DANA LYNNE KELLY (NPI# 1326020397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326020397 |
| Entity Type | Individual |
| Full Name | DANA LYNNE KELLY |
| Credential | PA |
| Practice Address |
1411 East 31st St Oakland CA 94602-1018 |
| Mailing Address |
4301 North Star Way Modesto CA 95356 |
| Practice Telephone | 2093422300 |
| Practice Fax Number | 2095244240 |
| Mailing Telephone | 2093422300 |
| Mailing Fax Number | 2095244240 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SE0003X |
Clinical Nurse Specialist Specialization: Emergency |
PA13877 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0PA138770 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376184614 | Dana Michelle Kelly | Physician Assistant | 2490 Mosside Blvd, Monroeville, PA 15146-4236 | 2019-10-07 |
| 1215387899 | Dana Elizabeth Kelly | Social Worker | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2016-06-15 |
| 1134418635 | Dana Nicole Kelly | Physical Therapist | 525 E 68th St, New York Presbyterian Hospital, New York, NY 10065-4870 | 2011-04-05 |
| 1508036351 | Dana Kelly | Registered Nurse | 916 Pacific Ave, 7th Floor, Everett, WA 98201-4147 | 2008-03-07 |
| 1356565980 | Dana Kelly | Registered Nurse | 3715 Sw 29th St, Topeka, KS 66614-2107 | 2007-04-13 |
| 1780721118 | Dana Leann Kelly | Counselor | 1420 Neal St, Suite 202, Cookeville, TN 38501-4333 | 2007-02-01 |
| Street Address |
1411 EAST 31ST ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518949585 | Andrew Charles Nothmann | Emergency Medicine | 1411 East 31st St, Oakland, CA 94602-1018 | 2005-11-16 |
| 1649808072 | Henry Schwimmer | Student in an Organized Health Care Education/Training Program | 1411 East 31st St, Qic 22123, Oakland, CA 94602-1092 | 2020-03-31 |
| 1215126529 | Lisa Yvette Burton-jackson | Social Worker | 1411 East 31st St, Acmc Highland Campus, Oakland, CA 94602 | 2007-10-23 |
| 1942499256 | Wendy Sarah Dutton | Social Worker | 1411 East 31st St, Acmc Highland Campus, Oakland, CA 94602 | 2007-10-23 |
| 1033129614 | Rachel Fern Velek | Pediatrics | 1411 East 31st St, Oakcare Medical Group, Oakland, CA 94602 | 2006-08-08 |
| 1285644872 | Judith Wofsy | Internal Medicine | 1411 East 31st St, Oakcare Medical Group, Oakland, CA 94602 | 2006-08-08 |
| 1891705489 | Frazier Hubbard | Obstetrics & Gynecology | 1411 East 31st St, Oakcare Medical Group, Oakland, CA 94602-1080 | 2006-08-08 |
| 1205816113 | Gary William Tamkin | Emergency Medicine | 1411 East 31st St, Oakland, CA 94602-1018 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| Taxonomy Code | 364SE0003X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134188501 | Joshua Salome Inez Luftig | Clinical Nurse Specialist | 1411 East 31 Street, Oakland, CA 94602-1018 | 2006-03-22 |
| 1215986732 | Brandon Lee Shulman | Clinical Nurse Specialist | 1411 East 31st Street, Oakland, CA 94602-1018 | 2006-05-10 |
| 1003887480 | Patricia Scott Meyer | Clinical Nurse Specialist | 1411 E 31st St, Oakland, CA 94602-1018 | 2006-02-01 |
| 1306824669 | Kristin K Mancuso | Clinical Nurse Specialist | 1411 E 31st St, Oakland, CA 94602-1018 | 2006-01-06 |
| 1962483412 | Kevin Lee Binder | Clinical Nurse Specialist | 1411 E 31st St, Oakland, CA 94602-1018 | 2005-11-10 |
| 1316928088 | Richard Gerard Ochoa | Clinical Nurse Specialist | 1411 E 31st St, Oakland, CA 94602-1018 | 2005-11-09 |
| 1518958834 | Susan Louise Glasscock | Clinical Nurse Specialist | 1411 E 31st St, Oakland, CA 94602-1018 | 2005-11-04 |
| 1194716415 | Hillary Jane Larkin | Clinical Nurse Specialist | 1411 E 31st St, Oakland, CA 94602-1018 | 2005-11-04 |
| 1447241773 | Martin Thomas Moran | Clinical Nurse Specialist | 1411 E 31st St, Oakland, CA 94602-1018 | 2005-11-04 |
| 1801887195 | Denae Katina Reed | Clinical Nurse Specialist | 1411 E 31st St, Oakland, CA 94602-1018 | 2005-11-04 |
| Find all providers in OAKLAND | ||||
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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.