SHANNON KELSEY (NPI# 1407256894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407256894 |
Entity Type | Individual |
Full Name | SHANNON KELSEY |
Credential | NP-C |
Practice Address |
1600 Joseph Dr Bryan TX 77802-1502 |
Practice Telephone | 9798217527 |
Mailing Telephone | 9798217527 |
Mailing Fax Number | 9798217528 |
Enumeration Date | 2014-09-04 |
Last Update Date | 2016-07-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP126306 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1600 JOSEPH DR |
City | BRYAN |
State | TX |
Zip Code | 77802-1502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528038858 | Kelly W Lobb | Physical Medicine & Rehabilitation | 1600 Joseph Dr, Bryan, TX 77802-1502 | 2006-01-26 |
1508416082 | Katherine Lee Whitmer | Occupational Therapist | 1600 Joseph Dr, Bryan, TX 77802-1502 | 2019-09-16 |
1134670409 | Sherry Sewrathan-ghosh Do Pa | Physical Medicine & Rehabilitation | 1600 Joseph Dr, Ste 1516, Bryan, TX 77802-1502 | 2016-10-20 |
1932573417 | St. Joseph Encompass Health Rehabilitation Hospital, LLC | Rehabilitation Hospital | 1600 Joseph Dr, Bryan, TX 77802 | 2015-11-19 |
1396120077 | Amber Perry | Physical Therapy Assistant | 1600 Joseph Dr, Bryan, TX 77802-1502 | 2015-07-23 |
1902150048 | Kasey Lobb | Dietitian, Registered | 1600 Joseph Dr, Rehabfirst, Bryan, TX 77802-1502 | 2012-10-26 |
1346596954 | Barbara J Herrman | Dietitian, Registered | 1600 Joseph Dr, Bryan, TX 77802-1502 | 2012-08-01 |
1982900114 | Shauna Kelly | Military Health Care Provider | 1600 Joseph Dr, Bryan, TX 77802-1502 | 2011-02-05 |
1871728063 | Christus Continuing Care | Long Term Care Hospital | 1600 Joseph Dr, 2nd Floor, Bryan, TX 77802-1502 | 2009-05-18 |
1477739704 | Dubuis Health System, Inc. | Long Term Care Hospital | 1600 Joseph Dr, 2nd Floor, Bryan, TX 77802-1502 | 2008-01-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
Find all providers in zip 77802 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922410687 | Stephanie Nicole Allen | Nurse Practitioner | 1104 Wesley Ave, Bryan, OH 43506-2579 | 2014-05-28 |
1740276591 | Laura K. Henthorn | Nurse Practitioner | 3370 S Texas Ave, Suite B, Bryan, TX 77802-3127 | 2005-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
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1689275778 | Anel Odette Chavez | Nurse Practitioner | 1006 Sage Ln, Edinburg, TX 78539-7820 | 2020-11-04 |
1104427335 | Randel Bond | Nurse Practitioner | 337 Woodstone Loop, Cibolo, TX 78108-3268 | 2020-11-04 |
1467051870 | Melinda Davis-mcclendon | Nurse Practitioner | 2158 River Edge Dr, Belton, TX 76513-1429 | 2020-10-19 |
1053910489 | Morgan Lee Lemoine | Nurse Practitioner | 1811 Stephen Dr, Wylie, TX 75098-0258 | 2020-10-17 |
1255939740 | Melissa Walles George | Nurse Practitioner | 941 Scotland Dr, Desoto, TX 75115-2058 | 2020-10-15 |
1487251377 | Karen Baricaua Bautista | Nurse Practitioner | 1912 78th St, Lubbock, TX 79423-2455 | 2020-10-05 |
1205443132 | Rincy P Mathew | Nurse Practitioner | 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 | 2020-09-24 |
1326654724 | Connie Sue Fiser | Nurse Practitioner | 248 Cass Cir, Flint, TX 75762-6990 | 2020-09-21 |
1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
1033723184 | Rita Chibuzor Nwajei | Nurse Practitioner | 2726 Atlas Dr, Missouri City, TX 77459-6745 | 2020-09-06 |
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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.