RAELYNN MARIE KELLY (NPI# 1538657994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538657994 |
| Entity Type | Individual |
| Full Name | RAELYNN MARIE KELLY |
| Practice Address |
1955 Bells Ferry Rd Apt 4322 Marietta GA 30066-7014 |
| Practice Telephone | 4042547464 |
| Mailing Telephone | 4042547464 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN095148 | GA | Nursing Service Providers |
| Street Address |
1955 BELLS FERRY RD APT 4322 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-7014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| 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 |
|---|---|---|---|---|
| 1992280028 | Ronda Frank | Licensed Practical Nurse | 2583 Kamm Rd, Marietta, NY 13110-3119 | 2018-09-25 |
| 1134618309 | Aja Monique Styles | Licensed Practical Nurse | 2702 Station Club Dr Sw, Marietta, GA 30060-7520 | 2018-05-03 |
| 1124531991 | Advance Home Care & Medical Services, Inc. | Licensed Practical Nurse | 1109 Garrison Plantation Dr Se, Marietta, GA 30060-3145 | 2017-11-14 |
| 1497297329 | Bernice Ellis-veal | Licensed Practical Nurse | 2238 Nantucket Ct Ne, Marietta, GA 30066-2128 | 2016-11-09 |
| 1871962159 | Angela Kay Gillespie | Licensed Practical Nurse | 1338 Colegate Dr, Marietta, OH 45750-1329 | 2015-09-17 |
| 1003257528 | Daniel J Mcmahan | Licensed Practical Nurse | 118 Brant Dr, Marietta, OH 45750-9482 | 2013-07-12 |
| 1538502570 | T. Miles | Licensed Practical Nurse | 1675 Roswell Rd, #1616, Marietta, GA 30062-3662 | 2013-04-09 |
| 1891051520 | Virginia Gale Milligan | Licensed Practical Nurse | 405 Fearing St, Marietta, OH 45750-2822 | 2012-04-06 |
| 1154604015 | Samara Robertson | Licensed Practical Nurse | 2107 Station Club Dr Sw, Marietta, GA 30060-7517 | 2011-09-27 |
| 1497074942 | Alisha Jasmine Kilmer | Licensed Practical Nurse | 1007 Front St, Marietta, OH 45750-1840 | 2010-05-24 |
| Find all providers in MARIETTA | ||||
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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.