TASHIANA KELLY (NPI# 1528666146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528666146 |
| Entity Type | Individual |
| Full Name | TASHIANA KELLY |
| Practice Address |
2611 University Blvd N Apt C203 Jacksonville FL 32211-3287 |
| Practice Telephone | 9042482208 |
| Mailing Telephone | 9042482208 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | W689477 | FL | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE IDENTIFICATION | K400801859330 | 01 |
| Street Address |
2611 UNIVERSITY BLVD N APT C203 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32211-3287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
| 1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| 1366089641 | Prophetic Healing Deliverance Ministry of Mysteries, Inc | Counselor | 8550-2 Lone Star Road, Jacksonville, FL 32211 | 2019-12-05 |
| 1922656370 | Timothy Richard Barron | Behavior Technician | 5633 Clifton Ln, Jacksonville, FL 32211 | 2019-08-29 |
| 1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
| 1780160192 | Ganesh Healthcare of Jax LLC | Alzheimer Center (Dementia Center) | 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 | 2018-07-18 |
| 1902397276 | Chandra Harris Washington | In Home Supportive Care | 2712 Gaillardia Rd, Jacksonville, FL 32211 | 2018-05-22 |
| 1043730062 | Monica R Iskander | Dentist | 465 University Blvd N, Jacksonville, FL 32211 | 2017-06-21 |
| 1205366895 | Lilibeth Bundang Adona | Custodial Care Facility | 1818 Townsend Blvd, Jacksonville, FL 32211 | 2017-06-15 |
| Find all providers in zip 32211 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043719396 | Coco Chenele LLC | Point of Service | 6650 Corporate Center Pkwy Apt 1317, Jacksonville, FL 32216-8722 | 2018-02-01 |
| 1265826820 | J-well Pilates Rehab Studio | Point of Service | 310 E California St Unit B, Jacksonville, OR 97530-9414 | 2015-03-22 |
| 1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
| 1962647156 | The Thomas Hill Group Inc | Point of Service | 7911 Melvin Rd, Jacksonville, FL 32210-1434 | 2008-12-03 |
| 1528165909 | Community Rehabilitation Center Inc | Point of Service | 623 Beechwood Strret, Jacksonville, FL 32206 | 2006-09-20 |
| 1104822923 | Keepsafe Center, Inc. | Point of Service | 5626 Soutel Dr, Jacksonville, FL 32219-3772 | 2005-06-27 |
| 1376095729 | Liquid Logic Rx | Point of Service | 5105 Bowden Rd, Jacksonville, FL 32216-5907 | 2016-11-02 |
| 1992110654 | Vibrant Life Health Center LLC | Point of Service | 12627 San Jose Blvd, Suite 501, Jacksonville, FL 32223-2662 | 2014-06-21 |
| 1538596481 | My Guardian Angels Senior Care Inc | Point of Service | 9951 Atlantic Blvd, Ste 423, Jacksonville, FL 32225-6584 | 2013-10-07 |
| 1841548898 | Peachesnabasket Adult Health Services | Point of Service | 2040 Soutel Dr, Jacksonville, FL 32208-2280 | 2012-08-23 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32211 |
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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.