PAMELA K KELLY (NPI# 1285691154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285691154 |
| Entity Type | Individual |
| Full Name | PAMELA K KELLY |
| Credential | PA |
| Practice Address |
1300 N 12th St Suite 520 Phoenix AZ 85006-2848 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 6024954863 |
| Practice Fax Number | 6025283120 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2016-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1608 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922479344 | Pamela Kelly | Nurse Practitioner | 3 Audubon Plaza Drive Mob East, Suite 110, Louisville, KY 40217-1363 | 2015-10-12 |
| 1124345897 | Pamela Stauffer Kelly | Registered Nurse | 569 58th St, Apartment 1r, Brooklyn, NY 11220-3847 | 2010-04-21 |
| 1962669259 | Pamela Kelly | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2008-05-22 |
| 1962415133 | Pamela S Kelly | Nurse Practitioner | 2 Tampa General Cir, Stc 4th Floor, Tampa, FL 33606-3603 | 2006-08-15 |
| 1235167156 | Pamela Wolfe Kelly | Nurse Practitioner | 921 S Beneva Rd, Sarasota, FL 34232-2401 | 2006-06-29 |
| Street Address |
1300 N 12TH ST SUITE 520 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192590 | William Walter Holland | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2005-05-24 |
| 1699235127 | Mary Mihalko | Student in an Organized Health Care Education/Training Program | 1300 N 12th St, Phoenix, AZ 85006-2848 | 2019-03-21 |
| 1447779608 | Sara Marie Sorace | Physician Assistant | 1300 N 12th St, Phoenix, AZ 85006-2848 | 2017-09-19 |
| 1104350990 | Hillary Tamar | Student in an Organized Health Care Education/Training Program | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-18 |
| 1669906459 | Michelle Sommer | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-18 |
| 1922532712 | Herbert Rosenbaum | Student in an Organized Health Care Education/Training Program | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-18 |
| 1992239909 | Karalyne Blochberger | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-17 |
| 1104350123 | Akua Ekunwe | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-17 |
| 1073047098 | Viktoria Krajnc | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-17 |
| 1568995876 | Stefanie Handrick Brichta | Student in an Organized Health Care Education/Training Program | 1300 N 12th St, Suite 320, Phoenix, AZ 85006-2848 | 2017-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456585 | Chelsea Lee Townsend | Physician Assistant | 6823 S 9th Ave, Phoenix, AZ 85041-6752 | 2020-10-28 |
| 1972100949 | Amanda Alcantar | Physician Assistant | 8822 W Minnezona Ave, Phoenix, AZ 85037-1499 | 2020-10-02 |
| 1700483898 | Athena Marie Arbuckle | Physician Assistant | 3815 E Bell Rd Ste 3600, Phoenix, AZ 85032-2166 | 2020-10-02 |
| 1356957062 | Kylee Ann Lattomus | Physician Assistant | 26008 N 47th Dr, Phoenix, AZ 85083-1681 | 2020-09-17 |
| 1841801768 | Pfai Assist, Pllc | Physician Assistant | 10645 N Tatum Blvd Ste 200-556, Phoenix, AZ 85028-3068 | 2020-08-13 |
| 1285242479 | Jacob Molina | Physician Assistant | 15820 N 21st Dr, Phoenix, AZ 85023-7268 | 2020-07-14 |
| 1649898602 | Rivi Rose Sacks | Physician Assistant | 776 E Circle Rd, Phoenix, AZ 85020-4142 | 2020-07-07 |
| 1942828876 | Taylor Leblanc | Physician Assistant | 2150 W Alameda Rd Unit 1343, Phoenix, AZ 85085-1941 | 2020-07-07 |
| 1730707746 | Emily Jane Foley | Physician Assistant | 4650 N Central Ave Unit 241, Phoenix, AZ 85012-1076 | 2020-07-07 |
| 1841815230 | Alyssa Nicole Bruns | Physician Assistant | 4217 E Altadena Ave, Phoenix, AZ 85028-2232 | 2020-06-10 |
| Find all providers in PHOENIX | ||||
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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.