 |
| 1871897389 | An Nguyen Dds Prof Corp | Dentist | 73666 Joshua Dr., Twentynine Palms, CA 92277 | 2010-12-28 |
| Find all providers in zip 92277 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071098 | Corinne Breshears | Registered Nurse | 2848 Cantegra Gln, Escondido, CA 92025-7347 | 2020-10-16 |
| 1518571660 | Cherie Amour Mouton | Registered Nurse | 43854 46th St W, Lancaster, CA 93536-2365 | 2020-09-06 |
| 1629688007 | Christine Marie Decker-hughes | Registered Nurse | 11026 Corte Playa Tampico, San Diego, CA 92124-4101 | 2020-07-31 |
| 1659980662 | Jennifer Gathman | Registered Nurse | 16935 W Bernardo Dr Ste 105, San Diego, CA 92127-1657 | 2020-07-26 |
| 1497370654 | Tamera Rennaker | Registered Nurse | 4351 Fairwood Ct, Concord, CA 94521-1346 | 2020-06-13 |
| 1326667353 | Megan Atol | Registered Nurse | 24040 Martingale Way, Tehachapi, CA 93561-8352 | 2020-04-09 |
| 1194352724 | Jennifer W Rousseau | Registered Nurse | 134 Hahn Way, Cotati, CA 94931-5313 | 2020-03-24 |
| 1801428503 | Sara Whitehouse | Registered Nurse | 153 Ramona Way, Oceanside, CA 92057-7377 | 2020-02-10 |
| 1184267601 | Gina Sterchi | Registered Nurse | 327 1/2 Montrose Dr Apt A, Folsom, CA 95630-3381 | 2019-10-28 |
| 1013550219 | Kimberley Chilcote | Registered Nurse | 3901 Lone Tree Way Fl 2, Antioch, CA 94509-6200 | 2019-10-21 |
| Find all providers with the same taxonomy | ||||
| City | TWENTYNINE PALMS |
| Zip Code | 92277 |
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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.