JACQUELINE MARY KELLEY (NPI# 1265915714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265915714 |
Entity Type | Individual |
Full Name | JACQUELINE MARY KELLEY |
Credential | RN |
Practice Address |
591 Spring Grove Dr Tallmadge OH 44278-1341 |
Practice Telephone | 3307016087 |
Practice Fax Number | 3305433782 |
Mailing Telephone | 3307016087 |
Mailing Fax Number | 3305433782 |
Enumeration Date | 2018-09-11 |
Last Update Date | 2018-09-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WS0200X |
Registered Nurse Specialization: School |
RN.430788 | OH | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932530276 | Jacqueline Ann Kelley | Nurse Practitioner | 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 | 2013-12-12 |
1245644780 | Jacqueline Kelley | Nurse Practitioner | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2014-06-12 |
Street Address |
591 SPRING GROVE DR |
City | TALLMADGE |
State | OH |
Zip Code | 44278-1341 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972110351 | Sandra Schafer | Homemaker | 273 North Thomas Rd, Tallmadge, OH 44278 | 2020-09-29 |
1972071355 | Forever Home Health LLC | Nursing Care | 982 Atwood Dr, Tallmadge, OH 44278 | 2018-11-05 |
1235656554 | Corliss J. Mayle | Social Worker | 30 Northwest Ave., Tallmadge, OH 44278 | 2017-08-28 |
1477079739 | Wilfredo E Torres | Social Worker | 30 Northwest Avenue, Building A, Suite 120, Tallmadge, OH 44278 | 2017-08-18 |
1518377936 | Shasta O'neal | Licensed Practical Nurse | 72 N. Thomas Rd, Apt 10 B, Tallmadge, OH 44278 | 2014-05-07 |
1952593709 | Judith Marie Mitchell | Home Health Aide | 65 Community Road, Pioneer Physicians Netword, Tallmadge, OH 44278 | 2007-08-15 |
1336340504 | University Primary Care Practices Inc | Clinic/Center | 145 West Ave Ste 2, Tallmadge, OH 44278 | 2007-05-29 |
1609098631 | Kenneth L Penix II | Case Manager/Care Coordinator | 392 Northwest Ave, Tallmadge, OH 44278 | 2007-05-02 |
1215158308 | Humberto Gonzales Caballero | Driver | 919 Sunset View Blvd, Tallmadge, OH 44278 | 2007-05-02 |
1891863940 | Gerald Sisko | Dentist | 193 East Ave, Tallmadge, OH 44278 | 2006-11-30 |
Find all providers in zip 44278 |
Taxonomy Code | 163WS0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396356135 | Desiree L Whitacre | Registered Nurse | 270 Keny Blvd, London, OH 43140-9040 | 2020-08-14 |
1689219008 | Ashley Marie Mosher | Registered Nurse | 1728 Dayton Xenia Road, Xenia, OH 45385 | 2019-11-08 |
1417414319 | Natalie Donatelli | Registered Nurse | 5756 Spring Rdg, Wadsworth, OH 44281-8054 | 2019-02-27 |
1720545718 | Christi Phillip | Registered Nurse | 967 Hereford Dr, Akron, OH 44303-1203 | 2019-02-26 |
1366926156 | Kim Florence Kekel | Registered Nurse | 4405 Stow Rd, Stow, OH 44224-1844 | 2018-09-18 |
1598273419 | Patricia Ann Haas | Registered Nurse | 1228 Considine Ave, Cincinnati, OH 45204-1604 | 2018-01-12 |
1205342557 | Serena Collins | Registered Nurse | 3217 Mayridge Ct Apt 6, Cincinnati, OH 45211-6826 | 2017-12-22 |
1558872622 | Michele Rose Strongoli-scott | Registered Nurse | 1620 Market Ave S., Canton, OH 44707 | 2017-10-17 |
1831617489 | Mary Rosenfeldt | Registered Nurse | 2136 West Eight Street, Cincinnati, OH 45204 | 2017-09-05 |
1447772074 | Helen Ann Locke | Registered Nurse | 691 Sedgwick Way, Troy, OH 45373-5421 | 2017-07-14 |
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.