KELLY SHIRLETTE JENKINS (NPI# 1548549983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548549983 |
Entity Type | Individual |
Full Name | KELLY SHIRLETTE JENKINS |
Credential | PC |
Practice Address |
203 Venture Path Hiram GA 30141-2681 |
Practice Telephone | 7704391686 |
Mailing Telephone | 7704391686 |
Enumeration Date | 2011-08-16 |
Last Update Date | 2011-08-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC004344 | GA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295270411 | Kelly Jenkins | Occupational Therapy Assistant | 1231 Woodfield Ave, South Bend, IN 46615-3803 | 2016-12-23 |
1649619313 | Kelly Brown Jenkins | Midwife | 96 Locust Ln, Bluemont, VA 20135-4854 | 2013-06-17 |
1043330020 | Kelly Shaffer Jenkins | Physical Therapist | 143 Nashville Commons Dr, Nashville, NC 27856-1284 | 2007-03-31 |
1255865895 | Kelly Anne Jenkins | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2017-04-19 |
1154781052 | Kelly Lynn Jenkins | Nurse Practitioner | 106 Bow St, Elkton, MD 21921-5544 | 2016-03-04 |
1407197163 | Kelly D Jenkins | Occupational Therapist | 5334 Meadow Lane Ct, Sheffield Village, OH 44035-1469 | 2013-03-06 |
1518201490 | Kelly Renae Jenkins | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 | 2012-11-16 |
1891083580 | Kelly A. Jenkins | Registered Nurse | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2011-07-14 |
1578764932 | Kelly Jenkins | Speech-Language Pathologist | 2700 N 3rd St Ste 4000, Phoenix, AZ 85004-1173 | 2007-05-31 |
1023157427 | Kelly Sue Jenkins | Speech-Language Pathologist | 3930 Washington St, Kansas City, MO 64111-2925 | 2007-02-05 |
Street Address |
203 VENTURE PATH |
City | HIRAM |
State | GA |
Zip Code | 30141-2681 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801255690 | Belinda Lett Baker | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5316 Jones Reserve Walk, Hiram, GA 30141 | 2016-02-22 |
1104213339 | Matthew Lee Estes | Nurse Practitioner | 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141 | 2015-04-26 |
1881088649 | Marietta Eye Clinic, Pa | Optometrist | 47 Highland Pavilion Ct, Suite 101, Hiram, GA 30141 | 2015-03-19 |
1902217417 | Hiram Dental Group, PC | Dentist | 5218 Jimmy Lee Smith Parkway, Suite 100, Hiram, GA 30141 | 2014-05-19 |
1912340613 | Anuj Patel | Orthopaedic Surgery | 148 Bill Carruth Parkway Suite 120, Hiram, GA 30141 | 2013-04-11 |
1619280278 | Thomas Wayne Bloodworth | Obstetrics & Gynecology | 6794 Bill Carruth Parkway, Hiram, GA 30141 | 2010-07-23 |
1487970026 | Madelynn Lorraine Speach | Counselor | 44 Darbys Crossing Dr Ste 206c, Hiram, GA 30141 | 2010-04-07 |
1679760433 | We Care Md, P.C. | Family Medicine | 5610 Wendy Bagwell Parkway, Suite 103, Hiram, GA 30141 | 2007-09-26 |
1811188121 | Holly L Watson | Nurse Practitioner | 156 Hiram Drive, Building B, Hiram, GA 30141 | 2007-08-05 |
1285842799 | Restoration Physical Therapy, LLC. | Clinic/Center | 5077 Jimmy Lee Smith Pkwy, Suite 119, Hiram, GA 30141 | 2007-05-18 |
Find all providers in zip 30141 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083215685 | Peace of Mind Counseling and Therapeutic Services | Counselor | 290 Baywood Way, Hiram, GA 30141-3186 | 2020-11-02 |
1184231599 | Joi Pearson | Counselor | 196 Trailside Way, Hiram, GA 30141-3271 | 2020-09-29 |
1285113183 | Legacy Counseling Centers | Counselor | 848 Hiram Acworth Hwy Bldg 100, Hiram, GA 30141-2286 | 2018-08-10 |
1215443718 | Obger Mercier | Counselor | 214 Darbys Run Dr, Hiram, GA 30141-3191 | 2017-12-19 |
1649720913 | Terry Samuels | Counselor | 107 Enterprise Path Ste 301, Hiram, GA 30141-2690 | 2016-10-10 |
1306203179 | Eden Parks | Counselor | 205 Enterprise Path, Hiram, GA 30141-2658 | 2016-01-25 |
1184098055 | Joseph Wanders | Counselor | 126 Enterprise Path Ste 201, Hiram, GA 30141-2654 | 2015-11-16 |
1831577980 | Vanessa H Bonaparte | Counselor | 107 Enterprise Path, Suite 305, Hiram, GA 30141-2689 | 2015-05-09 |
1932448099 | Grace Keely | Counselor | 4 Cross Pointe Way, Hiram, GA 30141-5481 | 2013-02-11 |
1003055104 | Lashawn Faison-bradley | Counselor | 44 Darbys Crossing Dr Ste 202, Hiram, GA 30141-6008 | 2009-02-12 |
Find all providers in HIRAM |
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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.