MRS. LISA MARIE MCDERMOTT KELLY (NPI# 1275666869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275666869 |
| Entity Type | Individual |
| Full Name | MRS. LISA MARIE MCDERMOTT KELLY |
| Credential | MA OTRL |
| Practice Address |
4500 Bissonnet St Suite 340 Bellaire TX 77401-3120 |
| Practice Telephone | 7138389050 |
| Practice Fax Number | 7138380926 |
| Mailing Telephone | 7138389050 |
| Mailing Fax Number | 7138380926 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2015-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0119003287 | VA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164075453 | Lisa Marie Kelly | Nurse Practitioner | 10 E Front St Apt B, Monroe, MI 48161-2269 | 2019-07-16 |
| 1831752401 | Lisa A. Kelly | Social Worker | 23245 Brandywynne St, Southfield, MI 48033-4875 | 2019-04-18 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1457728628 | Lisa Kelly | Psychologist | 11765 Hamilton Ave, Cincinnati, OH 45231-1128 | 2015-08-24 |
| 1558707828 | Lisa Kelly | Occupational Therapist | 8410 North Maple Avenue, Crystal River, FL 34428 | 2013-05-14 |
| 1417289935 | Lisa Catherine Kelly | Acupuncturist | 846 Ritchie Hwy, Suite 1a, Severna Park, MD 21146-4150 | 2010-02-09 |
| 1033342795 | Lisa Ann Kelly | Speech-Language Pathologist | 33 Winding Path, Apt 20, Manorville, NY 11949-2276 | 2009-08-28 |
| 1508019076 | Lisa Jean Kelly | Physical Therapy Assistant | 325 S Brookside Dr, Oxford, PA 19363-1192 | 2008-10-28 |
| 1952588154 | Lisa Maria Kelly | Family Medicine | 6006 Le Moyne Pass Ln, Missouri City, TX 77459-1762 | 2008-01-30 |
| 1720105711 | Lisa Ann Kelly | Speech-Language Pathologist | 459 Erickson Ct, Elburn, IL 60119-8990 | 2007-03-23 |
| Street Address |
4500 BISSONNET ST SUITE 340 |
| City | BELLAIRE |
| State | TX |
| Zip Code | 77401-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619964020 | Bandana Narang Chawla | Internal Medicine | 4500 Bissonnet St, Ste 355, Bellaire, TX 77401-3124 | 2005-09-30 |
| 1528591153 | Nancy Illback Cook | Psychologist | 4500 Bissonnet St, Suite 335, Bellaire, TX 77401-3120 | 2017-04-10 |
| 1588012116 | Nicole Harman | Occupational Therapist | 4500 Bissonnet St, 340, Bellaire, TX 77401-3120 | 2016-05-24 |
| 1093188146 | Lindsay Taylor Wild | Occupational Therapist | 4500 Bissonnet St, 340, Bellaire, TX 77401-3120 | 2015-11-10 |
| 1053753806 | Christy A. Rankin | Physical Therapist | 4500 Bissonnet St, 340, Bellaire, TX 77401-3120 | 2013-07-22 |
| 1871934539 | Susan Minicone | Physical Therapist | 4500 Bissonnet St, Suite340, Bellaire, TX 77401-3120 | 2013-07-10 |
| 1285073882 | Benjamin Roy Stafford | Speech-Language Pathologist | 4500 Bissonnet St, 340, Bellaire, TX 77401-3120 | 2013-06-18 |
| 1558707430 | Neighborhood Centers Inc. | Local Education Agency (LEA) | 4500 Bissonnet St, Suite 200, Bellaire, TX 77401-3120 | 2013-05-17 |
| 1811333958 | Michelle Lee Andrade | Speech-Language Pathologist | 4500 Bissonnet St, 340, Bellaire, TX 77401-3120 | 2013-05-16 |
| 1790021541 | Easter Seals of Greater Houston Inc. | Clinic/Center | 4500 Bissonnet St, Suite 340, Bellaire, TX 77401-3120 | 2012-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780242123 | Hands of Houston Pllc | Surgery | 6704 Ferris, Bellaire, Texas, TX 77401 | 2019-05-31 |
| 1316423767 | Nancy Abraham | Pharmacist | 5160 Bissonnet St, Bellaire, TX 77401 | 2018-07-18 |
| 1356856033 | H-e-b, Lp | Clinical Medical Laboratory | 5106 Bissonnet St, Bellaire, TX 77401 | 2017-12-04 |
| 1457884371 | Damian Duplechain | Counselor | 5959 West Loop 610 South, Suite 600, Bellaire, TX 77401 | 2017-04-07 |
| 1659804672 | Stephanie Nelson | Behavioral Analyst | 6607 S Rice Ave, Bellaire, TX 77401 | 2017-04-06 |
| 1750839478 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 4710 Bellaire Blvd Ste 390, Bellaire, TX 77401 | 2016-09-12 |
| 1003287657 | Juna Medical LLC | Durable Medical Equipment & Medical Supplies | 5420 Bellaire Blvd, Suite C, Bellaire, TX 77401 | 2015-10-08 |
| 1366820201 | Jennifer Lorene Christian | Counselor | 5959 West Loop South, Suite 515, Bellaire, TX 77401 | 2015-05-12 |
| 1326430778 | Margaret Mcalpin Crady | Social Worker | 6750 West Loop South, # 860, Bellaire, TX 77401 | 2015-02-23 |
| 1952702193 | Sally Eisen Miller | Marriage & Family Therapist | 5909 West Loop S. #590, Bellaire, TX 77401 | 2014-09-08 |
| Find all providers in zip 77401 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487102521 | Houston Radiation Pllc | Specialist | 5113 Locust St, Bellaire, TX 77401-3320 | 2016-09-19 |
| 1265890495 | Donna Marie Freeman | Specialist | 5208 Cedar St, Bellaire, TX 77401-3915 | 2016-02-02 |
| 1073856134 | Mk Surgical | Specialist | 804 Circle Dr, Bellaire, TX 77401-2835 | 2013-03-27 |
| 1235402439 | Harold Cayce Waldrep Jr. | Specialist | 5313 Pocahontas St, Bellaire, TX 77401-4822 | 2012-02-17 |
| 1982878559 | Amethyst Medical Corporation | Specialist | 4710 Bellaire Blvd Ste 210, Bellaire, TX 77401-4505 | 2008-04-15 |
| 1609080332 | Karen Lynne Fisher | Specialist | 4545 Bissonnet St Ste 295, Bellaire, TX 77401-3005 | 2007-05-10 |
| 1275617557 | Harris Mil;ton Hauser | Specialist | 5959 West Loop S Ste 600, Bellaire, TX 77401-2425 | 2006-10-24 |
| 1407951312 | Speech Connections PC | Specialist | 4830 Chestnut St, Bellaire, TX 77401-4033 | 2006-09-14 |
| 1912000357 | Tanessa Johnann Horne | Specialist | 6300 W Est Loop South, Suite 118, Bellaire, TX 77401 | 2006-09-07 |
| 1568575231 | Lee Van Ansell | Specialist | 5420 West Loop South, Suite 2400, Bellaire, TX 77401-2103 | 2006-08-16 |
| Find all providers in BELLAIRE | ||||
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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.