KELLY EDWARDS (NPI# 1548670136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548670136 |
Entity Type | Individual |
Full Name | KELLY EDWARDS |
Credential | R.N. |
Practice Address |
908 N Elm St Suite 109 Hinsdale IL 60521-3635 |
Practice Telephone | 6307949999 |
Practice Fax Number | 6307949998 |
Mailing Telephone | 6307949999 |
Mailing Fax Number | 6307949998 |
Enumeration Date | 2014-05-05 |
Last Update Date | 2014-05-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0000X |
Registered Nurse Specialization: Pain Management |
041.340806 | IL | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205498110 | Kelly Jo Edwards | Nurse Practitioner | 12002 Bandera Rd Ste 111, Helotes, TX 78023-4669 | 2019-07-01 |
1700259595 | Kelly Devota Edwards | Student in an Organized Health Care Education/Training Program | 100 North Washington St Station 14, Livingston, AL 35470 | 2015-11-03 |
1952747271 | Kelly L Edwards | Nurse Practitioner | 4054 State Route 52, Youngsville, NY 12791-0595 | 2013-05-14 |
1285880724 | Kelly D. Edwards | Nurse Practitioner | 1110 Highlands Plaza Dr East, Ste 300, Saint Louis, MO 63110-1353 | 2008-08-15 |
1346389483 | Kelly Roxanne Edwards | Physical Therapist | 1150 W Morton Ave Ste B, Porterville, CA 93257 | 2007-02-05 |
1245871201 | Kelly Harold Edwards | Counselor | 4807 Spicewood Springs Rd, Building 1, #1140, Austin, TX 78759 | 2019-10-01 |
1720447352 | Kelly Edwards | Nurse Anesthetist, Certified Registered | 3333 Cattlemen Rd, Sarasota, FL 34232-6056 | 2016-02-10 |
1063787208 | Kelly Edwards | Case Manager/Care Coordinator | 6701 Highway 67 Bldg 4, Benton, AR 72015-8909 | 2012-03-21 |
1588944243 | Kelly Ann Edwards | Registered Nurse | 8420 W Bryn Mawr Ave, Suite 300, Chicago, IL 60631-3479 | 2011-08-25 |
1225283450 | Kelly Gardner Edwards | Nurse Practitioner | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2008-12-02 |
Street Address |
908 N ELM ST SUITE 109 |
City | HINSDALE |
State | IL |
Zip Code | 60521-3635 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386640878 | Kerry Disanto | Psychiatry & Neurology | 908 N Elm St, Ste 110, Hinsdale, IL 60521-3635 | 2005-06-21 |
1306222070 | Integrity Orthopedics and Pain Ltd | Orthopaedic Surgery | 908 N Elm St, Suite 109, Hinsdale, IL 60521-3635 | 2015-08-05 |
1538578588 | Tawfik Girgis | Otolaryngology | 908 N Elm St, Suite 306, Hinsdale, IL 60521-3635 | 2014-08-04 |
1104259258 | Du Page Medical Group Ltd | Prosthetic/Orthotic Supplier | 908 N Elm St, Ste 301, Hinsdale, IL 60521-3635 | 2013-08-13 |
1700225992 | Sarah A Savage | Physician Assistant | 908 N Elm St, 310, Hinsdale, IL 60521-3635 | 2013-06-20 |
1275970717 | Pinnacle Interventional Pain Associates, Sc | Clinic/Center | 908 N Elm St, Suite 301, Hinsdale, IL 60521-3635 | 2013-05-23 |
1902156565 | Melissa L. Vick | Physician Assistant | 908 N Elm St, Suite 306, Hinsdale, IL 60521-3635 | 2012-09-11 |
1760744148 | Aileen Anne Robitaille | Nurse Practitioner | 908 N Elm St, Suite 301, Hinsdale, IL 60521-3635 | 2012-06-12 |
1336415900 | Reliance Physical Therapy PC | Physical Therapist | 908 N Elm St, Suite 315, Hinsdale, IL 60521-3635 | 2012-03-28 |
1285917898 | Kelly Christine Waldvogel | Audiologist | 908 N Elm St, Ste 306, Hinsdale, IL 60521-3635 | 2011-09-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386256170 | Infinity Yoga LLC | Counselor | 702 Mills St, Hinsdale, IL 60521 | 2020-08-21 |
1427696855 | Anne Didier | Nurse Practitioner | 40 South Clay St., Suite 200, West Building, Hinsdale, IL 60521 | 2019-12-16 |
1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
1639680275 | Kelly M Lyell | Psychologist | 950 S Oak St, Hinsdale, IL 60521 | 2017-10-23 |
1386169720 | Elizabeth Ann Thorsness | Counselor | 412 East Fourth St., Hinsdale, IL 60521 | 2017-08-07 |
1275057424 | Bryndal Nicole Chervinko | Audiologist | 908 North Elm Street, Suite 306, Hinsdale, IL 60521 | 2017-07-31 |
1972038990 | Carolyn M Ball | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521 | 2017-04-27 |
1710429964 | Smiling Star Speech & Language | Speech-Language Pathologist | 120 E Odgen Avenue, Suite 110, Hinsdale, IL 60521 | 2016-11-04 |
1972964773 | Sharon Grob Murphy | Psychologist | 728 S. Park Ave., Hinsdale, IL 60521 | 2016-03-08 |
1992187074 | Matthew Destefani | Emergency Medicine | 109 Symonds Dr # 578, Hinsdale, IL 60521 | 2015-06-24 |
Find all providers in zip 60521 |
Taxonomy Code | 163WP0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Pain Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609051325 | James William Kartsimas | Registered Nurse | 609 Lexington Sq E, Gurnee, IL 60031-3231 | 2007-12-31 |
1093932436 | June Elizabeth Oliver | Registered Nurse | 5215 N California Ave Ste 600, Chicago, IL 60625-8564 | 2007-04-19 |
1356433940 | Andrea Ann Iantorno Buckley | Registered Nurse | 9000 N Waukegan Road, Suite 130, Morton Grove, IL 60053-2127 | 2006-09-29 |
1811969892 | Lesa Renee' Seales | Registered Nurse | 211 S. 3rd St., Belleville, IL 62221 | 2006-02-03 |
1780142356 | Ashley Renee Bingman | Registered Nurse | 1 Bronze Pointe Blvd Ste 1a, Swansea, IL 62226-1045 | 2019-03-03 |
1497285977 | Jordan E Hogan | Registered Nurse | 1118 Hampshire St, Quincy, IL 62301-3027 | 2017-06-15 |
1710212535 | Daveda C Voss | Registered Nurse | 630 Locust St, Carthage, IL 62321-1459 | 2009-10-13 |
1013140482 | Janet Moss | Registered Nurse | 4440 W 95th St, Pain Management Center, Oak Lawn, IL 60453-2600 | 2009-09-01 |
1649391186 | Patrice Anne Murray | Registered Nurse | 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 | 2007-04-03 |
1437295524 | Todd A Littlejohn | Registered Nurse | 211 S 3rd St, Belleville, IL 62220-1915 | 2007-01-29 |
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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.