NANCY KELLEY, MD, LLC (NPI# 1568715183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568715183 |
Entity Type | Organization |
Organization Name | NANCY KELLEY, MD, LLC |
Practice Address |
4745 Arapahoe Ave Suite 310 Boulder CO 80303-1080 |
Practice Telephone | 3034422913 |
Practice Fax Number | 3034446198 |
Mailing Telephone | 3034422913 |
Mailing Fax Number | 3034446198 |
Enumeration Date | 2012-10-19 |
Last Update Date | 2012-10-19 |
Authorized Official Name | JUDY DIETZ (ADMINISTRATOR) |
Authorized Official Telephone | 3034422913 |
Authorized Official Credential | MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
48271 | CO | Ambulatory Health Care Facilities |
Street Address |
4745 ARAPAHOE AVE SUITE 310 |
City | BOULDER |
State | CO |
Zip Code | 80303-1080 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316933484 | Donald A Maschka | Otolaryngology | 4745 Arapahoe Ave, Suite 130, Boulder, CO 80303-1080 | 2005-09-23 |
1497156509 | The Pediatric Center, Professional LLC | Pediatrics | 4745 Arapahoe Ave, Suite 310, Boulder, CO 80303-1080 | 2014-09-08 |
1649525940 | Kimberly Ann Windels | Advanced Practice Midwife | 4745 Arapahoe Ave, Suite 320, Boulder, CO 80303-1080 | 2012-07-23 |
1679836944 | Kristen Wolfe | Obstetrics & Gynecology | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1080 | 2012-06-20 |
1386918977 | Jennifer Lau Stanzel | Physician Assistant | 4745 Arapahoe Ave, Suite 110, Boulder, CO 80303-1080 | 2012-02-29 |
1558638189 | Erika Leigh Guider | Physician Assistant | 4745 Arapahoe Ave, Suite 130, Boulder, CO 80303-1080 | 2011-11-28 |
1225310584 | Kimdao Collier | Pharmacist | 4745 Arapahoe Ave, Suite 120, Boulder, CO 80303-1080 | 2011-09-13 |
1033428883 | Sheela Mahnke Md LLC | Pediatrics | 4745 Arapahoe Ave, Suite 310, Boulder, CO 80303-1080 | 2010-09-28 |
1598097883 | Sarah Williams | Obstetrics & Gynecology | 4745 Arapahoe Ave, Suite 320, Boulder, CO 80303-1080 | 2010-02-11 |
1295068682 | Melissa J Guerri | Physician Assistant | 4745 Arapahoe Ave, #130, Boulder, CO 80303-1080 | 2009-09-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
Find all providers in zip 80303 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902420862 | Cloud Medical LLC | Clinic/Center | 3601 Arapahoe Ave # D-176, Boulder, CO 80303-1310 | 2020-06-05 |
1720503139 | Take Two Health PC | Clinic/Center | 2503 Walnut St Ste 200, Boulder, CO 80302-5745 | 2017-08-07 |
1740837137 | Boulder Community Health | Clinic/Center | 6685 Gunpark Dr Ste 110, Boulder, CO 80301-3343 | 2019-08-21 |
1629625108 | Boulder Community Health | Clinic/Center | 1755 48th St Ste 200, Boulder, CO 80301-2712 | 2019-08-20 |
1013564517 | Boulder Community Health | Clinic/Center | 5495 Arapahoe Ave Ste 100, Boulder, CO 80303-1224 | 2019-08-20 |
1285281865 | Boulder Community Health | Clinic/Center | 2995 Baseline Rd Ste 210, Boulder, CO 80303-2318 | 2019-08-20 |
1942856745 | Boulder Community Health | Clinic/Center | 2575 Spruce St, Boulder, CO 80302-3806 | 2019-08-16 |
1982250775 | Boulder Community Health | Clinic/Center | 5495 Arapahoe Ave Ste 200, Boulder, CO 80303-1225 | 2019-08-16 |
1821415407 | Foundation Health | Clinic/Center | 1949 Pearl St, Boulder, CO 80302-4496 | 2014-03-21 |
1023339637 | High Altitude Spine and Sport | Clinic/Center | 2995 Baseline Rd, #101, Boulder, CO 80303-2318 | 2010-06-17 |
Find all providers in BOULDER |
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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.