KELLY ANN VONHERBULIS (NPI# 1346522802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346522802 |
| Entity Type | Individual |
| Full Name | KELLY ANN VONHERBULIS |
| Credential | APRN-BC, NNP |
| Practice Address |
4750 Waters Ave Suite 206 Savannah GA 31404-6200 |
| Practice Telephone | 9123505915 |
| Practice Fax Number | 9123505930 |
| Mailing Telephone | 9123505915 |
| Mailing Fax Number | 9123505930 |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
RN124495 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4750 WATERS AVE SUITE 206 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538168109 | Jill Katrice Beckworth | Nurse Practitioner | 4750 Waters Ave, Suite 202, Savannah, GA 31404-6200 | 2005-07-18 |
| 1881177954 | Holly Nicole Klepek | Genetic Counselor, MS | 4750 Waters Ave, Savannah, GA 31404-6200 | 2018-09-13 |
| 1477001659 | Sabrina Renee Williams | Genetic Counselor, MS | 4750 Waters Ave, Suite 302, Savannah, GA 31404-6200 | 2016-09-15 |
| 1871978148 | Blanche L. Etheridge | Nurse Practitioner | 4750 Waters Ave, Suite 202, Savannah, GA 31404-6200 | 2015-07-28 |
| 1871974923 | Joshua Milby | Physician Assistant | 4750 Waters Ave, Ste 202, Savannah, GA 31404-6200 | 2015-06-15 |
| 1811385800 | April M Downing | Registered Nurse | 4750 Waters Ave, #206, Savannah, GA 31404-6200 | 2014-12-30 |
| 1538563408 | Rebecca Brewster | Physician Assistant | 4750 Waters Ave, Suite 202, Savannah, GA 31404-6200 | 2014-10-21 |
| 1629487855 | Patricia A Haselden | Nurse Practitioner | 4750 Waters Ave, Ste 500, Savannah, GA 31404 | 2014-08-13 |
| 1598194318 | Ashmed Vazquez Md PC | Obstetrics & Gynecology | 4750 Waters Ave, Suite 450, Savannah, GA 31404-6200 | 2013-11-02 |
| 1902145451 | Stephanie Alston | Health Educator | 4750 Waters Ave, Suite 452, Savannah, GA 31404-6200 | 2013-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864580 | Carli A Boatright | Registered Nurse | 4750 Waters Ave Suite 206, Savannah, GA 31404 | 2019-08-01 |
| 1619530573 | Morgan Johnson | Student in an Organized Health Care Education/Training Program | Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 | 2019-04-17 |
| 1477050243 | Kevin Timperman | Student in an Organized Health Care Education/Training Program | 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 | 2018-04-09 |
| 1376048959 | Nina Jo Paletta | Student in an Organized Health Care Education/Training Program | Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 | 2018-03-27 |
| 1972036200 | Jose Adrian Lara Gonzalez | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 | 2017-04-04 |
| 1407210396 | Lexie Hester Vaughn | Student in an Organized Health Care Education/Training Program | 1250 East 66th St, Savannah, GA 31404 | 2016-04-07 |
| 1336503291 | Miles Love | Student in an Organized Health Care Education/Training Program | 1250 East 66th Street, Savannah, GA 31404 | 2016-04-07 |
| 1134536881 | David Patch | Specialist/Technologist | Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 | 2014-07-15 |
| 1962846683 | Alan Danilo Zevallos | Internal Medicine | 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 | 2013-04-24 |
| 1730446394 | Joshua Ryan Fann | Prosthetist | 3840 Waters Ave, Savannah, GA 31404 | 2012-04-19 |
| Find all providers in zip 31404 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942714274 | Kimberly Kay Miller | Nurse Practitioner | 4750 Waters Ave Ste 206, Savannah, GA 31404-6278 | 2017-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265944896 | Jennifer Michelle Kerhin | Nurse Practitioner | 777 Hemlock St Fl 3, Macon, GA 31201-2102 | 2017-11-05 |
| 1871034587 | Stephanie Joseph | Nurse Practitioner | 4316 Sublime Trl, Atlanta, GA 30349-8882 | 2017-03-14 |
| 1659810935 | Stephanie Gale Devers | Nurse Practitioner | 52 Johnny Wortham Rd, Newnan, GA 30263-4823 | 2017-02-19 |
| 1851757520 | Dawn Michelle Tripp | Nurse Practitioner | 10141 Flat Shoals Rd Sw, Covington, GA 30014-3707 | 2016-01-11 |
| 1295080414 | Christa Noel Brown | Nurse Practitioner | 142 Bryce Ryan Cir, Kingsland, GA 31548-7812 | 2012-07-14 |
| 1336398726 | Robin Domm Burch | Nurse Practitioner | 1790 Mulkey Rd Ste 10, Newborn Clinics of America LLC At Wellstar Cobb Clinic, Austell, GA 30106-1122 | 2008-09-10 |
| 1073730032 | Diane Arlene Doherty-chandler | Nurse Practitioner | 1191 Arbor Ln, Madison, GA 30650-3791 | 2007-04-19 |
| 1396886370 | Barbara Elaine Smith | Nurse Practitioner | 5335 Spot Creek Dr, Cumming, GA 30040-9554 | 2007-02-10 |
| 1245315118 | Sara Gelson Martin | Nurse Practitioner | 1762 Clifton Rd Ne Ste 103, Emory University, Atlanta, GA 30322-4001 | 2006-10-26 |
| 1861450058 | Paula Lynn Young | Nurse Practitioner | 2701 North Decatur Rd, Dekalb Medical Center, Decatur, GA 30033 | 2006-05-04 |
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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.