MRS. MICHELLE ROSE KELLY (NPI# 1366867061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366867061 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE ROSE KELLY |
| Credential | NP-C |
| Practice Address |
701 W High St Jefferson City MO 65101-1525 |
| Mailing Address |
8205 Deer Haven Road Jefferson City MO 65101-8706 |
| Practice Telephone | 5736363313 |
| Mailing Telephone | 5736322069 |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2104005310 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740687318 | Michelle Kelly | Counselor | 770 Woodlane Ave, Mt. Holly, NJ 08060 | 2014-11-26 |
| 1053729202 | Michelle Kelly | Speech-Language Pathologist | 79 Lloyd Rd, Ho Ho Kus, NJ 07423-1549 | 2014-07-31 |
| 1699041020 | Michelle A. Kelly | Counselor | 4101 N Thanksgiving Way, Lehi, UT 84043-4367 | 2012-03-29 |
| 1518929553 | Michelle Marie Kelly | Specialist/Technologist | 29 Everett St, Lesley University, Cambridge, MA 02138-2702 | 2006-04-05 |
| 1245215920 | Michelle J Kelly | Dentist | 11 Crossroads Ct, Delafield, WI 53018-2035 | 2005-12-14 |
| 1588202121 | Michelle Kelly | Chore Provider | 1785 E Sahara Ave Ste 485, Las Vegas, NV 89104-3757 | 2019-12-13 |
| 1346896529 | Michelle Nicole Kelly | Counselor | 350 Elk St, Rapid City, SD 57701-7351 | 2019-08-14 |
| 1578062519 | Michelle Marie Kelly | Community Health Worker | 108 N Main St, Sunderland, MA 01375-9502 | 2018-02-05 |
| 1306299219 | Michelle Kelly | Social Worker | 29 Bassett Ln, Hyannis, MA 02601-3813 | 2016-07-15 |
| 1285099689 | Michelle Kelly | Dietitian, Registered | 1099 Oak St, Indiana, PA 15701-1651 | 2015-12-30 |
| Street Address |
701 W HIGH ST |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65101-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366422081 | William R. Kimlinger | Family Medicine | 701 W High St, Jefferson City, MO 65101-1525 | 2006-01-19 |
| 1548662638 | Mitchell Psychological Associates LLC | Psychologist | 701 W High St, Jefferson City, MO 65101-1525 | 2014-09-19 |
| 1326486341 | Kate Good Weir | Counselor | 701 W High St, Jefferson City, MO 65101-1525 | 2013-06-12 |
| 1144572371 | Angela Marie Pemberton | Counselor | 701 W High St, Jefferson City, MO 65101-1525 | 2012-10-11 |
| 1942579453 | Eric Maurice Vinson | Counselor | 701 W High St, Jefferson City, MO 65101-1525 | 2011-12-29 |
| 1366762601 | Grace Counseling Center, LLC | Counselor | 701 W High St, Jefferson City, MO 65101-1525 | 2010-06-09 |
| 1679624316 | Jefferson City Medical Group, PC | Family Medicine | 701 W High St, Jefferson City, MO 65101-1525 | 2007-01-16 |
| 1922163781 | Jcmg Mental Health, L.L.C. | Psychologist | 701 W High St, Room 14, Jefferson City, MO 65101-1525 | 2006-12-22 |
| 1487664876 | Jane A Domke | Psychologist | 701 W High St, Jefferson City, MO 65101-1525 | 2006-08-08 |
| 1568403384 | Mary Elaine Doyle | Nurse Practitioner | 701 W High St, Jefferson City, MO 65101-1525 | 2006-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468527 | Lhcg Cxxxxiii, LLC | Home Health | 1125 Madison St Ste C, Jefferson City, MO 65101 | 2018-05-25 |
| 1396254629 | Lauren Mellon | Speech-Language Pathologist | 6124 Falcon Lane, Jefferson City, MO 65101 | 2017-09-29 |
| 1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
| 1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
| 1386923472 | Lorinda Jo Leer | Occupational Therapist | 1403 Riverside Drive, Jefferson City, MO 65101 | 2011-08-08 |
| 1124334503 | Kimberly K Baumhoer | Hearing Instrument Specialist | 315 Ellis Blvd. Suite 202, Hearing Aid Consultants, Jefferson City, MO 65101 | 2010-08-24 |
| 1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
| 1336364819 | Jerome Satorre | Occupational Therapist | 505 Ellis Blvd, Apt B20, Jefferson, MO 65101 | 2007-04-17 |
| 1326263450 | Bryan M. Pope, Dds Inc. | Dentist | 200 St. Mary's Medical Plaza, Suite 101, Jefferson City, MO 65101 | 2007-04-16 |
| 1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
| Find all providers in zip 65101 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780211169 | Claire Luetkemeyer | Nurse Practitioner | 213 Michelle Dr, Jefferson City, MO 65109-0135 | 2020-03-25 |
| 1386104818 | Renee Jean Scherr | Nurse Practitioner | 8200 No More Victims Rd, Jefferson City, MO 65101-4539 | 2019-03-21 |
| 1366912362 | Julia Ann Babin | Nurse Practitioner | 1620 Bald Hill Rd, Jefferson City, MO 65101-3804 | 2018-12-03 |
| 1033688924 | Sara Marso | Nurse Practitioner | 2511 W Edgewood Dr Ste D, Jefferson City, MO 65109-5869 | 2018-11-20 |
| 1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
| 1871897405 | Sarah Elizabeth Hyman | Nurse Practitioner | 3501a W Truman Blvd, Jefferson City, MO 65109-5715 | 2010-12-22 |
| 1164735221 | Kimberly F Shelton | Nurse Practitioner | 1004 N Highway 92 Ste B, Jefferson City, TN 37760-3687 | 2010-07-19 |
| 1235338252 | Sheila Ann Olsen | Nurse Practitioner | 806 Navajo Dr, Jefferson City, TN 37760-5122 | 2007-07-11 |
| 1225013907 | Sharon Mcanear | Nurse Practitioner | 1646 Russell Ave, Carson-newman College, Jefferson City, TN 37760-2204 | 2005-12-14 |
| 1114909538 | Betty Jo Ellington | Nurse Practitioner | 1413 Russell Ave, Jefferson City, TN 37760-2562 | 2005-11-20 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
Please comment or provide details below to improve the information on MRS. MICHELLE ROSE KELLY.
| 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.