JENNIFER KELLY (NPI# 1578161485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578161485 |
| Entity Type | Individual |
| Full Name | JENNIFER KELLY |
| Practice Address |
502 E Race Ave Searcy AR 72143-4417 |
| Practice Telephone | 8709323600 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881216463 | Jennifer Kelly | Nurse Practitioner | 7595 Affirmed Ct, Lewis Center, OH 43035-9143 | 2020-05-17 |
| 1790322758 | Jennifer Lee Kelly | Home Health Aide | 4519 Stanbrook Dr, North Chesterfield, VA 23234-4021 | 2019-12-09 |
| 1396386744 | Jennifer Eileen Kelly | Specialist | 2354 Ocean Ave, Ronkonkoma, NY 11779-6578 | 2019-10-07 |
| 1659936813 | Jennifer Noel Kelly | Behavior Technician | 3287 N Mayfield Ave, San Bernardino, CA 92405-2627 | 2019-05-03 |
| 1851784284 | Jennifer Kelly | Occupational Therapy Assistant | 1215 Gainsboro Rd, Bala Cynwyd, PA 19004-2014 | 2015-03-10 |
| 1952706699 | Jennifer Kelly | Pharmacist | 1701 Welsh Rd Ste 5, Philadelphia, PA 19115-3172 | 2014-10-23 |
| 1750791257 | Jennifer Kelly | Psychologist | 11 Brooklands Apt Gi, Bronxville, NY 10708-3512 | 2014-05-06 |
| 1851722995 | Jennifer L. Kelly | Speech-Language Pathologist | 555 Anthony Wayne Trail, Waterville, OH 43566 | 2013-11-27 |
| 1144598343 | Jennifer Elaine Kelly | Physician Assistant | 381 Park Avenue South, Suite 1020, New York, NY 10016 | 2011-12-02 |
| 1063789030 | Jennifer Zucal Kelly | Registered Nurse | 215 E 5th St, Emporium, PA 15834-1417 | 2011-11-18 |
| Street Address |
502 E RACE AVE |
| City | SEARCY |
| State | AR |
| Zip Code | 72143-4417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831348499 | Kimberly Chaplin | Occupational Therapist | 502 E Race Ave, Searcy, AR 72143-4417 | 2008-09-18 |
| 1225637481 | Melissa Hutchins | Driver | 502 E Race Ave, Searcy, AR 72143-4417 | 2020-10-20 |
| 1245841030 | Joe Ann Davis | Driver | 502 E Race Ave, Searcy, AR 72143-4417 | 2020-08-14 |
| 1366052649 | Robert Stewart | Speech-Language Pathologist | 502 E Race Ave, Searcy, AR 72143-4417 | 2020-08-03 |
| 1831709138 | Emily Ross | Physical Therapist | 502 E Race Ave, Searcy, AR 72143-4417 | 2020-08-03 |
| 1487272217 | Molly Capell Tatum | Occupational Therapy Assistant | 502 E Race Ave, Searcy, AR 72143-4417 | 2020-07-08 |
| 1497373203 | Mackenzie Claire Beckmon | Day Training/Habilitation Specialist | 502 E Race Ave, Searcy, AR 72143-4417 | 2020-07-08 |
| 1972121796 | Tara Nicole Pearson | Day Training/Habilitation Specialist | 502 E Race Ave, Searcy, AR 72143-4417 | 2020-07-08 |
| 1992320238 | Haley Rees | Speech-Language Pathologist | 502 E Race Ave, Searcy, AR 72143-4417 | 2020-06-12 |
| 1912536285 | Sasha Johnson | Day Training/Habilitation Specialist | 502 E Race Ave, Searcy, AR 72143-4417 | 2020-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188874 | Jessalyn Elise Tackett | Pharmacist | 200 E. Race Ave, Searcy, AR 72143 | 2020-09-14 |
| 1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
| 1700420338 | Rebecca Joanne Yauilla | Family Medicine | 3214 Race Avenue, Searcy, AR 72143 | 2019-11-06 |
| 1558913517 | The Forge Counseling Group LLC | Counselor | 505 S Elm St Suite C, Searcy, AR 72143 | 2019-07-10 |
| 1023584620 | Lisa Farley | Speech-Language Pathologist | 2918 Hawkins Drive, Searcy, AR 72143 | 2018-10-22 |
