MRS. COURTNEY ANN KELLY (NPI# 1265628275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265628275 |
| Entity Type | Individual |
| Full Name | MRS. COURTNEY ANN KELLY |
| Other Name | MS. COURTNEY ANN VERDEYEN |
| Credential | PA-C |
| Practice Address |
350 Surryse Rd Suite 100 Lake Zurich IL 60047-3217 |
| Practice Telephone | 8474382144 |
| Practice Fax Number | 8477190335 |
| Mailing Telephone | 8474382144 |
| Mailing Fax Number | 8477190335 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2011-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085003055 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073903266 | Courtney Kelly | Behavioral Analyst | 7 E Creek Cir, Guilford, CT 06437-2821 | 2015-01-27 |
| 1215541438 | Courtney Kelly | Social Worker | 311 Albert Sabin Way, Cincinnati, OH 45229-2838 | 2020-09-04 |
| 1134743768 | Courtney Kelly | Speech-Language Pathologist | 5835 Harbour View Blvd, Suffolk, VA 23435-2601 | 2020-05-29 |
| 1235759077 | Courtney Kelly | Dentist | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-04-22 |
| 1457988594 | Courtney Alexandra Kelly | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd Ste 200, Indianapolis, IN 46260-1972 | 2020-03-26 |
| 1407330913 | Courtney Parker Kelly | Dentist | 100 57th St S, Birmingham, AL 35212-2541 | 2018-09-20 |
| 1720595549 | Courtney E Kelly | Nurse Practitioner | 1550 S Water St, Starke, FL 32091-4511 | 2018-01-02 |
| 1578966735 | Courtney Kelly | Nurse Anesthetist, Certified Registered | 4150 Nelson Rd Ste A4, Lake Charles, LA 70605-4169 | 2014-10-02 |
| 1295081933 | Courtney W Kelly | Pharmacist | 132 Alden Rd, Fairhaven, MA 02719-4721 | 2012-07-31 |
| 1831426725 | Courtney Lee Kelly | Nurse Practitioner | 8808 Balboa Ave, San Diego, CA 92123-1592 | 2009-11-12 |
| Street Address |
350 SURRYSE RD SUITE 100 |
| City | LAKE ZURICH |
| State | IL |
| Zip Code | 60047-3217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689668964 | Jeffrey G Uhler | Family Medicine | 350 Surryse Rd, Lake Zurich, IL 60047-2313 | 2005-09-01 |
| 1942689260 | Robyn Helkowski | Nurse Practitioner | 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047-3217 | 2015-05-19 |
| 1023380524 | Allz Family Practice Physicians, Sc | Family Medicine | 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047-3217 | 2012-01-31 |
| 1720398100 | Kristine Elizabeth Burgess | Physician Assistant | 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047-3217 | 2010-10-19 |
| 1821319591 | Fahad Karim Mustafa | Family Medicine | 350 Surryse Rd, Lake Zurich, IL 60047-3217 | 2010-06-17 |
| 1700034865 | Jennie Lynn Ostrander | Speech-Language Pathologist | 350 Surryse Rd, Suite 250, Lake Zurich, IL 60047-3217 | 2008-09-03 |
| 1629243183 | Global Care Sc | Hospitalist | 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047-3217 | 2008-04-25 |
| 1619155850 | Kellie L Truppa | Occupational Therapist | 350 Surryse Rd, Suite 250, Lake Zurich, IL 60047-3217 | 2008-02-08 |
| 1659590552 | Joyce Wood | Physician Assistant | 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047-3217 | 2007-04-25 |
| 1285793703 | Claudia G. Pitts | Psychologist | 350 Surryse Rd, Suite 300, Lake Zurich, IL 60047-3217 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871142547 | Terry Solberg | Technician | 25 Robin Crest Rd, Hawthorn Woods, IL 60047 | 2019-09-05 |
| 1073083614 | Cody Colleen Todd | Counselor | 21361 W Brandon Rd, Kildeer, IL 60047 | 2018-11-27 |
| 1861983694 | Ahmad Family Primary Care, S.c. | Family Medicine | 350 Surryse Rd Ste 240, Lake Zurich, IL 60047 | 2018-05-29 |
| 1508371972 | Joy Anne Margolis | Speech-Language Pathologist | 4151 Robert Parker Coffin Rd, Long Grove, IL 60047 | 2017-12-07 |
| 1982118576 | Stephanie Marie Luebbe | Specialist/Technologist | 30 Seneca Ave W, Hawthorn Woods, IL 60047 | 2017-11-19 |
| 1447785498 | Kayla Stavnes | Student in an Organized Health Care Education/Training Program | 23537 N Garden Ln, Lake Zurich, IL 60047 | 2017-04-27 |
| 1104366491 | Lindsay Pearlman & Associates | Psychologist | 4160 Rte 83, Suite 307, Long Grove, IL 60047 | 2017-03-06 |
| 1164969929 | Lauren Christine Hallerud | Counselor | 4180 Il-83, Suite 10, Long Grove, IL 60047 | 2017-01-31 |
| 1790220820 | Long Grove Center for Emotional Health LLC | Counselor | 4180 Rfd, Suite 10, Long Grove, IL 60047 | 2016-12-28 |
| 1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
| Find all providers in zip 60047 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467446732 | Kathy M Vanbrunt | Physician Assistant | 15 S Old Rand Rd, Lake Zurich, IL 60047-2313 | 2005-09-01 |
| 1538153804 | Mary Mueller | Physician Assistant | 15 S Old Rand Rd, Lake Zurich, IL 60047-2313 | 2005-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ZURICH |
| Zip Code | 60047 |
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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.