KELLY ANN FELMER (NPI# 1457540171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457540171 |
| Entity Type | Individual |
| Full Name | KELLY ANN FELMER |
| Other Name | KELLY ANN GALLER |
| Credential | GNP, APNP |
| Practice Address |
2638 Tulip Ln Suite B Green Bay WI 54313-2800 |
| Practice Telephone | 9204292844 |
| Practice Fax Number | 9204292845 |
| Mailing Telephone | 9204292844 |
| Mailing Fax Number | 9204292845 |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2013-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1495-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2638 TULIP LN SUITE B |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54313-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316294895 | Centerpiece LLC | Behavioral Analyst | 2638 Tulip Ln, Suite B, Green Bay, WI 54313-2800 | 2012-08-14 |
| 1942588942 | Gregory Abbott | Chiropractor | 2638 Tulip Ln, Suite B, Green Bay, WI 54313-2800 | 2011-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548823420 | Martha Lynn Drew | Licensed Practical Nurse | 3101 Molly Brown Lane, Green Day, WI 54313 | 2019-04-17 |
| 1831691872 | Melanie Hammerbeck | Dentist | 1756 Cardinal Ln, Green Bay, WI 54313 | 2018-03-06 |
| 1649727108 | Amanda Marie Mckeefry | Dental Hygienist | 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 | 2016-09-01 |
| 1326594813 | Kaylee Schartner | Dental Hygienist | 2304 Lineville Road, Suite 100, Suamico, WI 54313 | 2016-08-25 |
| 1134500226 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Road, Green Bay, WI 54313 | 2015-06-15 |
| 1467849307 | Maureen Riordan | Specialist/Technologist | 2957 S Telemark Cir., Green Bay, WI 54313 | 2015-04-17 |
| 1043556780 | Kellen James Binder | Chiropractor | 2638 Tulip Lane, Suite B, Green Bay, WI 54313 | 2012-12-28 |
| 1407092737 | Sara Ann Anderson | Registered Nurse | 2691 Shade Tree Ln, Green Bay, WI 54313 | 2008-12-16 |
| 1467601344 | Melissa Lea Socha | Speech-Language Pathologist | 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 | 2008-09-16 |
| 1003070707 | Anne Marie Hein | Physical Therapist | 3101 S Packerland Dr, Green Bay, WI 54313 | 2008-07-11 |
| Find all providers in zip 54313 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615998 | Kathleen Ann Turck | Nurse Practitioner | 523 W Wilson St, Palmyra, WI 53156-9780 | 2020-07-06 |
| 1417405515 | Christine Leanne Peterson Watts | Nurse Practitioner | 4726 W Jenna Ct, Franklin, WI 53132-7602 | 2016-09-17 |
| 1902257991 | Andrea Schlidt | Nurse Practitioner | W62n1028 Fairhaven Ct, Cedarburg, WI 53012-1288 | 2016-06-30 |
| 1518360619 | Sarah Kathleen Holthe | Nurse Practitioner | 804 Evergreen Dr, Holmen, WI 54636-9145 | 2014-10-02 |
| 1235375544 | Dixie Lee Olson | Nurse Practitioner | 401 Finvold St, Woodville, WI 54028-9719 | 2008-12-17 |
| 1417123092 | Dementia Consultations LLC | Nurse Practitioner | 265 North Park Street, Richland Center, WI 53581-2208 | 2008-05-05 |
| 1376747261 | Christine Marie Dietrich | Nurse Practitioner | 303 W Upham St Ste 200, Marshfield, WI 54449-1483 | 2007-06-13 |
| 1730381591 | Pamela J Thul-immler | Nurse Practitioner | 9060 Madeline Lake Rd, Woodruff, WI 54568-9651 | 2007-06-04 |
| 1356555742 | Laura L. Wagner | Nurse Practitioner | 2810 Crossroads Dr, Madison, WI 53718-7942 | 2007-05-09 |
| 1073726873 | Michael James Dodds | Nurse Practitioner | 2419 Morse St, Janesville, WI 53545-0221 | 2007-05-08 |
| Find all providers with the same taxonomy | ||||
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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.