DR. KELLY NICOLE MORGAN (NPI# 1316580517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316580517 |
| Entity Type | Individual |
| Full Name | DR. KELLY NICOLE MORGAN |
| Credential | PSYD |
| Practice Address |
1313 Fish Hatchery Rd Madison WI 53715-1911 |
| Practice Telephone | 6082528000 |
| Practice Fax Number | 6082837351 |
| Mailing Telephone | 6082528000 |
| Mailing Fax Number | 6082837351 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 3147 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1316580517 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922564988 | Kelly Catherine Morgan | Social Worker | 2894 Alston Dr Se, Atlanta, GA 30317-3330 | 2019-02-14 |
| 1427449453 | Kelly Nicole Morgan | Marriage & Family Therapist | 2250 N Airport Rd, Weatherford, OK 73096-3351 | 2015-02-12 |
| 1164857223 | Kelly Ann Morgan | Licensed Practical Nurse | 2736 S 9th St, Ironton, OH 45638-2745 | 2013-09-09 |
| 1073760401 | Kelly Sue Morgan | Occupational Therapist | 6270 Cheyenne Dr, Olive Branch, MS 38654-5173 | 2008-08-27 |
| 1689742280 | Kelly Ann Morgan | Counselor | 489 Carlisle Dr Ste B, Herndon, VA 20170-4897 | 2006-12-01 |
| 1659452654 | Kelly Elizabeth Morgan | Counselor | 813 South State Street, Ste. 100, Madisonville, TX 77864 | 2006-10-17 |
| 1487682928 | Kelly Morgan | Nurse Practitioner | 360 Keen St, Burkesville, KY 42717-7915 | 2006-06-30 |
| 1386205631 | Kelly Morgan | Student in an Organized Health Care Education/Training Program | 3650 Auburn Blvd # C208, Sacramento, CA 95821-2069 | 2019-06-27 |
| 1528627387 | Kelly M Morgan | Optometrist | 338 W 10th Ave, Columbus, OH 43210-1280 | 2019-06-06 |
| 1235794066 | Kelly J Morgan | Case Manager/Care Coordinator | 1134 Jackson Pike, Gallipolis, OH 45631-2600 | 2019-05-07 |
| Street Address |
1313 FISH HATCHERY RD |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335269 | Paul A Boeder | Obstetrics & Gynecology | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2005-09-07 |
| 1780202663 | Julie Armstrong | Nurse Practitioner | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2020-07-08 |
| 1952952921 | Drew A Roenneburg | Physician Assistant | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-09-21 |
| 1386299154 | Antonia Efua Bertram | Nurse Practitioner | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-08-07 |
| 1407314081 | Tempesst L Merricks | Nurse Practitioner | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-03-04 |
| 1588133219 | Jorja Gander | Pharmacist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-11-26 |
| 1841772381 | Jessica M Vaughan | Advanced Practice Midwife | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-08-31 |
| 1295216430 | Sarah A Vadnais | Clinical Neuropsychologist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-08-26 |
| 1063906451 | Anthony P Rinaldi | Psychologist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-06-19 |
| 1659871218 | Andrea Maier | Pharmacist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295929461 | Laura Palmer Phd LLC | Clinical Neuropsychologist | 37 Kings Rd Ste 102, Madison, NJ 07940-2500 | 2007-08-30 |
| 1255303475 | Bruce P Hermann | Clinical Neuropsychologist | 600 Highland Av, Madison, WI 53792 | 2006-02-02 |
| 1053314344 | Gordon I Herz | Clinical Neuropsychologist | 478 Commerce Dr, Ste 204, Madison, WI 53719-4993 | 2005-05-31 |
| 1538792940 | Gloria M Morel Valdes | Clinical Neuropsychologist | 600 Highland Ave, Madison, WI 53792-0001 | 2020-02-14 |
| 1548817935 | John Stratton | Clinical Neuropsychologist | 600 Highland Ave, Madison, WI 53792-0001 | 2019-08-21 |
| 1730640178 | Victoria Jade Williams | Clinical Neuropsychologist | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2019-03-28 |
| 1295216430 | Sarah A Vadnais | Clinical Neuropsychologist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-08-26 |
| 1073030961 | Jonathan James Mietchen | Clinical Neuropsychologist | 600 Highland Ave, Madison, WI 53792-9469 | 2017-08-23 |
| 1629519475 | Natalie M Klempel | Clinical Neuropsychologist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2017-03-13 |
| 1366996928 | Erin Plumley | Clinical Neuropsychologist | 20 S Park St, Madison, WI 53715-1348 | 2016-08-11 |
| Find all providers in MADISON | ||||
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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.