ZACHARY T KELLY (NPI# 1407327273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407327273 |
| Entity Type | Individual |
| Full Name | ZACHARY T KELLY |
| Practice Address |
129 N Washington St Sumter SC 29150-4949 |
| Mailing Address |
1925 Adirondack Ct Sumter SC 29153-8313 |
| Practice Telephone | 8037749000 |
| Mailing Telephone | 8034206576 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 225946 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447713516 | Zachary Alan Kelly | Behavior Technician | 54021 Lynnham Ln, Shelby Twp, MI 48316-1418 | 2019-04-07 |
| 1528561602 | Zachary W Kelly | Specialist/Technologist | 54 Bailly Dr, Burlington, NJ 08016-4289 | 2018-03-14 |
| 1942706239 | Zachary Kelly | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2018-04-04 |
| Street Address |
129 N WASHINGTON ST |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-4949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124020698 | Pamela L Thompson-knight | Nurse Anesthetist, Certified Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2005-08-13 |
| 1427679505 | Clifford Hardin | Pharmacist | 129 N Washington St, Sumter, SC 29150-4949 | 2020-04-30 |
| 1053976407 | Norman Jarod Green | Emergency Medicine | 129 N Washington St, Sumter, SC 29150-4949 | 2019-05-01 |
| 1295298529 | Prisma Health Tuomey | Pediatrics | 129 N Washington St, Sumter, SC 29150-4949 | 2019-04-12 |
| 1568925337 | Paula Mcknight-leggette | Nurse Practitioner | 129 N Washington St, Sumter, SC 29150 | 2019-04-09 |
| 1164998266 | Alexandra Lyn Condy | Emergency Medicine | 129 N Washington St, Sumter, SC 29150-4949 | 2018-10-17 |
| 1841773983 | Prisma Health Tuomey | Physical Medicine & Rehabilitation | 129 N Washington St, Sumter, SC 29150-4949 | 2018-09-14 |
| 1457839532 | Chelsie Leonna Mcdaniel | Nurse Practitioner | 129 N Washington St, Sumter, SC 29150 | 2018-08-01 |
| 1699267195 | Katherine Vendley | Nurse Anesthetist, Certified Registered | 129 N Washington St, Sumter, SC 29150 | 2018-05-31 |
| 1326536152 | Hannah Parker | Physician Assistant | 129 N Washington St, Sumter, SC 29150-4949 | 2018-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
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| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124020698 | Pamela L Thompson-knight | Nurse Anesthetist, Certified Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2005-08-13 |
| 1699267195 | Katherine Vendley | Nurse Anesthetist, Certified Registered | 129 N Washington St, Sumter, SC 29150 | 2018-05-31 |
| 1568819449 | John Forrest Nicholson IIi | Nurse Anesthetist, Certified Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2016-05-19 |
| 1497112965 | Prisma Health Tuomey | Nurse Anesthetist, Certified Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2016-01-28 |
| 1477965564 | Michael Beshay | Nurse Anesthetist, Certified Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2014-05-23 |
| 1790113462 | Tuomey Crna Services | Nurse Anesthetist, Certified Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2013-10-16 |
| 1831498559 | Jay Godines, LLC | Nurse Anesthetist, Certified Registered | 420 W Wesmark Blvd, Sumter, SC 29150-1983 | 2011-03-21 |
| 1063641777 | Anthony W Caballero | Nurse Anesthetist, Certified Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2009-07-02 |
| 1972527737 | Frances L Roberts | Nurse Anesthetist, Certified Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2006-07-26 |
| 1861416620 | Judy L Roberts | Nurse Anesthetist, Certified Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2006-07-26 |
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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.