CAITLIN KELLY (NPI# 1487156329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487156329 |
| Entity Type | Individual |
| Full Name | CAITLIN KELLY |
| Credential | CPNP |
| Practice Address |
6100 Dobbin Rd Columbia MD 21045-5804 |
| Mailing Address |
11017 Stanmore Dr Potomac MD 20854-1526 |
| Practice Telephone | 4434924000 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R214772 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453046 | Caitlin Kelly | Counselor | 484 W 43rd St Apt 23h, New York, NY 10036-6341 | 2019-08-22 |
| 1558860643 | Caitlin Patricia Brock Kelly | Counselor | 68 Mildorf St, Rochester, NY 14609-7230 | 2018-02-05 |
| 1114253309 | Caitlin Marie Kelly | Physician Assistant | 1755 Wittington Pl, Suite 800, Dallas, TX 75234-1927 | 2009-10-23 |
| 1053570770 | Caitlin Kelly | Social Worker | 14 Beech Hill Rd, Lloyd Harbor, NY 11743-1050 | 2008-06-06 |
| 1700409570 | Caitlin Harrison Kelly | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-27 |
| 1235765397 | Caitlin Nora Kelly | Dance Therapist | 1339 York Ave, New York, NY 10021-4707 | 2020-03-20 |
| 1346701000 | Caitlin Marie Kelly | Behavioral Analyst | 620 N Robinson Dr, Robinson, TX 76706-5312 | 2019-03-26 |
| 1629581970 | Caitlin Marie Kelly | Nurse Practitioner | 29001 Harper Ave, Saint Clair Shores, MI 48081-2711 | 2017-11-08 |
| 1184152977 | Caitlin T Kelly | Optometrist | 484 County Line Rd W Ste 120, Westerville, OH 43082-7110 | 2017-05-24 |
| 1194178939 | Caitlin Maureen Kelly | Dentist | 131 Main St, Waltham, MA 02453-6636 | 2016-07-17 |
| Street Address |
6100 DOBBIN RD |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-5804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669417267 | Keyvan Rafei | Pediatrics | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2006-06-18 |
| 1629570049 | Jennifer Ryu | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2018-03-01 |
| 1982143798 | Kinder Mender | Clinic/Center | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2017-02-14 |
| 1154869162 | Catherine Aldinger | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2017-02-09 |
| 1841741352 | Megan Calvert | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2016-10-19 |
| 1265885206 | Lauren Restaino | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2016-07-14 |
| 1194199190 | Joanna Manzo Delfin | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2015-11-15 |
| 1548642028 | Elizabeth Hall | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2015-06-22 |
| 1669864591 | Sarah Calvert Lartey | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2015-03-02 |
| 1417364753 | Kinder Mender, LLC | Pediatrics | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2014-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093225096 | Edna Ayah | Nurse Practitioner | 8310 Guilford Rd, Columbia, MD 21046-1279 | 2017-10-04 |
| 1366995789 | Shawn Danielle Neyens | Nurse Practitioner | 303 N Keene St Ste 404, Columbia, MO 65201-7193 | 2016-08-02 |
| 1962823443 | Erin Gubbins | Nurse Practitioner | 500 N Keene St Ste 303, Columbia, MO 65201-8104 | 2013-12-30 |
| 1386924991 | Eleanor Doris Merboth | Nurse Practitioner | 6100 Dobbin Rd., Columbia, MD 21045 | 2011-08-26 |
| 1902986680 | Penelope Joan Buckman | Nurse Practitioner | 5 Medical Park Road, Columbia, SC 29203 | 2006-10-16 |
| 1952335077 | Karen Mae Waganer | Nurse Practitioner | 2113 Adams Grv Ste 101, Columbia, SC 29203-6957 | 2006-07-11 |
| 1740210129 | Laura L Szadek | Nurse Practitioner | Nine Medical Park, Suite 230, Columbia, SC 29203 | 2006-07-03 |
| 1104866771 | Elizabeth M Berg | Nurse Practitioner | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2006-06-08 |
| 1871546226 | Sara G Fuller | Nurse Practitioner | 2638 Two Notch Rd, Suite 110, Columbia, SC 29204-1454 | 2006-05-18 |
| 1679531859 | Sara Margaret Haslag | Nurse Practitioner | 2011 Corona Rd, Suite 207, Columbia, MO 65203-2548 | 2006-05-03 |
| Find all providers in COLUMBIA | ||||
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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.