KELLY ELIZABETH ANDERSON (NPI# 1538578430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538578430 |
| Entity Type | Individual |
| Full Name | KELLY ELIZABETH ANDERSON |
| Practice Address |
1512 Spreckels St Honolulu HI 96822-4658 |
| Practice Telephone | 2069103621 |
| Mailing Telephone | 2069103621 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083234710 | Kelly Mankin Anderson | Audiologist | 135 Nw 17th St, Bend, OR 97703-2420 | 2020-04-22 |
| 1184255408 | Kelly Marie Anderson | Registered Nurse | 10600 W 500 N, Deputy, IN 47230-8999 | 2020-01-27 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1457858300 | Kelly R Anderson | Nurse Practitioner | 10120 W Broad St Ste F, Glen Allen, VA 23060-6709 | 2018-04-08 |
| 1528394681 | Kelly Elizabeth Anderson | Physical Therapist | 1742 Commonwealth Ave, Apt 2, Brighton, MA 02135 | 2009-10-26 |
| 1568694115 | Kelly L Anderson | Physical Therapist | 1325 Spring St., Greenwood, SC 29649 | 2009-08-17 |
| 1255586475 | Kelly Marie Anderson | Nurse's Aide | 1720 17th Ct, Jupiter, FL 33477-9089 | 2008-12-02 |
| 1114056637 | Kelly L Anderson | Social Worker | 655 E. Main St, Children's Hospital Guidance Center, Columbus, OH 43205 | 2007-03-02 |
| 1144828658 | Kelly Herbert Anderson | Social Worker | 220 N Ballston Ave, Scotia, NY 12302-2533 | 2020-10-16 |
| 1063077147 | Kelly S Anderson | Behavior Technician | 225 Eagle St, Anchorage, AK 99501-2626 | 2019-05-05 |
| Street Address |
1512 SPRECKELS ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96822-4658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255980231 | Talia Rachel Schwartz | Counselor | 2444 Dole St, Krauss Hall 101, The University of Hawaii At Manoa, Honolulu, HI 96822 | 2019-09-11 |
| 1689239667 | Taylor Stacy | Psychologist | 2444 Dole Street, Krauss Hall 101, Honolulu, HI 96822 | 2019-05-06 |
| 1881152916 | Talaivosa Moala | Nurse's Aide | 1929-a Wilder Avenue, Honolulu, HI 96822 | 2019-03-07 |
| 1720505761 | Nalani Cook | Physical Therapist | 3577 Pinao Street, Unit 48, Honolulu, HI 96822 | 2017-08-29 |
| 1568986230 | Aaron Michael Neis | Student in an Organized Health Care Education/Training Program | 2444 Dole Street, Krauss Hall 23, Honolulu, HI 96822 | 2017-08-03 |
| 1568985448 | Tommie Mitsuko Yamamoto | Student in an Organized Health Care Education/Training Program | 2530 Dole Street, Sakamaki C 400, Honolulu, HI 96822 | 2017-07-21 |
| 1568997005 | Wade Yamasaki | Specialist/Technologist | 1337 Lower Campus Road, Honolulu, HI 96822 | 2017-04-21 |
| 1699123067 | Elyssa Nakanishi | Technician, Other | 1330 Wilder Ave Apt 319, Honolulu, HI 96822 | 2016-05-26 |
| 1619348737 | Amanda Marie Vincent | Counselor | Sakamaki Hall C400, 2530 Dole St., University of Hawaii At Manoa Department of Psychology, Honolulu, HI 96822 | 2015-10-15 |
| 1982081139 | Virginia Huntley | Physical Therapist | 3588a Woodlawn Drive, Honolulu, HI 96822 | 2015-04-27 |
| Find all providers in zip 96822 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132336 | Da Eun Suh | Student in an Organized Health Care Education/Training Program | 2350 Dole St # C400, Honolulu, HI 96822-2410 | 2020-07-23 |
| 1629697347 | Ryan Yee | Student in an Organized Health Care Education/Training Program | 4133 Paloma Pl, Honolulu, HI 96816-3931 | 2020-04-13 |
| 1558997510 | Ashley-anne Feria Makaula | Student in an Organized Health Care Education/Training Program | 520 Lunalilo Home Rd Unit 255, Honolulu, HI 96825-1721 | 2020-03-20 |
| 1922633163 | Eden Koo | Student in an Organized Health Care Education/Training Program | 1013 Waieli St, Honolulu, HI 96821-1242 | 2020-03-09 |
| 1215574090 | Celeste C Ashimine | Student in an Organized Health Care Education/Training Program | 694 Aipo St, Honolulu, HI 96825-2445 | 2019-11-29 |
| 1316408446 | Yuree Namkung | Student in an Organized Health Care Education/Training Program | 2229 N. School St., Honolulu, HI 96819-2588 | 2019-03-29 |
| 1073073482 | Rachel Lee | Student in an Organized Health Care Education/Training Program | 1670 Makaloa St Ste 202, Honolulu, HI 96814-3232 | 2019-03-21 |
| 1851850853 | Laylah Rose Zelko | Student in an Organized Health Care Education/Training Program | 1630 Lusitana St Apt C, Honolulu, HI 96813-1625 | 2019-03-19 |
| 1699249904 | Kathreece Farrales | Student in an Organized Health Care Education/Training Program | 4110 Napali Pl, Honolulu, HI 96816-4312 | 2019-01-20 |
| 1861993131 | Victoria Alexandra Maxon | Student in an Organized Health Care Education/Training Program | 1 Jarret Wright Rd, Tripler Army Medical Center, Honolulu, HI 96859-5001 | 2018-02-22 |
| Find all providers in HONOLULU | ||||
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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.