KELLY WARREN (NPI# 1528378650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528378650 |
| Entity Type | Individual |
| Full Name | KELLY WARREN |
| Credential | LPN |
| Practice Address |
4 Jefferson Plz Poughkeepsie NY 12601-4035 |
| Practice Telephone | 8454735900 |
| Practice Fax Number | 8454736692 |
| Mailing Telephone | 8454735900 |
| Mailing Fax Number | 8454736692 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 299363-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104235233 | Kelly Goodpaster Warren | Dentist | 535 Wellington Way Ste 120, Lexington, KY 40503-1387 | 2014-08-01 |
| 1760619639 | Kelly C Warren | Registered Nurse | 2000 Mckenzie St, Fort Worth, TX 76105-3053 | 2009-06-17 |
| 1306801071 | Kelly John Warren | Dermatology | 3920 Nw 49th St, Tamarac, FL 33309 | 2006-04-18 |
| 1760995450 | Kelly J Warren | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2017-11-16 |
| 1538680335 | Kelly Puz Warren | Counselor | 227 N Market St, Washington, NC 27889-4949 | 2017-06-30 |
| 1891105193 | Kelly Warren | Psychologist | 2447 Pacific Coast Hwy Ste 213, Hermosa Beach, CA 90254-2714 | 2014-05-07 |
| 1326480948 | Kelly L Warren | Registered Nurse | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2013-07-24 |
| 1164767398 | Kelly H Warren | Nurse Practitioner | 10600 Industrial Dr, Minden, LA 71055-5105 | 2012-11-28 |
| 1396039657 | Kelly Ann Warren | Pharmacist | 1285 Som Center Rd, T-1324, Mayfield Heights, OH 44124-2073 | 2011-06-04 |
| 1093923856 | Kelly Dawn Warren | Social Worker | 222 Tongass Dr, Sitka, AK 99835-9416 | 2007-05-17 |
| Street Address |
4 JEFFERSON PLZ |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-4035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336305770 | Marion Primiano | Registered Nurse | 4 Jefferson Plz, Suite 201, Poughkeepsie, NY 12601-4035 | 2008-08-05 |
| 1295362861 | Restoration Medical Transportation | Clinic/Center | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2020-03-24 |
| 1922634674 | Restoration Medical Center | Naprapath | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2020-03-13 |
| 1821620949 | Seion Scott-jackson | Licensed Practical Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2020-02-06 |
| 1811559545 | Catrina Williams | Nurse Practitioner | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2019-07-02 |
| 1780241281 | Eileen Mills | Licensed Practical Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2019-05-21 |
| 1104481811 | Debbie Galvin | Licensed Practical Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2019-05-08 |
| 1801359328 | Nancy Swart | Registered Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2019-04-11 |
| 1679037014 | Nicole Pittman | Licensed Practical Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2019-01-30 |
| 1548730948 | Michelle Annastas | Licensed Practical Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2018-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115867 | Kimberly Marie Digiacomo | Licensed Practical Nurse | 8 Davies Pl Apt 2, Poughkeepsie, NY 12601-2283 | 2020-02-07 |
| 1013555812 | Jaclyn Anne Johnson | Licensed Practical Nurse | 370 Cedar Valley Rd, Poughkeepsie, NY 12603 | 2019-12-12 |
| 1447891734 | Lucinda Reyes | Licensed Practical Nurse | 343 Church St, Poughkeepsie, NY 12601-3856 | 2019-10-08 |
| 1568010387 | Jessica Theiss | Licensed Practical Nurse | 537 Salt Point Tpke, Poughkeepsie, NY 12601-6528 | 2019-08-27 |
| 1982265377 | Colleen Williams | Licensed Practical Nurse | 10 Mack Rd, Poughkeepsie, NY 12603-2714 | 2019-06-26 |
| 1821558560 | Deon Wallace | Licensed Practical Nurse | 6 Williams St Apt B, Poughkeepsie, NY 12601-8040 | 2019-03-20 |
| 1326507294 | Brianna Foster | Licensed Practical Nurse | 8 Hawk Ln, Poughkeepsie, NY 12601-1255 | 2019-03-19 |
| 1609335827 | Shapur Hibbert | Licensed Practical Nurse | 42 Ziegler Ave, Poughkeepsie, NY 12603-3107 | 2019-03-18 |
| 1326505116 | Nakia Krouser | Licensed Practical Nurse | 211 Mill St Apt 4, Poughkeepsie, NY 12601-6737 | 2019-02-27 |
| 1316419948 | Magdala Berjuste | Licensed Practical Nurse | 364 Mansion St, Poughkeepsie, NY 12601-3567 | 2018-12-20 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
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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.