MS. KELLY MARIE CARUSO (NPI# 1396172797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396172797 |
Entity Type | Individual |
Full Name | MS. KELLY MARIE CARUSO |
Credential | ACNP |
Practice Address |
329 Fernwood Ave Burlington NJ 08016-2508 |
Mailing Address |
329 Fernwood Avenue Burlington NJ 08016 |
Practice Telephone | 6098640353 |
Mailing Telephone | 6098640353 |
Enumeration Date | 2013-09-30 |
Last Update Date | 2020-10-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
26NJ00449700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275777989 | Kelly Ann Caruso | Counselor | 2055 N Perris Blvd Ste G6, Perris, CA 92571-2516 | 2009-04-24 |
1629427786 | Kelly Caruso | Physical Therapist | 780 Delaware St, Pavilion B, Denver, CO 80204-4532 | 2016-06-09 |
1467828376 | Kelly Caruso | Pharmacist | 465 Main St, Westbrook, ME 04092-4328 | 2015-08-14 |
1336214782 | Kelly Marie Caruso | Physician Assistant | 1538 N. Arlington Heights Road, Arlington Heights, IL 60004-3906 | 2006-11-21 |
1629017322 | Kelly Shannon Caruso | Family Medicine | 1100 Montour Rd, Loysville, PA 17047-9200 | 2006-06-06 |
Street Address |
329 FERNWOOD AVE |
City | BURLINGTON |
State | NJ |
Zip Code | 08016-2508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306487780 | Neighbours-inc | Community/Behavioral Health | 409 Domininque Court, Burlinton, NJ 08016 | 2019-10-07 |
1881163368 | Stacie Lynn Wible | Speech-Language Pathologist | 34 Mohawk Trail, Burlington, NJ 08016 | 2018-11-14 |
1619495520 | Oaks Integrated Care | Clinic/Center | 2000 Burlington Bypass, Burlington, NJ 08016 | 2017-08-31 |
1700312113 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Mohr Rd, Burlington, NJ 08016 | 2017-05-04 |
1013443431 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Lardner Rd, Burlington, NJ 08016 | 2017-05-04 |
1174976955 | Dungarvin New Jersey, LLC-yubas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 Yubas Ave, Burlington, NJ 08016 | 2016-07-18 |
1477946937 | Sina Durham | Counselor | 1 Beechwood Lane, Burlington, NJ 08016 | 2015-03-09 |
1336568138 | Olayinka I Akeju | Counselor | 129 Riverwalk Blvd, Burlington Township, NJ 08016 | 2014-04-09 |
1477980316 | Tia Jones | Counselor | 2000 Burlington By-pass, Burlington, NJ 08016 | 2013-10-10 |
1407282304 | Ashley Taylor Phillips | Pharmacist | 2 West Route 130 South, Burlington, NJ 08016 | 2013-09-24 |
Find all providers in zip 08016 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770041857 | Tonya M Morris | Nurse Practitioner | 466 Saint Mary St, Burlington, NJ 08016-1848 | 2019-03-07 |
1003026667 | Maureen Louise Dwyer | Nurse Practitioner | Mcclure 5 Fletcherallen Healthcare, 111colchester Ave, Burlington, VT 05401-1429 | 2007-05-23 |
1528667870 | Delicia M White | Nurse Practitioner | 1234 Huffman Mill Rd, Burlington, NC 27215-8777 | 2020-10-19 |
1356908198 | Hanna Collins | Nurse Practitioner | 90 Middlesex Tpke Ste G, Burlington, MA 01803-4941 | 2019-05-28 |
1679052781 | Erica Charkalis | Nurse Practitioner | 111 Colchester Ave, Burlington, VT 05401-1473 | 2018-08-09 |
1881198281 | Ashley Renee Stepp | Nurse Practitioner | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2018-03-20 |
1770095358 | Elizabeth O'beirne Woods | Nurse Practitioner | 41 Mall Rd, Burlington, MA 01805-0001 | 2017-11-03 |
1558802785 | Leah Coulter | Nurse Practitioner | 1248 Huffman Mill Rd, Burlington, NC 27215-8700 | 2017-03-20 |
1407391766 | Bincy Samuel Varughese | Nurse Practitioner | 1236 Huffman Mill Rd, Burlington, NC 27215-8700 | 2016-12-22 |
1003202334 | Elaina Townsend | Nurse Practitioner | 41 Mall Rd, Burlington, MA 01805-0001 | 2015-04-14 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 08016 |
Please comment or provide details below to improve the information on MS. KELLY MARIE CARUSO.
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.