MISS KELLY ANNA FETTERHOFF (NPI# 1316556566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316556566 |
| Entity Type | Individual |
| Full Name | MISS KELLY ANNA FETTERHOFF |
| Credential | CRNP |
| Practice Address |
205 S Front St Harrisburg PA 17104-1619 |
| Mailing Address |
1699 Pottsville St Lykens PA 17048-9633 |
| Practice Telephone | 7172318360 |
| Mailing Telephone | 7173954929 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP022261 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
205 S FRONT ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17104-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528030491 | Kantor and Tkatch Associates PC | Internal Medicine | 205 S Front St, Harrisburg, PA 17104-1619 | 2006-02-06 |
| 1932722121 | Benjamin Ravichander | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c, Harrisburg, PA 17104 | 2020-05-21 |
| 1184253452 | O'hara Kay Haley | Surgery | 205 S Front St, Brady 916, Harrisburg, PA 17104-1619 | 2020-04-07 |
| 1518596105 | Catherine Bongka Baye Easton | Obstetrics & Gynecology | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-04-06 |
| 1346879871 | Steven Millner | Emergency Medicine | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-04-06 |
| 1861021727 | George Chachati | Surgery | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-04-03 |
| 1689204927 | Kayla Wentzel | Physician Assistant | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-01-24 |
| 1609438175 | Yujian Chen | Podiatrist | 205 S Front St, Harrisburg, PA 17104-1619 | 2019-07-03 |
| 1649832379 | Syed Rasikh Jaffery | Emergency Medicine | 205 S Front St, Harrisburg, PA 17104-1619 | 2019-07-02 |
| 1073174678 | Kevin Taylor Spence | Surgery | 205 S Front St, Harrisburg, PA 17104-1619 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531292 | Siddharth Goel | Internal Medicine | 205 S Front St Upmc Pinnacle, Internal Medicine Residen, Suite 3c, Harrisburg, PA 17104 | 2020-06-03 |
| 1114541364 | Kolsoum Yari | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle Internal Medicin, Harrisburg, PA 17104 | 2020-06-03 |
| 1225652696 | Uba Chinyere Udeh | Internal Medicine | 205 S Front St. Suite 3c, Harrisburg, PA 17104 | 2020-06-02 |
| 1568086932 | Firdausi Abubakar Matawalle | Student in an Organized Health Care Education/Training Program | 205 S Front Street, Suite 3c Upmc Pinnacle Hospital, Harrisburg, PA 17104 | 2020-06-02 |
| 1467075853 | Medhavi Rajput | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle, Internal Medici, Harrisburg, PA 17104 | 2020-05-20 |
| 1659992147 | Manpreet Sidhu | Internal Medicine | Upmc Pinnacle Hospitals 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-06 |
| 1336760230 | Mahaswi Sirangi | Internal Medicine | Upmc Pinnacle Hospitals, 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-01 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1306496443 | Jinah Kim | Student in an Organized Health Care Education/Training Program | 205 S. Front St., Brady Building, Harrisburg, PA 17104 | 2019-09-19 |
| 1356903744 | Krupa Patel | Podiatrist | 205 S Front Street Brady Hall 905, Harrisburg, PA 17104 | 2019-07-05 |
| Find all providers in zip 17104 | ||||
| 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 |
|---|---|---|---|---|
| 1689183840 | Tina Norris | Nurse Practitioner | 3940 Locust Lane, Harrisburg, PA 17109-4023 | 2017-09-20 |
| 1255697561 | Stephanie Boisvert Canal | Nurse Practitioner | Youth Advocate Programs, Inc 1515 N Front Street, Harrisburg, PA 17102-1815 | 2012-04-11 |
| 1053925560 | Katherine Miller | Nurse Practitioner | 2595 Interstate Dr, Harrisburg, PA 17110-9378 | 2020-09-02 |
| 1649880378 | Eva Marie Marshall | Nurse Practitioner | 205 S Front St Fl 5, Harrisburg, PA 17104-1619 | 2020-08-07 |
| 1992324016 | Thomas Koste | Nurse Practitioner | 2030 N 3rd St, Harrisburg, PA 17102-1814 | 2020-04-09 |
| 1871120600 | Jessica R Jackson | Nurse Practitioner | 303 S Commercial St Ste 10, Harrisburg, IL 62946-2125 | 2020-03-23 |
| 1699322149 | Lisa Ann Rovelli | Nurse Practitioner | 205 S Front St Fl 5, Harrisburg, PA 17104-1619 | 2019-08-20 |
| 1821563909 | Denise Jocelyn Gemzik Jemiola | Nurse Practitioner | 3940 Locust Ln, Harrisburg, PA 17109-4023 | 2018-10-04 |
| 1427562701 | Kenyatte Zabre Canidate | Nurse Practitioner | 205 South Front Street, 5th Floor Bma, Harrisburg, PA 17104-1619 | 2017-11-26 |
| 1407271661 | Candice Regan | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2014-02-25 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17104 |
Please comment or provide details below to improve the information on MISS KELLY ANNA FETTERHOFF.
| 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.