JILL KELLY (NPI# 1396292652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396292652 |
| Entity Type | Individual |
| Full Name | JILL KELLY |
| Practice Address |
4445 Sw Barbur Blvd Portland OR 97239-4047 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 5037686325 |
| Enumeration Date | 2016-09-04 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992146625 | Jill Ann Kelly | Registered Nurse | 21600 W North Ave, Brookfield, WI 53045-4742 | 2013-07-10 |
| 1285979625 | Jill Allison Kelly | Dental Hygienist | 1881 Rt. 109, Acton, ME 04001 | 2012-12-11 |
| 1982993499 | Jill Kelly | Psychiatry & Neurology | Meyer 1 104 600 N Wolfe St, Baltimore, MD 21287-0001 | 2011-04-05 |
| 1710427182 | Jill Kelly | Physical Therapist | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2017-03-03 |
| 1437696804 | Jill Kelly | Acupuncturist | 6212 Dayton Blvd, Suite B, Hixson, TN 37343-2789 | 2017-01-24 |
| 1275774697 | Jill Schexnaildre Kelly | Counselor | 3705 Coliseum St, New Orleans, LA 70115-3708 | 2009-03-14 |
| 1801928007 | Jill Robin Kelly | Occupational Therapist | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 | 2007-03-12 |
| 1720168354 | Jill S Kelly | Pediatrics | 3601 The Vanderbilt Clinic, Nashville, TN 37232 | 2006-10-17 |
| Street Address |
4445 SW BARBUR BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669636098 | John Paul Brotzman | Chiropractor | 4445 Sw Barbur Blvd, Suite 104, Portland, OR 97239-4047 | 2008-07-15 |
| 1184243974 | Brittany Danielle West | Marriage & Family Therapist | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2020-04-11 |
| 1134693187 | Tahlia Rachel Harrison | Counselor | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2019-01-13 |
| 1538636626 | Esther Berg | Marriage & Family Therapist | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2018-10-27 |
| 1336654177 | Alexia Brooke Deleon | Counselor | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2017-12-01 |
| 1548773963 | Maribel Guevara-myers | Counselor | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2017-11-07 |
| 1699288274 | Janice M Muna | Student in an Organized Health Care Education/Training Program | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2017-11-06 |
| 1235649849 | Lianna Halle Tullis-robinson | Counselor | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2017-10-09 |
| 1811424187 | Kimberly Dawn Adams | Counselor | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2017-05-17 |
| 1285095588 | Gregory Bethell | Student in an Organized Health Care Education/Training Program | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2016-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
| 1902412166 | Peter H Addy LLC | Counselor | 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 | 2020-09-22 |
| 1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
| 1750996104 | Sara Fuller | Counselor | 3016 Ne 70th Ave, Portland, OR 97213-5802 | 2020-09-12 |
| 1114532983 | Matthew W Cronin | Counselor | 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 | 2020-09-09 |
| 1447865381 | Luke Colbourn | Counselor | 2705 E Burnside St Ste 206, Portland, OR 97214-1768 | 2020-09-08 |
| 1710599774 | Abigail Kathryn Ernst | Counselor | 1020 Sw Taylor St # 100, Portland, OR 97205-2543 | 2020-08-20 |
| Find all providers in PORTLAND | ||||
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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.