DONNA KELLY (NPI# 1417979766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417979766 |
| Entity Type | Individual |
| Full Name | DONNA KELLY |
| Credential | MSN NNP |
| Practice Address |
44405 Woodward Ave Pontiac MI 48341-5023 |
| Practice Telephone | 2488583526 |
| Practice Fax Number | 2488583532 |
| Mailing Telephone | 2488583526 |
| Mailing Fax Number | 2488583532 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
4704132319 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104868500 | 05 | |
| MI | BCBSM GROUP PIN | 500F328230 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073045738 | Donna Kelly | Case Manager/Care Coordinator | 11438 Lockwood Dr Apt 402, Silver Spring, MD 20904-2662 | 2017-03-31 |
| 1326593930 | Donna Kelly | Chiropractor | 15110 Chaseridge Dr, Missouri City, TX 77489-2309 | 2016-08-24 |
| 1316296080 | Donna Kelly | Counselor | 308 Oak Harbor Dr, Houston, TX 77062-2527 | 2012-09-10 |
| 1326241712 | Donna Lynn Kelly | Nutritionist | 823 Ny Shore Rte 13, Jm Murray Center, Cortland, NY 13045 | 2007-06-06 |
| 1356554463 | Donna Margaret Kelly | Chiropractor | 36410 Garfield Rd, Clinton Township, MI 48035-1131 | 2007-05-07 |
| 1801411194 | Donna Denise Kelly | Behavior Technician | 5511 Edmondson Pike Ste 105, Nashville, TN 37211-6852 | 2020-06-11 |
| 1932733417 | Donna Kelly | Behavior Technician | 6400 Tupelo Dr, Citrus Heights, CA 95621-1741 | 2020-02-24 |
| 1730566647 | Donna L Kelly | Nurse Practitioner | 1501 E Calvada Blvd, Pahrump, NV 89048-5807 | 2015-04-29 |
| 1538554191 | Donna Kelly | Nurse Practitioner | 3569 Ridge Rd, Cleveland, OH 44102-5443 | 2015-03-31 |
| 1558605691 | Donna June Kelly | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2012-11-15 |
| Street Address |
44405 WOODWARD AVE |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598433 | Nicola Lynn Juzysta | Pharmacist | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2005-06-20 |
| 1598364911 | Briahnnon Long | Nurse Practitioner | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-10-19 |
| 1831705060 | Christopher Lopez | Emergency Medical Technician, Paramedic | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-09-22 |
| 1124645627 | Vikram Aiman Ayapati | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave, Pontiac, MI 48341 | 2020-06-30 |
| 1457978280 | Dilnaz Alam | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-27 |
| 1700402807 | Peter De Mola | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-24 |
| 1093331241 | Paul Young Mah | Anesthesiology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-23 |
| 1205452430 | Ali Khan | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-23 |
| 1326664624 | Brandon Christopher Merta | Registered Nurse | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-22 |
| 1154946051 | Molly Elizabeth Dwenger | Dentist | 44405 Woodward Ave, Medical Eduation - H23, Pontiac, MI 48341-5023 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487676623 | Barbara J Rogers | Nurse Practitioner | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-07-24 |
| 1205858453 | Debra A Leithauser | Nurse Practitioner | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-07-24 |
| 1922029446 | Marie F Hallman | Nurse Practitioner | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-07-21 |
| 1235156902 | Deborah J Ciarelli | Nurse Practitioner | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497248223 | Karen Elizabeth Strauel | Nurse Practitioner | 7131 Houghton Dr, Davison, MI 48423-2335 | 2018-06-06 |
| 1366848053 | Rachel O'neil | Nurse Practitioner | 41054 Williamsburg Blvd, Canton, MI 48187-3878 | 2014-11-07 |
| 1790113223 | Kathy Biehl Kelly | Nurse Practitioner | 3355 Morningview Terrace, Bloomfield Hills, MI 48301 | 2013-10-18 |
| 1740544204 | Edith Ann Bardzilowski | Nurse Practitioner | 7393 N Seymour Rd, Flushing, MI 48433-9265 | 2012-06-29 |
| 1437313020 | Patricia Ann Atkins | Nurse Practitioner | 5473 Hillsboro Ct, Commerce Twp, MI 48382-5135 | 2008-07-14 |
| 1407995459 | Stacey Elizabeth Tilbury | Nurse Practitioner | 1500 E Medical Center, 5th Floor Mott Hospital Rm F5790, Ann Arbor, MI 48109-5254 | 2007-02-06 |
| 1386245967 | Ashley Nicole Heffner | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2020-11-02 |
| 1487260030 | Jessica Lee Moret | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-18 |
| 1447866215 | Marisa Mcalister | Nurse Practitioner | 16001 W 9 Mile Rd, Southfield, MI 48075-4803 | 2020-09-17 |
| 1629695218 | Jillian Arlene Morris | Nurse Practitioner | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-29 |
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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.