MS. KELLI R MCKEE (NPI# 1558344812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558344812 |
| Entity Type | Individual |
| Full Name | MS. KELLI R MCKEE |
| Other Name | MS. KELLI R. SHELL |
| Credential | PA-C |
| Practice Address |
2144 Main St Ste 8 Longmont CO 80501-8402 |
| Mailing Address |
2550 N Thunderbird Cir Ste 303 Mesa AZ 85215-1219 |
| Practice Telephone | 3037720041 |
| Practice Fax Number | 3037720042 |
| Mailing Telephone | 4804554932 |
| Mailing Fax Number | 4807760025 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2018-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 1735 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
481 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1735 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | RR MEDICARE | P01492742 | 01 |
| CO | RR MEDICARE | P01481660 | 01 |
| CO | 67156738 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699263897 | Kelli Mckee | Chore Provider | 6725 S Eastern Ave Ste 1, Las Vegas, NV 89119-3949 | 2018-04-24 |
| Street Address |
2144 MAIN ST STE 8 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-8402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909287 | Colorado Urgent Care Pllc | Clinic/Center | 2144 Main St Ste 8, Longmont, CO 80501-8402 | 2020-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356440382 | Christie Lynn Marcotte | Physician Assistant | 1526 Harlequin Dr, Longmont, CO 80504-2235 | 2006-09-22 |
| 1316056260 | St. Vrain Surgical Assists, LLC | Physician Assistant | 77 Baylor Dr, Longmont, CO 80503-2148 | 2006-08-30 |
| 1740393131 | Robert Farias | Physician Assistant | 9539 Majestic Rd, Longmont, CO 80504-7741 | 2006-08-17 |
| 1770692709 | Bill J Parker | Physician Assistant | 77 Baylor Dr, Longmont, CO 80503-2148 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737366 | Wound Solutions Inc | Physician Assistant | 130 Old Laramie Trl Ste 100, Lafayette, CO 80026-7014 | 2020-07-13 |
| 1295396513 | Joseph D Timmermeyer | Physician Assistant | 324 Fossil Dr, Johnstown, CO 80534-7452 | 2019-06-26 |
| 1356805626 | Heather Free | Physician Assistant | 3653 N Josephine St, Denver, CO 80205-3545 | 2019-01-30 |
| 1255804910 | Jessie P Larson | Physician Assistant | 7847 Downing St, Denver, CO 80229-5961 | 2019-01-05 |
| 1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
| 1225533136 | Rafael Eduardo Castillo | Physician Assistant | 6200 Habitat Dr Apt 2052, Boulder, CO 80301-3235 | 2018-03-25 |
| 1972026276 | Sophia Jane Wagner | Physician Assistant | 2643 Patterson Rd Ste 403, Grand Junction, CO 81506-1937 | 2017-07-19 |
| 1326588732 | Elise Nicole Van Etten | Physician Assistant | 13123 E 16th Ave # 323, Anschutz Medical Campus, Aurora, CO 80045-7106 | 2017-03-03 |
| 1336691914 | Patrick Craig Ford | Physician Assistant | 6500 29th St Ste 106, Greeley, CO 80634-8386 | 2016-10-28 |
| 1942751904 | 5280 Surgical Assisting Professional LLC | Physician Assistant | 10233 Bluffmont Dr, Lone Tree, CO 80124-5559 | 2016-10-14 |
| Find all providers with the same taxonomy | ||||
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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.