KELLY WEST (NPI# 1376102319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376102319 |
| Entity Type | Individual |
| Full Name | KELLY WEST |
| Practice Address |
86 Baker Avenue Ext Ste 100 Concord MA 01742-2132 |
| Practice Telephone | 9783691113 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN2326293 | MA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2326293 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285299883 | Kelly West | Physical Therapist | 3949 Evans To Locks Rd, Evans, GA 30809-8054 | 2019-05-08 |
| 1366992760 | Kelly Ann West | Nurse Practitioner | 1236 Knoxville Hwy., Wartburg, TN 37887-4200 | 2016-10-10 |
| 1053736546 | Kelly Rae West | Registered Nurse | 19197 Golden Valley Rd # 923, Santa Clarita, CA 91387-1428 | 2014-02-20 |
| 1467763490 | Kelly Nicole West | Speech-Language Pathologist | 32201 S 655 Rd, Grove, OK 74344-7647 | 2010-06-24 |
| 1932431624 | Kelly Joy West | Music Therapist | 13625 S 48th St, Apt. 2210, Phoenix, AZ 85044-5000 | 2010-02-04 |
| 1669703088 | Kelly Lynn West | Dentist | 608 E Bailey Boswell Rd, Suite 100, Saginaw, TX 76131-3569 | 2010-01-25 |
| 1447585278 | Kelly David West | Massage Therapist | 9112 E Lacrosse Ln, Spokane Valley, WA 99206-4585 | 2009-10-13 |
| 1134393929 | Kelly Leigh West | Pathology | 2006 New Garden Road, Suite 106, Greensboro, NC 27410-2567 | 2008-04-14 |
| 1245389071 | Kelly Neil West | Family Medicine | 9th Medical Group, 15301 Warren Shingle Road, Beale Afb, CA 95903-1907 | 2007-01-10 |
| 1760582480 | Kelly Nicole West | Dentist | 1245 Cheyenne Ave, Suite 104, Grafton, WI 53024 | 2006-09-23 |
| Street Address |
86 BAKER AVENUE EXT STE 100 |
| City | CONCORD |
| State | MA |
| Zip Code | 01742-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649796715 | Laura Smith | Social Worker | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2017-08-20 |
| 1710501028 | Stephanie Ault | Counselor | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2020-06-02 |
| 1215550041 | Ashley Miller | Counselor | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2020-05-27 |
| 1245873686 | Kristin Duggan | Counselor | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2019-10-17 |
| 1568012110 | Lisa Fredman | Counselor | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2019-09-16 |
| 1235789876 | Kelsey Karas | Counselor | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2019-09-16 |
| 1376002568 | Jeffrey Perez | Counselor | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2019-03-18 |
| 1437632932 | Cory Elizabeth Kaufman | Counselor | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2018-09-11 |
| 1265913800 | Sara Beth Clinton | Counselor | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2018-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| Find all providers in zip 01742 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154591030 | Craig Sussman | Nurse Practitioner | 111 Old Road To Nine Acre Corner, Concord, MA 01742-4141 | 2008-03-06 |
| 1306906417 | Steve Arvin | Nurse Practitioner | 100 Hall St, Concord, NH 03301-3408 | 2006-12-11 |
| 1144380940 | Holli Marie Hoffman | Nurse Practitioner | 1333 Willow Pass Rd Ste 102, Concord, CA 94520 | 2006-12-11 |
| 1225003908 | Patricia A Orzano | Nurse Practitioner | 278 Pleasant Street, Riverbend Counseling Associates, Concord, NH 03301 | 2006-02-17 |
| 1437132941 | Nancy Clark | Nurse Practitioner | 40 Pleasant St, Concord, NH 03301-4006 | 2005-11-29 |
| 1326030792 | Lacy Henry Miller | Nurse Practitioner | 284 Executive Park Dr, Concord, NC 28025-1831 | 2005-08-22 |
| 1063013423 | Timothy Bailey | Nurse Practitioner | 36 Clinton St, Concord, NH 03301-2359 | 2020-11-03 |
| 1447868617 | Meghan Dumas Farley | Nurse Practitioner | 36 Clinton St, Concord, NH 03301-2359 | 2020-07-14 |
| 1073145199 | Ry K Billadeau | Nurse Practitioner | 33 Warren St, Concord, NH 03301-4049 | 2020-02-06 |
| 1073158101 | David Jihun Choi | Nurse Practitioner | 281 N State St, Concord, NH 03301-3227 | 2019-11-13 |
| Find all providers in CONCORD | ||||
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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.