KRISTEN M KELLY (NPI# 1306855333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306855333 |
| Entity Type | Individual |
| Full Name | KRISTEN M KELLY |
| Credential | CRNP |
| Practice Address |
314 Moore Building University Park PA 16802 |
| Practice Telephone | 8148652191 |
| Practice Fax Number | 8148631331 |
| Mailing Telephone | 8148652191 |
| Mailing Fax Number | 8148631331 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
RN559476 | PA | Behavioral Health & Social Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP009083 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617612 | Kristen Kelly | Physician Assistant | 31 W Maple Rd, Greenlawn, NY 11740-1024 | 2020-07-28 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1467905075 | Kristen Gidel Kelly | Counselor | 384 Streamwater Dr, Blacklick, OH 43004-8132 | 2016-07-31 |
| 1710516711 | Kristen A Kelly | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-04-02 |
| 1962983270 | Kristen Irene Kelly | Occupational Therapy Assistant | 3002 W 2nd Ave, Corsicana, TX 75110-2492 | 2018-08-24 |
| 1356845101 | Kristen Mchugh Kelly | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2018-03-19 |
| 1265942809 | Kristen D Kelly | Occupational Therapist | 2865 Chancellor Dr Ste 105, Crestview Hills, KY 41017-3913 | 2017-10-10 |
| 1023470945 | Kristen Joy Kelly | Student in an Organized Health Care Education/Training Program | 1679 E Main St, Suite 102, El Cajon, CA 92021-5212 | 2016-03-22 |
| 1558798181 | Kristen Kelly | Pharmacist | 5809 Deale Churchton Rd, Deale, MD 20751-2203 | 2013-09-27 |
| 1336576081 | Kristen Michelle Kelly | Social Worker | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2013-09-26 |
| Street Address |
314 MOORE BUILDING |
| City | UNIVERSITY PARK |
| State | PA |
| Zip Code | 16802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073546503 | Louis Georges Castonguay | Psychologist | 314 Moore Building, University Park, PA 16802 | 2006-07-08 |
| 1952597122 | Jose Angel Soto | Psychologist | 314 Moore Building, University Park, PA 16802 | 2007-09-20 |
| 1245375807 | Frank Gerard Hillary | Psychologist | 314 Moore Building, University Park, PA 16802 | 2007-02-21 |
| 1386784593 | The Pennsylvania State University | Public Health or Welfare | 314 Moore Building, University Park, PA 16802-3103 | 2007-02-07 |
| 1851450704 | William J Ray | Psychologist | 314 Moore Building, University Park, PA 16802 | 2006-12-07 |
| 1497764427 | Aaron Lee Pincus | Psychologist | 314 Moore Building, University Park, PA 16802 | 2006-08-07 |
| 1356376362 | Clifford M Evans | Psychologist | 314 Moore Building, University Park, PA 16802 | 2006-07-11 |
| 1164457172 | Jeffrey S Jackson | Psychologist | 314 Moore Building, University Park, PA 16802 | 2006-07-11 |
| 1720013634 | Mary A Boutselis | Psychologist | 314 Moore Building, University Park, PA 16802 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733215 | Erin Marie Mosser | Licensed Practical Nurse | 1 Eisenhower Drive, Student Health Services, University Park, PA 16802 | 2020-09-04 |
| 1063034569 | Benjamin Reese | Specialist/Technologist | 201 Curtin Rd, University Park, PA 16802 | 2020-05-07 |
| 1740801240 | Selah Nicole Whisenant | Specialist/Technologist | Burrowes Rd, University Park, PA 16802 | 2020-05-06 |
| 1659992774 | Shane Jeffrey Angle | Specialist/Technologist | Rec Hall, Burrowes Road, University Park, PA 16802 | 2020-04-29 |
| 1497383962 | Valerie Ann Fulton | Registered Nurse | Penn State University University Health Services, Student Health Center, University Park, PA 16802 | 2020-03-31 |
| 1871155929 | Monica Rosensteel | Licensed Practical Nurse | 1 Eisenhower Dr, University Park, PA 16802 | 2019-06-28 |
| 1609430636 | Adriana Sladich | Specialist/Technologist | 201 Curtain Rd, University Parks, PA 16802 | 2019-04-25 |
| 1073177168 | Sara Bowman | Licensed Practical Nurse | 1 Eisenhower Road, University Park, PA 16802 | 2019-04-24 |
| 1538632468 | Amy Dyanna Marshall | Psychologist | 140 Moore Building, Department of Psychology, University Park, PA 16802 | 2019-01-03 |
| 1083192496 | Raymond J Champagne II | Specialist/Technologist | Penn State Sports Medicine, 109 Lasch Building, University Park, PA 16802 | 2018-07-30 |
| Find all providers in zip 16802 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902088511 | Ashley Bartley | Nurse Practitioner | 501 Student Health Ctr, University Park, PA 16802-2129 | 2007-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152544 | Jeanne Denise Howell | Nurse Practitioner | 6019 Saddlehorn Dr, Erie, PA 16506-4721 | 2020-10-20 |
| 1770199341 | Nicole Kassandra Carissimi | Nurse Practitioner | 1618 S 19th St, Philadelphia, PA 19145-1439 | 2020-09-19 |
| 1548875875 | Marisa Savic | Nurse Practitioner | 1 Medical Center Blvd Ste 407, Chester, PA 19013-3902 | 2020-09-14 |
| 1972117976 | Matthew Hunter | Nurse Practitioner | 728 Westerly Pkwy, State College, PA 16801-4226 | 2020-09-07 |
| 1801400817 | Monarch Psychiatric Services, P.C. | Nurse Practitioner | 103 N Gilpin St Ste 306, Punxsutawney, PA 15767-2055 | 2020-09-07 |
| 1154934412 | Ashley Scott Foster | Nurse Practitioner | 1701 Timberidge Dr, Bethel Park, PA 15102-4043 | 2020-08-26 |
| 1699385146 | Renee Lucci | Nurse Practitioner | 15 Douglas St, Ambler, PA 19002-4941 | 2020-08-08 |
| 1184233660 | Care Therapy | Nurse Practitioner | 610 Pittsburgh St, Scottdale, PA 15683-1651 | 2020-07-30 |
| 1184233926 | Jessica L Parente | Nurse Practitioner | 4067 Howley St, Pittsburgh, PA 15224-1439 | 2020-07-28 |
| 1770192775 | Lisa Ghiloni | Nurse Practitioner | 6809 N 10th St, Philadelphia, PA 19126-2906 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | UNIVERSITY PARK |
| Zip Code | 16802 |
Please comment or provide details below to improve the information on KRISTEN M KELLY.
| 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.