LISA KELLEY (NPI# 1497214043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497214043 |
| Entity Type | Individual |
| Full Name | LISA KELLEY |
| Credential | CNM |
| Practice Address |
63 Main St Brockton MA 02301-4042 |
| Practice Telephone | 5085596699 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | RN2329969 | MA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003292509 | Lisa Kelley | Naturopath | 117 Free Street, C/o Headgames Spa, Portland, ME 04106 | 2015-08-06 |
| 1619245792 | Lisa Leigh Kelley | Acupuncturist | 1 Union Sq W Ste 715, New York, NY 10003-3303 | 2011-12-05 |
| 1376751446 | Lisa Nicole Kelley | Chiropractor | 7522 Grant St, Darien, IL 60561-4419 | 2007-05-20 |
| 1477655108 | Lisa S Kelley | Nurse Anesthetist, Certified Registered | 317 S Jackson St, Tullahoma, TN 37388-3471 | 2006-09-02 |
| 1376056903 | Lisa Kelley | Physical Therapist | 1 Arbor Ter, Fenton, MO 63026-3900 | 2017-11-06 |
| 1487102000 | Lisa Kelley | Physical Therapist | 2727 W Cleveland Ave, Milwaukee, WI 53215-2956 | 2016-09-12 |
| 1346635091 | Lisa Kelley | Speech-Language Pathologist | 1224 E Westview Ct, Spokane, WA 99218-3813 | 2015-03-31 |
| 1619370772 | Lisa Christine Kelley | Counselor | 13420 Reese Blvd W, Huntersville, NC 28078-7925 | 2014-10-03 |
| 1447504634 | Lisa M Kelley | Registered Nurse | 93 Barker Rd, Central Square, NY 13036-3460 | 2012-11-09 |
| 1114057874 | Lisa Marie Kelley | Counselor | 338 Main St, Wakefield, MA 01880 | 2007-03-06 |
| Street Address |
63 MAIN ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-4042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602223 | Kathleen P Pringle | Advanced Practice Midwife | 63 Main St, Brockton, MA 02301-4042 | 2005-07-11 |
| 1639770548 | Meredith Hansen | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2020-11-06 |
| 1699399824 | Maya Don Chay | Registered Nurse | 63 Main St, Brockton, MA 02301-4042 | 2020-06-03 |
| 1588204259 | Jennifer Koningisor | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2020-01-10 |
| 1679112163 | Bianca St. Louis | Nurse Practitioner | 63 Main St, Brockton, MA 02301-4042 | 2019-12-31 |
| 1245877505 | Sarah Beth Blodgett | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2019-12-05 |
| 1235780107 | Chloe Martin | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2019-09-23 |
| 1417505967 | Elizabeth Coley | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2019-08-28 |
| 1225683758 | Rachel Revis | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2019-08-01 |
| 1376105130 | Johanne Cazeau | Nurse Practitioner | 63 Main St, Brockton, MA 02301-4042 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699721571 | Elizabeth Namala Bwogi | Midwife | 157 Main St, Brockton, MA 02301-4012 | 2006-05-25 |
| 1427518307 | Muayna Yasir Elsir | Midwife | 63 Main St, Brockton, MA 02301-4042 | 2019-03-25 |
| 1780117358 | Sarah Davidson | Midwife | 63 Main St, Brockton, MA 02301-4042 | 2017-04-10 |
| 1073830816 | Cassandra Etienne | Midwife | 63 Main St, Brockton, MA 02301-4042 | 2010-05-03 |
| 1649207507 | Barbara Shaker Wax | Midwife | 63 Main St, Brockton, MA 02301-4042 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662422 | Brooke Coleman | Midwife | 30 Athol Rd, Athol, MA 01331-1065 | 2020-02-26 |
| 1568000685 | Leia Marie French | Midwife | 79 Merry Farm Rd., West Tisbury, MA 02575 | 2019-12-19 |
| 1154967248 | Kasey Quinlan | Midwife | 255 Low St Ste 101, Newburyport, MA 01950-3596 | 2019-11-23 |
| 1861048175 | Maria Christina Caudle | Midwife | 271 Oakridge Ave, North Attleboro, MA 02760-4180 | 2019-08-13 |
| 1902362593 | Melissa M Southwell | Midwife | 75 Grenier St Unit 8888, Hanscom Afb, MA 01731-2311 | 2019-02-19 |
| 1144784265 | Stephanie Dawn-marie Johnson | Midwife | 3 Maybrook St, Dorchester, MA 02121-4116 | 2019-01-23 |
| 1215454475 | Karen Marie Gould | Midwife | 83 Herrick St Ste 2004, Beverly, MA 01915-2757 | 2017-08-28 |
| 1689119513 | Michelle Lesperance | Midwife | 80 Drewsen Dr, Florence, MA 01062-3546 | 2017-01-02 |
| 1689027591 | Emily Bowler | Midwife | 39 Partridge Ave, Somerville, MA 02145-3629 | 2016-07-15 |
| 1083009690 | Carly Pazakis | Midwife | 234 Pine St, Centerville, MA 02632-3225 | 2015-03-31 |
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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.