MS. CASSANDRA TERRESA KELLY (NPI# 1376850719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376850719 |
| Entity Type | Individual |
| Full Name | MS. CASSANDRA TERRESA KELLY |
| Other Name | MRS. CASSANDRA TERRESA BEACH |
| Credential | LPN |
| Practice Address |
139 Henry Pkwy Mcdonough GA 30253-6636 |
| Practice Telephone | 7708987400 |
| Practice Fax Number | 7708987412 |
| Mailing Telephone | 7708987400 |
| Mailing Fax Number | 7708987412 |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN081087 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598248239 | Cassandra Anne Kelly | Nurse Anesthetist, Certified Registered | 1 Sycamore St Apt 343, Terre Haute, IN 47807-2622 | 2018-09-10 |
| 1447744420 | Cassandra Kelly | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2018-06-21 |
| 1336533850 | Cassandra Elaine Kelly | Occupational Therapist | 8575 Rixlew Ln, Manassas, VA 20109-3701 | 2015-03-23 |
| Street Address |
139 HENRY PKWY |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-6636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124061791 | Ceretha Stephens | Nurse Practitioner | 139 Henry Pkwy, Mcdonough, GA 30253 | 2006-06-13 |
| 1023616869 | Bennecia Gilbert | Specialist/Technologist | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2020-10-14 |
| 1942813696 | Luiz Torreao | Counselor | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2020-08-24 |
| 1316501810 | Dianna Narbon | Licensed Practical Nurse | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2019-04-30 |
| 1700373685 | Dherby Georges-ramdeen | Nurse Practitioner | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2018-04-17 |
| 1679010201 | Karen Lewis | Counselor | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2017-01-20 |
| 1619379997 | Lisa K Parker | Social Worker | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2014-09-18 |
| 1528303716 | Laura R Kemp | Counselor | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2012-11-29 |
| 1639429517 | Sarah Mccollum Osborn | Social Worker | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2012-09-18 |
| 1790058519 | Casey Jo Westphall | Counselor | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2012-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1255842605 | Tamekia Williams | Licensed Practical Nurse | 2028 Dickons Garden Ln, Mcdonough, GA 30253-3061 | 2017-10-12 |
| 1669998993 | Loucreise M Bell | Licensed Practical Nurse | 165 Annaberg Pl, Mcdonough, GA 30253-8380 | 2017-08-18 |
| 1689072746 | Sacoia Trains Anderson | Licensed Practical Nurse | 1860 Neighborhood Walk, Mcdonough, GA 30252-8643 | 2014-12-05 |
| 1427338771 | Nancy Osei-sarpong | Licensed Practical Nurse | 2729 Marisol Way, Mcdonough, GA 30253-9061 | 2011-08-18 |
| 1124317052 | Cocquese Mikell | Licensed Practical Nurse | 843 Sweetwater Way, Mcdonough, GA 30253-3785 | 2011-03-31 |
| 1629394408 | Sharon Carter | Licensed Practical Nurse | 490 Crosshaven Way, Mcdonough, GA 30253-4796 | 2010-04-19 |
| 1316501810 | Dianna Narbon | Licensed Practical Nurse | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2019-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961557 | Christina Jarvis-reid | Licensed Practical Nurse | 211 Lasso Dr, Riverdale, GA 30274-4095 | 2020-10-28 |
| 1326646639 | Yolanda Glover-harden | Licensed Practical Nurse | 6214 Hickory Lane Cir, Union City, GA 30291-5509 | 2020-10-09 |
| 1831706423 | Sonia Dareus | Licensed Practical Nurse | 1495 Cain Ct N, Douglasville, GA 30134-3681 | 2020-09-28 |
| 1609482140 | Antronette Darrell | Licensed Practical Nurse | 1578 Cherry Hill Rd Sw, Conyers, GA 30094-6835 | 2020-09-21 |
| 1760097778 | Christal Latrice Callier | Licensed Practical Nurse | 1995 Matt Dr, Austell, GA 30168-4330 | 2020-09-15 |
| 1356955678 | Marica Lashone Sanders | Licensed Practical Nurse | 301 -3 Club Villa Court, Kathleen, GA 31047 | 2020-09-03 |
| 1689287641 | Lydia Gennie | Licensed Practical Nurse | 1004 Shoreline Dr, Bainbridge, GA 39817-8393 | 2020-08-28 |
| 1558972588 | Starla Lynn Waddell | Licensed Practical Nurse | 675a Moran Lake Rd Ne, Rome, GA 30161-2106 | 2020-08-13 |
| 1700495975 | Shalunda Harrison | Licensed Practical Nurse | 4311 Christine Ct, Decatur, GA 30035-1702 | 2020-07-23 |
| 1902414683 | Vernita Monica Washington | Licensed Practical Nurse | 1974 Talmadge Rd, Allenhurst, GA 31301-3201 | 2020-07-17 |
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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.