NELLA JACKSON PERRELLA (NPI# 1356861751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356861751 |
| Entity Type | Individual |
| Full Name | NELLA JACKSON PERRELLA |
| Other Name | NELLA JEANNINE JACKSON |
| Credential | MSN, FNP |
| Practice Address |
606 Buttermilk Pike Crescent Springs KY 41017 |
| Mailing Address |
2883 Markbreit Ave Cincinnati OH 45209-2019 |
| Practice Telephone | 8593441824 |
| Mailing Telephone | 7703014035 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3012187 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.022420 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN223408 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
606 BUTTERMILK PIKE |
| City | CRESCENT SPRINGS |
| State | KY |
| Zip Code | 41017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871508028 | Walgreen Co | Pharmacy | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 | 2006-07-29 |
| 1992145874 | Katy Lynne Clifton | Pharmacist | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 | 2013-06-25 |
| 1073868469 | Eric Joseph Volpenhein | Pharmacist | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 | 2012-07-21 |
| 1275819690 | Sheila Marie Mccracken | Pharmacist | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 | 2011-10-31 |
| 1063794600 | Joseph Christopher Kues | Pharmacist | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 | 2011-09-09 |
| 1689955056 | Amber Dalhover | Pharmacist | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 | 2011-08-30 |
| 1285914788 | Anne Kellogg | Pharmacist | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 | 2011-08-29 |
| 1578714010 | Dawna Marie Kennedy | Nurse Practitioner | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 | 2008-10-02 |
| 1881856607 | Karen Wigger | Nurse Practitioner | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578714010 | Dawna Marie Kennedy | Nurse Practitioner | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 | 2008-10-02 |
| 1881856607 | Karen Wigger | Nurse Practitioner | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1629677117 | Shelby A Rollings | Nurse Practitioner | 100 Clint Hill Blvd, Paducah, KY 42001-6771 | 2020-10-26 |
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1710586466 | Jamie Rae Ratcliff | Nurse Practitioner | 141 Ky Route 1428, Prestonsburg, KY 41653-1506 | 2020-10-23 |
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | CRESCENT SPRINGS |
| Zip Code | 41017 |
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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.