NICOLE KELLY (NPI# 1407316813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407316813 |
| Entity Type | Individual |
| Full Name | NICOLE KELLY |
| Practice Address |
3959 Broadway New York NY 10032-1559 |
| Practice Telephone | 2123058504 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053849166 | Nicole Shavon Kelly | Contractor | 11 Misty Wood Cir Apt H, Timonium, MD 21093-1338 | 2017-06-02 |
| 1447863220 | Nicole Mary Kelly | Behavior Technician | 320 Saturn St N Ste A, Cosmos, MN 56228-9757 | 2020-08-31 |
| 1437790003 | Nicole Lynn Kelly | Physical Therapist | 411 N Middletown Rd, Media, PA 19063-4059 | 2019-10-03 |
| 1881153120 | Nicole Aneiros Kelly | Student in an Organized Health Care Education/Training Program | 505 S Main St Ste 525, Orange, CA 92868-4553 | 2019-03-17 |
| 1225515901 | Nicole Kelly | Counselor | 55 Dodge Rd, Getzville, NY 14068-1205 | 2018-07-25 |
| 1841703923 | Nicole Kelly | Occupational Therapist | 65 Middle Rd, Blue Point, NY 11715-1918 | 2017-11-10 |
| 1336523562 | Nicole Kelly | Physical Therapy Assistant | 35 N 28th St, Superior, WI 54880-5557 | 2015-07-17 |
| 1316326796 | Nicole Kelly | Acupuncturist | 420 Walnut Ave, San Diego, CA 92103-4987 | 2015-05-19 |
| 1093108581 | Nicole Kelly | Behavioral Analyst | 3214 W Mcgraw St Ste 212, Seattle, WA 98199-3239 | 2015-03-09 |
| 1013312339 | Nicole Kelly | Physician Assistant | 12340 S 450 E, Draper, UT 84020-8154 | 2014-10-29 |
| Street Address |
3959 BROADWAY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453647 | Karen Altmann | Pediatrics | 3959 Broadway, 2north, New York, NY 10032-1559 | 2005-08-10 |
| 1619575271 | Ismail Bouhout | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3959 Broadway, Chn-274, Pediatric and Congenital Cardiac Surgery, New York, NY 10032 | 2020-10-15 |
| 1104433366 | Rebecca Silverman | Social Worker | 3959 Broadway, New York, NY 10032-1559 | 2020-09-30 |
| 1508473679 | Alexa Rose Geltzeiler | Genetic Counselor, MS | 3959 Broadway, New York, NY 10032-1559 | 2020-09-23 |
| 1518571967 | Melody Cabalda-galliguez | Nurse Practitioner | 3959 Broadway, New York, NY 10032-1559 | 2020-09-02 |
| 1003424318 | Hae Lin Son | Nurse Practitioner | 3959 Broadway, New York, NY 10032-1559 | 2020-07-22 |
| 1164049318 | Stephanie Galloway | Genetic Counselor, MS | 3959 Broadway, New York, NY 10032-1559 | 2020-07-02 |
| 1730702556 | Erica Shirin Spiegel | Genetic Counselor, MS | 3959 Broadway, New York, NY 10032-1559 | 2020-05-27 |
| 1235751967 | Alexander Edward Joseph Zajac | Registered Nurse | 3959 Broadway, New York, NY 10032-1559 | 2020-05-15 |
| 1427679083 | Ashley Clarke | Nurse Practitioner | 3959 Broadway, New York, NY 10032-1559 | 2020-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
| 1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1558968537 | Yiyang Zhang | Student in an Organized Health Care Education/Training Program | 1000 10th Ave Fl 2, New York, NY 10019-1147 | 2020-10-03 |
| 1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
| 1285241018 | Grace A Forrester | Student in an Organized Health Care Education/Training Program | 517 W 121st St Apt 604s, New York, NY 10027-5901 | 2020-09-25 |
| 1235746199 | Christopher Alexis Perez Lizardo | Student in an Organized Health Care Education/Training Program | 515 W 59th St Apt 29b, New York, NY 10019-1042 | 2020-09-24 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
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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.