STEPHANIE LYNN KELLY (NPI# 1497296362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497296362 |
| Entity Type | Individual |
| Full Name | STEPHANIE LYNN KELLY |
| Credential | NP-C |
| Practice Address |
4475 S I 19 Frontage Rd Ste 139 Green Valley AZ 85614-5884 |
| Mailing Address |
1260 S Campbell Ave Green Valley AZ 85614-0503 |
| Practice Telephone | 5204075910 |
| Practice Fax Number | 5204075990 |
| Mailing Telephone | 5204075600 |
| Mailing Fax Number | 5204075990 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2018-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP9971 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740760420 | Stephanie Kelly | Counselor | 1819 S Dobson Rd Ste 115, Mesa, AZ 85202-5656 | 2018-08-21 |
| 1982067195 | Stephanie Marie Kelly | Licensed Practical Nurse | 5626 Bunbury Ter, Clay, NY 13041-6910 | 2016-04-04 |
| 1154766186 | Stephanie Albers Kelly | Technician | 2685 Leeds Ave, North Charleston, SC 29405-6861 | 2013-05-03 |
| 1710117700 | Stephanie Kelly | Physical Therapist | 11 Carnegie Ave, Street Line 2, Cold Spring Harbor, NY 11724-2016 | 2009-07-23 |
| 1619508017 | Stephanie Ann Kelly | Counselor | 207 W Morgan St, Brandon, FL 33510-4429 | 2020-02-04 |
| 1528417912 | Stephanie Beth Hampel Kelly | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2016-06-07 |
| 1780012484 | Stephanie Lyn Kelly | Marriage & Family Therapist | 2258 Camino Ramon, San Ramon, CA 94583-1353 | 2013-10-16 |
| 1578999322 | Stephanie Lynn Kelly | Physician Assistant | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2013-09-24 |
| 1487920849 | Stephanie L Kelly | Registered Nurse | 6440 Nieman Rd, Shawnee, KS 66203-3326 | 2012-03-29 |
| 1447574595 | Stephanie Kelly | Psychologist | 3145 W Pratt Blvd, Chicago, IL 60645-4125 | 2010-03-18 |
| Street Address |
4475 S I 19 FRONTAGE RD STE 139 |
| City | GREEN VALLEY |
| State | AZ |
| Zip Code | 85614-5884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801052220 | Charles William Swetnam | Family Medicine | 4475 S I 19 Frontage Rd Ste 139, Green Valley, AZ 85614-6338 | 2008-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773791 | Medavail Pharmacy Inc. | Pharmacy | 5750 S Turquoise Canyon Dr, Green Valley, AZ 85614 | 2019-04-29 |
| 1447742788 | Shanae Murphy | Nurse Practitioner | 1260 S Campbell Ave Unit 2, Green Valley, AZ 85614 | 2018-06-02 |
| 1487173332 | Chirocade, Inc. | Chiropractor | 380 W Vista Hermosa Dr., Ste # 100, Green Valley, AZ 85614 | 2017-09-12 |
| 1922536150 | Melinda Suzanne Prado | Dental Hygienist | 1260 S Campbell Rd Bldg 2, Green Valley, AZ 85614 | 2017-06-01 |
| 1295274579 | Nitika Sharma | Dentist | Dental Village, 140 W Duval Mine Rd, Green Valley, AZ 85614 | 2017-02-19 |
| 1508212960 | Amy Priftakis | Nurse Practitioner | 4455 N I-19 Frontage Rd., Green Valley, AZ 85614 | 2016-05-04 |
| 1730547134 | Cope Community Services, Inc. | Psychiatry & Neurology | 1660 W Commerce Point Pl, Green Valley, AZ 85614 | 2016-02-01 |
| 1548656457 | Southern Arizona Sleep Solutions | Durable Medical Equipment & Medical Supplies | 261 W Duval Road, Green Valley, AZ 85614 | 2015-04-08 |
| 1770978041 | Empower Green Valley Pllc | Emergency Medicine | 4455 S. I-19 Frontage Road, Greenvalley, AZ 85614 | 2015-04-02 |
| 1295125078 | Gv Hospital Management LLC | General Acute Care Hospital | 4455 South I-19 Frontage Road, Green Valley, AZ 85614 | 2015-01-30 |
| Find all providers in zip 85614 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447742788 | Shanae Murphy | Nurse Practitioner | 1260 S Campbell Ave Unit 2, Green Valley, AZ 85614 | 2018-06-02 |
| 1548787294 | Green Valley Family Care | Nurse Practitioner | 140 W Duval Mine Rd Ste 106, Green Valley, AZ 85614-5000 | 2017-08-24 |
| 1457723470 | Caremore Health Plan | Nurse Practitioner | 191 W Esperanza Blvd, Green Valley, AZ 85614-2669 | 2015-10-29 |
| 1396123345 | Pamela Wigginton-fee | Nurse Practitioner | 1860 W Camino Del Zanco, Green Valley, AZ 85622-5046 | 2015-05-11 |
| 1154711695 | Adrianne Jo O'brien | Nurse Practitioner | 1285 W Camino Encanto, Green Valley, AZ 85622-8222 | 2015-02-04 |
| 1962801902 | Katarzyna Wegner | Nurse Practitioner | 250 W Continental Rd Ste 500, Green Valley, AZ 85622-3592 | 2014-08-15 |
| 1437402799 | Claudia Ruiz | Nurse Practitioner | 1295 W Duval Mine Rd, Green Valley, AZ 85614-5003 | 2012-10-23 |
| 1053630871 | Mary Ellen Francl | Nurse Practitioner | 191 W. Esperanza Blvd., Caremore, Green Valley, AZ 85614 | 2010-05-18 |
| 1265925713 | Lisa Linn Olson | Nurse Practitioner | 4475 S I 19 Frontage Rd Ste 255, Green Valley, AZ 85614-5884 | 2018-06-10 |
| 1588154819 | Ezinne Iroku | Nurse Practitioner | 4455 S I 19 Frontage Rd, Green Valley, AZ 85614-5884 | 2018-05-11 |
| Find all providers in GREEN VALLEY | ||||
| City | GREEN VALLEY |
| Zip Code | 85614 |
Please comment or provide details below to improve the information on STEPHANIE LYNN 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.