MS. KELLIE ANN MCNERNEY (NPI# 1568426476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568426476 |
| Entity Type | Individual |
| Full Name | MS. KELLIE ANN MCNERNEY |
| Credential | RN, NP |
| Practice Address |
330 Ellis St Glide Health Services, Suite 418 San Francisco CA 94102-2735 |
| Mailing Address |
380 Coleman Dr Dixon CA 95620-3241 |
| Practice Telephone | 4156746140 |
| Practice Fax Number | 4156731037 |
| Mailing Telephone | 7076786174 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2012-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN 283687 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP 4658 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
NP 4658 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
NP 4658 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
330 ELLIS ST GLIDE HEALTH SERVICES, SUITE 418 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94102-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790749091 | Patricia Mary Dennehy | Nurse Practitioner | 330 Ellis St, Glide Health Services, Suite 518, San Francisco, CA 94102-2735 | 2006-04-13 |
| 1144686312 | Shannon Heuklom | Nurse Practitioner | 330 Ellis St, 6th Floor, San Francisco, CA 94102-2735 | 2016-01-04 |
| 1265866446 | Vanessa M Dempsey | Nurse Practitioner | 330 Ellis St, San Francisco, CA 94102-2735 | 2013-08-24 |
| 1225477532 | Tony Anh Nguyen | Pharmacist | 330 Ellis St, 6th Floor (health Clinic), San Francisco, CA 94102-2735 | 2013-06-19 |
| 1841635000 | Jolie Marie Hoppe Macrito | Hospitalist | 330 Ellis St, San Francisco, CA 94102 | 2013-05-01 |
| 1164765061 | Bahare Farhadian | Nurse Practitioner | 330 Ellis St, San Francisco, CA 94102-2735 | 2013-03-29 |
| 1497030241 | Lisa Masai | Registered Nurse | 330 Ellis St, C/o Glide Health Services, San Francisco, CA 94102-2735 | 2011-10-12 |
| 1467667469 | Sandra C Prentice | Nurse Practitioner | 330 Ellis St, San Francisco, CA 94102-2735 | 2007-05-11 |
| 1861520504 | Christina Macdonald Fraser Clark | Nurse Practitioner | 330 Ellis St, Glide Health Services, San Francisco, CA 94102-2735 | 2007-03-02 |
| 1063559243 | Kenneth Hyo-kyung Kim | Psychologist | 330 Ellis St, San Francisco, CA 94102-2735 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849318 | Alvin Vallejo | Registered Nurse | 30 Van Ness, Suite 2300, San Francisco, CA 94102 | 2020-04-07 |
| 1831731041 | Erica Keller | Physician Assistant | 1998 Market Street, Within Carbon Health, San Francisco, CA 94102 | 2019-10-09 |
| 1790342368 | Emma Victoria Mc Arthur | Acupuncturist | 364 Hayes Street, Second Floor, San Francisco, CA 94102 | 2019-05-20 |
| 1265926489 | Sharon Lee Haynes | Counselor | 711 Van Ness Ave Ste 500, San Francisco, CA 94102 | 2018-06-20 |
| 1487166898 | Therapia Health Management Inc. | Clinic/Center | 1390 Market St. Suite 200, San Francisco, CA 94102 | 2017-10-26 |
| 1700395456 | Faiza Saeed | Community Health Worker | 315 Turk Street, San Francisco, CA 94102 | 2017-09-26 |
| 1093255184 | Abigail Roh | Counselor | 50 Ivy St., San Francisco, CA 94102 | 2017-03-08 |
| 1598214173 | See Saw Seen Optometry | Optometrist | 515 Gough Street, San Francisco, CA 94102 | 2016-09-24 |
| 1841744505 | Kyra Lee | Dentist | 490 Post St Ste 1450, San Francisco, CA 94102 | 2016-08-11 |
| 1255702528 | Jins Eyewear Us, Inc. | Technician/Technologist | 151 Powell St., San Francisco, CA 94102 | 2015-10-13 |
| Find all providers in zip 94102 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366072894 | Ma Isabella Ventura | Nurse Practitioner | 77 Hermann St Apt 24, San Francisco, CA 94102-6220 | 2020-01-23 |
| 1871063321 | Tara Marie O'rourke | Nurse Practitioner | 1825 4th St # M4374, San Francisco, CA 94143-2350 | 2018-11-27 |
| 1972043727 | Eileen Jordan | Nurse Practitioner | 4428 California St, San Francisco, CA 94118-1213 | 2017-02-27 |
| 1528672052 | Sarah Nicole Katz | Nurse Practitioner | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2020-09-02 |
| 1245850247 | Katerina Helmn | Nurse Practitioner | 450 Sutter St Rm 800, San Francisco, CA 94108-3910 | 2020-04-20 |
| 1922579408 | Margaret Link | Nurse Practitioner | 4150 Clement St, San Francisco, CA 94121-1563 | 2018-12-10 |
| 1295203107 | Negin Fazilat | Nurse Practitioner | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2018-11-08 |
| 1821564295 | Charles Noyes | Nurse Practitioner | 4150 Clement St, San Francisco, CA 94121-1563 | 2018-10-23 |
| 1033699855 | Nicole Recine | Nurse Practitioner | 501 Folsom St, San Francisco, CA 94105-3174 | 2018-08-21 |
| 1740796952 | Ewana Siu Yee Cheng | Nurse Practitioner | 1545 Divisadero St Fl 2, San Francisco, CA 94143-3400 | 2017-12-26 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94102 |
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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.