KELLY MANN (NPI# 1437671823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437671823 |
| Entity Type | Individual |
| Full Name | KELLY MANN |
| Credential | CRNP |
| Practice Address |
488 Saint Lukes Dr Montgomery AL 36117-7104 |
| Mailing Address |
448 Saint Lukes Dr Montgomery AL 36117-7104 |
| Practice Telephone | 3342887808 |
| Practice Fax Number | 3342888089 |
| Mailing Telephone | 3342887808 |
| Mailing Fax Number | 3342888089 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 1-106341 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-106341 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242873 | Kelly Mann | Counselor | 301 S Henry St, Ashkum, IL 60911-7119 | 2020-10-15 |
| 1720625387 | Kelly Mann | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-12-03 |
| 1295391357 | Kelly Michelle Mann | Nurse Practitioner | 939 Caroline St, Port Angeles, WA 98362-3997 | 2019-05-14 |
| 1164683728 | Kelly Mann | Pediatrics | 2055 Lincoln Ave, Pasadena, CA 91103 | 2008-06-17 |
| 1053454447 | Kelly Ann Mann | Registered Nurse | 3031 W Grand Blvd, Suite 800 Endo Metab, Detroit, MI 48202-3046 | 2007-02-15 |
| Street Address |
488 SAINT LUKES DR |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-7104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780652503 | Ryan James Sellers | Physician Assistant | 488 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2006-03-09 |
| 1811545718 | Kayla Woodruff Jackson | Nurse Practitioner | 488 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2019-09-04 |
| 1023662111 | Malia Ann Douglass | Nurse Practitioner | 488 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2019-07-28 |
| 1003477092 | Katelyn Perry Barnes | Nurse Practitioner | 488 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2019-06-21 |
| 1740743103 | Taylor Elaine Musgrave | Nurse Practitioner | 488 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2019-04-11 |
| 1205335999 | Jennifer F Tidwell | Nurse Practitioner | 488 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2018-02-07 |
| 1154859346 | Sherry Lynn Feeney | Nurse Practitioner | 488 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2017-06-01 |
| 1295276632 | Robin Ceclia Blackwell | Registered Nurse | 488 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2017-03-18 |
| 1427590207 | James Darrell Mcdonald | Nurse Practitioner | 488 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2016-11-10 |
| 1922540954 | Jennifer Pauline Summersill | Nurse Practitioner | 488 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2016-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240285 | Miranda Michelle Roach | Nurse Practitioner | 11907 Candlewood Pl, Montgomery, TX 77356-5427 | 2020-06-24 |
| 1508416611 | Casey Thornton | Nurse Practitioner | 370 Saint Lukes Dr, Montgomery, AL 36117-7111 | 2019-09-19 |
| 1558917047 | Brittany Ann Smith | Nurse Practitioner | 1722 Pine St Ste 904, Montgomery, AL 36106-1104 | 2019-08-12 |
| 1952956567 | Cassandra Aileen Kelley | Nurse Practitioner | 1722 Pine St Ste 401, Montgomery, AL 36106-1103 | 2019-08-09 |
| 1982264867 | Bethany Fain Phelps | Nurse Practitioner | 1722 Pine St Ste 402, Montgomery, AL 36106-1159 | 2019-06-13 |
| 1447813027 | Haley Harvey Clifton | Nurse Practitioner | 1758 Park Pl Ste 401, Montgomery, AL 36106-1135 | 2019-04-18 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1780162024 | Grace Santana | Nurse Practitioner | 3270 Gatsby Ln, Montgomery, AL 36106-2668 | 2018-07-30 |
| 1013494673 | Angela K Rayborn | Nurse Practitioner | 1725 W 4th St # Na, Montgomery, AL 36106-1509 | 2018-07-25 |
| 1942795430 | Richard Yullambo Yenkong | Nurse Practitioner | 2270 Jericho Rd Apt A5, Montgomery, IL 60538-5621 | 2018-06-27 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
Please comment or provide details below to improve the information on KELLY MANN.
| 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.