| 1144761719 | Christie Brooks | Dietitian, Registered | 91 Lakeway Drive, Searcy, AR 72143 | 2017-03-16 |
| 1639626112 | Kelly Walls | Pharmacist | 805 E Park Ave, Searcy, AR 72143 | 2016-09-01 |
| 1417316480 | Zach Wickes | Student in an Organized Health Care Education/Training Program | 506 N Van, Searcy, AR 72143 | 2016-02-18 |
| 1982081592 | Bethel Burris Oliver Pllc | Dentist | 3245 E. Race St, Searcy, AR 72143 | 2015-05-04 |
| 1053798116 | Ronnie Harlow | Rehabilitation Practitioner | 1005 East Park, Jim Citty Football and Athletic Training Facility, Searcy, AR 72143 | 2015-04-28 |
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| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497373203 | Mackenzie Claire Beckmon | Day Training/Habilitation Specialist | 502 E Race Ave, Searcy, AR 72143-4417 | 2020-07-08 |
| 1972121796 | Tara Nicole Pearson | Day Training/Habilitation Specialist | 502 E Race Ave, Searcy, AR 72143-4417 | 2020-07-08 |
| 1912536285 | Sasha Johnson | Day Training/Habilitation Specialist | 502 E Race Ave, Searcy, AR 72143-4417 | 2020-04-07 |
| 1962032524 | Jenna Payne | Day Training/Habilitation Specialist | 502 E Race Ave, Searcy, AR 72143-4417 | 2020-01-23 |
| 1902441223 | Audriana Reed | Day Training/Habilitation Specialist | 502 E Race Ave, Searcy, AR 72143-4417 | 2019-11-11 |
| 1215585666 | Leeanna Marie Wolf | Day Training/Habilitation Specialist | 502 E Race Ave, Searcy, AR 72143-4417 | 2019-08-29 |
| 1912551763 | Audra Faye Cruz | Day Training/Habilitation Specialist | 502 E Race Ave, Searcy, AR 72143-4417 | 2019-07-30 |
| 1053970483 | Patricia Lee Jones | Day Training/Habilitation Specialist | 502 E Race Ave, Searcy, AR 72143-4417 | 2019-06-10 |
| 1932766581 | Hannah Brickell Jones | Day Training/Habilitation Specialist | 502 E Race Ave, Searcy, AR 72143-4417 | 2019-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396375796 | Diana L Beck | Day Training/Habilitation Specialist | 1008 W Childress St, Morrilton, AR 72110-1708 | 2020-01-24 |
| 1538677869 | Regina Sloan | Day Training/Habilitation Specialist | 920 University Dr, Russellville, AR 72801-4303 | 2018-01-22 |
| 1194230169 | Amanda Morgan | Day Training/Habilitation Specialist | 272 School Ave, West Fork, AR 72774-3124 | 2017-12-12 |
| 1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
| 1871016923 | Emily A Huddleston | Day Training/Habilitation Specialist | 1801 N Buerkle St, Stuttgart, AR 72160-2519 | 2017-07-20 |
| 1255866604 | Race Cunningham | Day Training/Habilitation Specialist | 2871 American St, Springdale, AR 72764-6938 | 2017-04-24 |
| 1619417896 | Amy Pinkston | Day Training/Habilitation Specialist | 149 Old Trestle Ln, Batesville, AR 72501-9597 | 2017-03-07 |
| 1891155719 | Karen Hartsfield | Day Training/Habilitation Specialist | 524 Self Ln, Newark, AR 72562-9615 | 2016-03-04 |
| 1821458738 | Sarah Sexton | Day Training/Habilitation Specialist | 1334 Red Deer Trl, Salem, AR 72576-5510 | 2016-03-04 |
| 1063885002 | Jaime Smith | Day Training/Habilitation Specialist | 56 Buck Ln, Poughkeepsie, AR 72569-9150 | 2015-11-12 |
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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.