CORINNE NICOLE KELLY (NPI# 1467935262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467935262 |
| Entity Type | Individual |
| Full Name | CORINNE NICOLE KELLY |
| Credential | MS, OTR/L |
| Practice Address |
14370 Lee Hwy Ste 104 Gainesville VA 20155-4865 |
| Mailing Address |
14029 Breeders Cup Dr Gainesville VA 20155-3142 |
| Practice Telephone | 7035654115 |
| Practice Fax Number | 7037544435 |
| Mailing Telephone | 7035654115 |
| Mailing Fax Number | 7037544435 |
| Enumeration Date | 2018-09-08 |
| Last Update Date | 2018-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
0119007846 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NONE | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10560 Main St Ste 417, Fairfax, VA 220307174 | 7035654115 | 7037544435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790866523 | Corinne Dee Kelly | Specialist | 438 Ne 72nd St, Seattle, WA 98115-5409 | 2006-10-18 |
| Street Address |
14370 LEE HWY STE 104 |
| City | GAINESVILLE |
| State | VA |
| Zip Code | 20155-4865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
| 1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| 1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
| 1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
| 1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
| 1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
| 1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
| Find all providers in zip 20155 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992156046 | Rachelle Delucas | Occupational Therapist | 7800 Sw 103rd Ave, Gainesville, FL 32608-6208 | 2016-06-29 |
| 1578983441 | Lan Van-buendia | Occupational Therapist | 7536 Gardner Park Dr, Suite 7536, Gainesville, VA 20155-3414 | 2014-04-18 |
| 1790027696 | Jeanine Miller Adams | Occupational Therapist | 7536 Gardner Park Dr Ste 7536, Gainesville, VA 20155-3414 | 2013-03-19 |
| 1376742817 | Nancy Ellen Winikor | Occupational Therapist | 6424 Nw 85th Ter, Gainesville, FL 32653-2962 | 2007-07-14 |
| 1669510137 | Rita Mcvicar | Occupational Therapist | 7536 Gardner Place Drive, Gainesville, VA 20155 | 2007-02-04 |
| 1740692912 | Therese C Garstka | Occupational Therapist | 7536 Gardner Park Dr, Gainesville, VA 20155-3414 | 2014-05-22 |
| 1497983746 | Kerri Darrow Kitchens | Occupational Therapist | 4500 W Newberry Rd, Gainesville, FL 32607-2245 | 2009-06-25 |
| 1316163967 | Ainslie Kriston | Occupational Therapist | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2007-04-18 |
| 1770626186 | Rebecca Catherine Rushton | Occupational Therapist | 2350 Limestone Pkwy, Gainesville, GA 30501-2013 | 2007-02-15 |
| 1780621557 | Bruce A Mueller | Occupational Therapist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2006-06-01 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 20155 |
Please comment or provide details below to improve the information on CORINNE NICOLE KELLY.
| 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.