KEELY CLARK-MILLS (NPI# 1497369698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497369698 |
| Entity Type | Individual |
| Full Name | KEELY CLARK-MILLS |
| Credential | RN |
| Practice Address |
335 Hillberg Ave Brockton MA 02301-6364 |
| Practice Telephone | 6178206848 |
| Mailing Telephone | 6178206848 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
2258668 | MA | Nursing Service Providers |
| Street Address |
335 HILLBERG AVE |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-6364 |
| 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 | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218756 | Tonia Leigh Filgerleski | Registered Nurse | 21 Harmony Trl, Hopedale, MA 01747-1432 | 2020-08-31 |
| 1649883596 | Jason Macbeth Pendergast | Registered Nurse | 439 S Union St Unit 403, Lawrence, MA 01843-2837 | 2020-08-28 |
| 1891306239 | K Stefanie Reis | Registered Nurse | 19 Magoun Ave Fl 1, Medford, MA 02155-4853 | 2020-08-10 |
| 1801418470 | Amy Lyn Azevedo | Registered Nurse | 5 Swan Pond Rd, North Reading, MA 01864-2931 | 2020-05-17 |
| 1780204487 | Emmanuel Yaw Tete-donkor | Registered Nurse | 155 Naismith St, Springfield, MA 01104-3768 | 2020-04-22 |
| 1942839618 | Wendy Jazmin Monegro Mercedes | Registered Nurse | 1 Westinghouse Plz Unit C333, Boston, MA 02136-2290 | 2020-04-05 |
| 1811522998 | Bernard Njoroge | Registered Nurse | 30 Pomeworth St Apt 21, Stoneham, MA 02180-1243 | 2020-03-09 |
| 1043859903 | Sylvia Ndagire | Registered Nurse | 24 Brentwood St, Malden, MA 02148-4704 | 2019-12-24 |
| 1275190795 | Nougye J Mutungi Mukoma | Registered Nurse | 89 Patricia Ln, Dracut, MA 01826-1225 | 2019-05-20 |
| 1588133417 | Margaret Christine Saliba | Registered Nurse | 11 Safford St, Braintree, MA 02184-5402 | 2018-11-20 |
| 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.