JENNIFER EILEEN KELLY (NPI# 1396386744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396386744 |
Entity Type | Individual |
Full Name | JENNIFER EILEEN KELLY |
Practice Address |
2354 Ocean Ave Ronkonkoma NY 11779-6578 |
Practice Telephone | 5166989476 |
Mailing Telephone | 5166989476 |
Enumeration Date | 2019-10-07 |
Last Update Date | 2020-10-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 834869 | NY | Other Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881216463 | Jennifer Kelly | Nurse Practitioner | 7595 Affirmed Ct, Lewis Center, OH 43035-9143 | 2020-05-17 |
1790322758 | Jennifer Lee Kelly | Home Health Aide | 4519 Stanbrook Dr, North Chesterfield, VA 23234-4021 | 2019-12-09 |
1659936813 | Jennifer Noel Kelly | Behavior Technician | 3287 N Mayfield Ave, San Bernardino, CA 92405-2627 | 2019-05-03 |
1851784284 | Jennifer Kelly | Occupational Therapy Assistant | 1215 Gainsboro Rd, Bala Cynwyd, PA 19004-2014 | 2015-03-10 |
1952706699 | Jennifer Kelly | Pharmacist | 1701 Welsh Rd Ste 5, Philadelphia, PA 19115-3172 | 2014-10-23 |
1750791257 | Jennifer Kelly | Psychologist | 11 Brooklands Apt Gi, Bronxville, NY 10708-3512 | 2014-05-06 |
1851722995 | Jennifer L. Kelly | Speech-Language Pathologist | 555 Anthony Wayne Trail, Waterville, OH 43566 | 2013-11-27 |
1144598343 | Jennifer Elaine Kelly | Physician Assistant | 381 Park Avenue South, Suite 1020, New York, NY 10016 | 2011-12-02 |
1063789030 | Jennifer Zucal Kelly | Registered Nurse | 215 E 5th St, Emporium, PA 15834-1417 | 2011-11-18 |
1467738765 | Jennifer Marie Kelly | Occupational Therapist | 1656 State Highway 162, Sprakers, NY 12166-4600 | 2011-10-31 |
Street Address |
2354 OCEAN AVE |
City | RONKONKOMA |
State | NY |
Zip Code | 11779-6578 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750929139 | Sebastian Godinez | Student in an Organized Health Care Education/Training Program | 11 First Street, Ronkonkoma, NY 11779 | 2019-12-16 |
1487149860 | John Deming | Student in an Organized Health Care Education/Training Program | 142 - 02 20th Avenue, Flushing, NY 11779 | 2018-06-27 |
1376060392 | Janine D'annunzio | Specialist | 316 Thirft Street, Ronkonkoma, NY 11779 | 2017-08-30 |
1932621935 | Vincent Joseph Lopreto | Counselor | 253 Lake Shore Road, Ronkonkoma, NY 11779 | 2017-07-11 |
1598295271 | Dalas Taddeo | Licensed Practical Nurse | 4490 Express Drive S, Ronkonkoma, NY 11779 | 2017-06-15 |
1790214112 | Pamela Ferrante | Social Worker | 131 Avenue D, Ronkonkoma, NY 11779 | 2017-06-08 |
1255868915 | Bari Home Care LLC | Health Maintenance Organization | 4417 Express Drive North, Ronkonkoma, NY 11779 | 2017-05-12 |
1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
1831552025 | Jacqueline Galdamez | Social Worker | 979 Johnson Avenue, Ronkonkoma, NY 11779 | 2016-04-04 |
1891192530 | Alex Mitchell Pollack | Massage Therapist | 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 | 2014-11-24 |
Find all providers in zip 11779 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982236600 | Briana M Mullady | Specialist | 165 Cherokee St, Ronkonkoma, NY 11779-4604 | 2020-02-11 |
1306487533 | Emily C Dinger | Specialist | 369 Peconic St, Ronkonkoma, NY 11779-6914 | 2019-09-29 |
1528535275 | Daniann Stapleton | Specialist | 48 Calvert Ave, Ronkonkoma, NY 11779-5900 | 2018-10-31 |
1376060392 | Janine D'annunzio | Specialist | 316 Thirft Street, Ronkonkoma, NY 11779 | 2017-08-30 |
1841654175 | Rosann Wolf | Specialist | 411 Ontario St, Ronkonkoma, NY 11779-5109 | 2016-04-13 |
1083083356 | Jennifer Elliott | Specialist | 463 Ontario St, Ronkonkoma, NY 11779-5109 | 2015-09-17 |
1558737221 | Allison Tursi | Specialist | 374 Ontario St, Ronkonkoma, NY 11779-4949 | 2015-08-18 |
1225418569 | Catherine Monaco | Specialist | 2888 Pond Rd, Ronkonkoma, NY 11779-3349 | 2015-06-02 |
1396150934 | Vanessa Joan Rivoire | Specialist | 2 Old Rosevale Ave, Ronkonkoma, NY 11779-5025 | 2014-06-23 |
1821429549 | Julie Imwalle | Specialist | 15 Ricky Rd, Ronkonkoma, NY 11779-5017 | 2013-12-05 |
Find all providers in RONKONKOMA |
City | RONKONKOMA |
Zip Code | 11779 |
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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.