MRS. KELLY LEE (NPI# 1386191856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386191856 |
| Entity Type | Individual |
| Full Name | MRS. KELLY LEE |
| Other Name | MISS KELLY JENNINGS |
| Credential | BSN, RN, PHN |
| Practice Address |
25 N. Cottonwood St. Adult and Aging Branch, Yolo County Hhsa Woodland CA 95695 |
| Practice Telephone | 5306668451 |
| Practice Fax Number | 5306612673 |
| Mailing Telephone | 5306668451 |
| Mailing Fax Number | 5306612673 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 95025630 | CA | Nursing Service Providers |
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
545994 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114392594 | Kelly Ann Lee | Nurse Practitioner | 405 Columbine Ct, Cranberry Township, PA 16066-3201 | 2015-12-10 |
| 1447586532 | Kelly Jeanette Lee | Marriage & Family Therapist | 200 Spring Dr, Mt Washington, KY 40047-7768 | 2009-10-23 |
| 1619008034 | Kelly Kyung A. Lee | Dentist | 2211 E. 7th St., Long Beach, CA 90804 | 2007-03-08 |
| 1083616874 | Kelly C Lee | Pharmacist | 140 Arbor Drive, San Diego, CA 92103-0000 | 2005-08-11 |
| 1124647086 | Kelly Jieun Lee | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr # Mc7792, San Antonio, TX 78229-3901 | 2020-04-10 |
| 1134615339 | Kelly Lee | Dentist | 10195 N Oracle Rd Ste 111, Oro Valley, AZ 85704-8751 | 2018-07-11 |
| 1215421649 | Kelly Lee | Occupational Therapist | 255 E Bonita Ave, Pomona, CA 91767-1923 | 2018-06-19 |
| 1316473820 | Kelly Lee | Behavior Technician | 2101 112th Ave Ne, Suite 100, Bellevue, WA 98004-2944 | 2017-05-03 |
| 1659805810 | Kelly Lee | Pharmacist | 801 Traeger Ave, San Bruno, CA 94066-3048 | 2017-04-14 |
| 1841722279 | Kelly M Lee | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2017-04-03 |
| Street Address |
25 N. COTTONWOOD ST. ADULT AND AGING BRANCH, YOLO COUNTY HHSA |
| City | WOODLAND |
| State | CA |
| Zip Code | 95695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851144 | Tariro Angela Sawaya | Student in an Organized Health Care Education/Training Program | 445 1st Street, Woodland, CA 95695 | 2020-08-14 |
| 1093277683 | Christie Lynne Vice | Marriage & Family Therapist | 255 W Court St Ste D, Woodland, CA 95695 | 2019-04-02 |
| 1912479437 | Phillips Scoliosis Center | Chiropractor | 375 W Main St., Ste C-1, Woodland, CA 95695 | 2018-12-21 |
| 1568947042 | Nikhil Sibal | Dentist | Woodland Family Dental, 58 W Court Street, Woodland, CA 95695 | 2018-10-01 |
| 1659860849 | Savannah Ellizabeth Lindley | Behavior Technician | 260 West Main St, Woodland, CA 95695 | 2018-05-03 |
| 1982133344 | Brittanie Ann Akey | Behavior Technician | 1102 Gary Way, Woodland, CA 95695 | 2017-06-08 |
| 1083163604 | Arthur Hernandez | Nurse Practitioner | 215 West Beamer Street, Woodland, CA 95695 | 2016-09-23 |
| 1730634486 | Ida Nilanthi Lonnerdal | Marriage & Family Therapist | 455 First Street, Woodland, CA 95695 | 2016-08-23 |
| 1912365974 | Yaretzi Counseling and Consulting LLC | Social Worker | 327 College St Ste 105, Woodland, CA 95695 | 2016-02-05 |
| 1871854513 | Misty Lee Burriss | Social Worker | 1706 Coloma Way, Woodland, CA 95695 | 2012-05-30 |
| Find all providers in zip 95695 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184797698 | Elizabeth Diane Miller | Registered Nurse | 137 North Cottonwood Street, Suite 2200, Woodland, CA 95695-2666 | 2006-11-15 |
| 1700924354 | Janice Lenora Babb | Registered Nurse | 137 N. Cottonwood St., Suite 2450, Woodland, CA 95695 | 2007-02-02 |
| 1417006750 | Sheneeka Anderson | Registered Nurse | 137 North Cottonwood Street, Woodland, CA 95695 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361430 | Marilyn Dormubari Sunday | Registered Nurse | 7511 Clear Lake Aly, Sacramento, CA 95829-8743 | 2020-09-16 |
| 1992315451 | Michelle Patino | Registered Nurse | 615b 2nd St, Petaluma, CA 94952-5123 | 2020-08-08 |
| 1144846080 | Paloma Beope Soriano | Registered Nurse | 4302 Valeta St, San Diego, CA 92107-1510 | 2020-06-16 |
| 1942822747 | Holly Sears Chisholm | Registered Nurse | 9619 Cuyamaca St # 19428, Santee, CA 92071-2674 | 2020-05-14 |
| 1952937658 | Mariam Gbaty Soumahoro | Registered Nurse | 3800 Silver Spur Way, Sacramento, CA 95841-4411 | 2020-03-14 |
| 1194350967 | Letisha Kathleen Kingsbury | Registered Nurse | 724 Granada Dr, Vista, CA 92083-4731 | 2020-03-11 |
| 1215576236 | Jocelyn Raquel Raedeker-freitas | Registered Nurse | 3165 B St, San Diego, CA 92102-2359 | 2019-12-23 |
| 1861030710 | Michelle Galang | Registered Nurse | 658 Rainbow Dr, Chula Vista, CA 91911-6844 | 2019-12-11 |
| 1023655172 | David Delgado | Registered Nurse | 27425 Bolandra Ct, Temecula, CA 92591-6123 | 2019-12-09 |
| 1104473297 | Shokoufeh Shokri | Registered Nurse | 2951 Mainway Dr, Los Alamitos, CA 90720-4646 | 2019-08-22 |
| Find all providers with the same taxonomy | ||||
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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.