NICOLE KELLEY (NPI# 1285191817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285191817 |
| Entity Type | Individual |
| Full Name | NICOLE KELLEY |
| Credential | FNP |
| Practice Address |
320 Alpenglow Ln Livingston MT 59047-8506 |
| Mailing Address |
240 N Rocky Creek Rd Bozeman MT 59715-8836 |
| Practice Telephone | 4062223541 |
| Mailing Telephone | 4062020313 |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NUR-APRN-LIC-147 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 240 N Rocky Creek Rd, Bozeman, MT 597158836 | 4062020313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669967329 | Nicole Kelley | Massage Therapist | 5500 Main St Ste 106, Williamsville, NY 14221-6753 | 2018-06-26 |
| 1740647122 | Nicole Rose Kelley | Specialist | 63 Edgewood Ave, Walpole, MA 02081 | 2016-01-15 |
| 1942588140 | Nicole Latonya Kelley | Social Worker | 2801 S. Valley View Blvd, Suite #2, Las Vegas, NV 89102 | 2011-07-22 |
| 1154840460 | Nicole Gail Kelley | Occupational Therapist | 112 N 3rd St, Leesville, LA 71446-4014 | 2017-09-18 |
| 1174049084 | Nicole Amanda Kelley | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115 | 2017-08-22 |
| 1659473437 | Nicole Angela Kelley | Social Worker | 112 Boeykens Pl, Suite 4a, Normal, IL 61761-2152 | 2006-09-02 |
| Street Address |
320 ALPENGLOW LN |
| City | LIVINGSTON |
| State | MT |
| Zip Code | 59047-8506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245222306 | Livingston Healthcare | General Acute Care Hospital | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2005-08-16 |
| 1396354213 | Christopher Spromberg | Psychologist | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2020-07-27 |
| 1205461514 | Gretchen Wise | Registered Nurse | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2020-03-06 |
| 1780233957 | Timothy Benson | Physician Assistant | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2019-09-10 |
| 1427521715 | Livingston Healthcare | Health Educator | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2019-01-09 |
| 1528583531 | Kelli Ann Turner | Occupational Therapist | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2017-08-10 |
| 1033654835 | Joseph Reyna | Nurse Anesthetist, Certified Registered | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2017-01-03 |
| 1225488356 | Hannah Dupea | Family Medicine | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2016-06-20 |
| 1487028312 | Siobhan Conley | Physician Assistant | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2015-11-16 |
| 1619368115 | Bonnie Roll | Advanced Practice Midwife | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2015-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013578343 | Sara Gentry | Social Worker | 126 East Callendar Suite 5, Livingston, MT 59047 | 2019-06-26 |
| 1972099752 | Lisa Talcott LLC | Social Worker | 410 S. 11th St, Livingston, MT 59047 | 2018-07-05 |
| 1326535071 | Christine Evelyn May | Counselor | 320 N Main St Ste 2, Livingston, MT 59047 | 2018-04-18 |
| 1033617469 | Lisa Talcott | Social Worker | 410 S. 11th St., Livingston, MT 59047 | 2018-01-31 |
| 1821492125 | Kim Salloux Lac | Preferred Provider Organization | 109 W Callender Suite 2e, Livingston, MT 59047 | 2014-10-15 |
| 1043657752 | Jamie Lynn Van Zee | Speech-Language Pathologist | 80 West Pine Creek, Livingston, MT 59047 | 2013-06-04 |
| 1598051039 | Emma Taylor Neal | Occupational Therapist | 608 E Milky Way Dr, Livingston, MT 59047 | 2011-06-23 |
| 1063715985 | Jacqueline K Isaly | Counselor | 430 E Park, Livingston, MT 59047 | 2010-12-15 |
| 1063665768 | Danny F. Neill | Hearing Instrument Specialist | 615 W. Park St., Livingston, MT 59047 | 2008-10-28 |
| 1093971376 | Kevin Graham Scott | Dentist | 422 South Main Street, Livingston, MT 59047 | 2008-08-05 |
| Find all providers in zip 59047 | ||||
| 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 |
|---|---|---|---|---|
| 1265909121 | Rockcastle River Family Health Clinic Pllc | Nurse Practitioner | 9226 Main St, Livingston, KY 40445 | 2018-10-30 |
| 1679064265 | Xiomara Frans-cuber | Nurse Practitioner | 12 Cedar Gate Ct, Livingston, NJ 07039-8301 | 2018-05-20 |
| 1649641648 | Suzana Cane | Nurse Practitioner | 65 Hillside Ter, Livingston, NJ 07039-2843 | 2015-10-15 |
| 1114331311 | Ann Luna | Nurse Practitioner | 219 Eastwood Ave, Livingston, TX 77351-3342 | 2014-06-16 |
| 1497896286 | Bela Laschiver | Nurse Practitioner | 11 Crossbrook Pl, Livingston, NJ 07039-3710 | 2007-02-12 |
| 1962488643 | Lee Ann Condron | Nurse Practitioner | 1717 Hwy 59 S Bypass, Livingston, TX 77351 | 2005-12-15 |
| 1437769916 | Emma Anonuevo | Nurse Practitioner | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2020-08-09 |
| 1417580200 | Rabia Pasha | Nurse Practitioner | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2020-02-19 |
| 1740757590 | Annamma Thomas | Nurse Practitioner | 94 Old Short Hills Road, Livingston, NJ 07039 | 2018-10-30 |
| 1831627355 | Darria Marcella Lloyd | Nurse Practitioner | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2017-05-29 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 59047 |
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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.