KELLY A. MATTHEWS


Address: 200 Sterling St, Port Jefferson Station, NY 11776-2530
Phone: 6319463167

KELLY A. MATTHEWS (NPI# 1578857892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578857892
Entity Type Individual
Full Name KELLY A. MATTHEWS
Other Name KELLY A. MOON
Credential LPN
Practice Address 200 Sterling St
Port Jefferson Station
NY 11776-2530
Practice Telephone 6319463167
Mailing Telephone 6319463167
Enumeration Date 2011-06-03
Last Update Date 2013-01-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 3056061 NY Nursing Service Providers

Other Providers KELLY MATTHEWS

NPI Name Taxonomy Address Enumeration
1427456391 Kelly J Matthews Specialist 41 Richmond St, Islip, NY 11751-2037 2014-12-09
1285991497 Kelly Matthews Acupuncturist 4401 Capitola Rd Ste 2, Capitola, CA 95010-3572 2012-04-12
1528256583 Kelly J Matthews Specialist 13055 W Mcdowell Rd. Suite G-107, Avondale, AZ 85323 2007-10-04
1639605777 Kelly E Matthews Registered Nurse 11020 Pendleton Pike, Indianapolis, IN 46236-2817 2017-05-10
1548624554 Kelly Matthews Psychologist 455 Boot Rd, Downingtown, PA 19335-3043 2016-04-06
1659793198 Kelly Jean Matthews Behavioral Analyst 5364 Fm 1960 Rd E, Humble, TX 77346-2502 2014-01-17
1861554222 Kelly Matthews Speech-Language Pathologist 118 Herron Street, Ft Oglethorpe, GA 30742 2006-12-14

Office Location

Street Address 200 STERLING ST
City PORT JEFFERSON STATION
State NY
Zip Code 11776-2530

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205304219 Melissa E Germano Acupuncturist 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 2018-11-07
1366962185 Michael Louis Scicchitano Sr. Physical Therapist 3 Colgate Street, Port Jefferson Station, NY 11776 2017-06-22
1063969517 Dana Adamkiewicz Acupuncturist 432 North Bicycle Path, Port Jefferson Station, NY 11776 2016-09-01
1538531819 Jacqueline Rambo Specialist 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 2015-10-26
1821474297 Michael Leuci Social Worker 3 Premier Court, Port Jefferson Station, NY 11776 2015-08-07
1578978078 Carol A. Palmer I Acupuncturist 34 Champlain St, Port Jefferson Station, NY 11776 2014-06-24
1659783371 Janette M Sperandeo Nurse Practitioner 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 2014-05-29
1578973079 James Buchrieser Specialist 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 2014-05-06
1871923227 Duran Thomas Murphy Licensed Practical Nurse 8 Carolyn Road, Port Jefferson Station, NY 11776 2013-11-22
1699104562 Julio Genao Massage Therapist 213 Jayne Blvd, Portjefferson Station, NY 11776 2013-11-01
Find all providers in zip 11776

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962013045 Kemberlie Jeanfrancois Licensed Practical Nurse 12 Sagamore Hills Dr, Port Jefferson Station, NY 11776-3515 2020-08-12
1649834755 Michelle Crain Licensed Practical Nurse 156 Thames St, Port Jefferson Station, NY 11776-2532 2019-04-24
1780072496 Ana Maria Fernandez Licensed Practical Nurse 39 Champlain St, Port Jefferson Station, NY 11776-4432 2015-01-03
1609272715 Rita Grace Graney Licensed Practical Nurse 195 Cambridge Dr, Port Jefferson Station, NY 11776-3504 2014-11-17
1871923227 Duran Thomas Murphy Licensed Practical Nurse 8 Carolyn Road, Port Jefferson Station, NY 11776 2013-11-22
1609205574 Elena Ricciardi I Licensed Practical Nurse 4 Cottonwood Ave, Port Jefferson Station, NY 11776-3111 2013-11-01
1609129428 Augustina Adele Ohara Licensed Practical Nurse 130 Montrose Dr, Port Jefferson Station, NY 11776-1318 2012-10-17
1386994291 Linda Lee Moran Licensed Practical Nurse 10 Tee Lane, Port Jefferson Station, NY 11776 2012-09-18
1427344845 Marilyn Savitri Ramdeen Licensed Practical Nurse 43 Junard Blvd, Port Jefferson Station, NY 11776-2037 2011-06-23
1396035309 Jade Maslosky Licensed Practical Nurse 19 School Dr, Port Jefferson Station, NY 11776-2920 2011-04-11
Find all providers in PORT JEFFERSON STATION

Competitor

Search similar providers

City PORT JEFFERSON STATION
Zip Code 11776

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Dataset Information

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.

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