COLLEEN KELLY (NPI# 1578932190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578932190 |
| Entity Type | Individual |
| Full Name | COLLEEN KELLY |
| Practice Address |
3030 Childrens Way San Diego CA 92123-4232 |
| Mailing Address |
3020 Childrens Way Mc5096 San Diego CA 92123-4223 |
| Practice Telephone | 8589668974 |
| Mailing Telephone | 8589668974 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2016-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95002304 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417451980 | Colleen Anne Kelly | Student in an Organized Health Care Education/Training Program | Menino Building, Dowling 3 South Resident Mailboxes, 1 Boston Medical Center Place, Boston, MA 02118 | 2018-03-20 |
| 1982068474 | Colleen Kelly | Counselor | 3208 Lake Park Way, 105, Longmont, CO 80503-7822 | 2016-04-11 |
| 1023498565 | Colleen Emma Kelly | Behavioral Analyst | 48 Aberdeen Rd, Arlington, MA 02476-5752 | 2015-05-29 |
| 1386714590 | Colleen J Kelly | Nurse Practitioner | Walton High School, 2780 Reservoir Avenue, Bronx, NY 10468 | 2006-11-08 |
| 1801839121 | Colleen Elizabeth Kelly | Pediatrics | 21 Totman Street, #2, Quincy, MA 02169 | 2006-06-14 |
| 1205440591 | Colleen Kelly | Social Worker | 7701 13th Ave, Brooklyn, NY 11228-2413 | 2020-09-03 |
| 1265068696 | Colleen Kelly | Physical Therapist | 460 Amherst St, Nashua, NH 03063-1220 | 2020-03-17 |
| 1790320414 | Colleen Kelly | Occupational Therapist | 3761 Knollcroft St, Easton, PA 18045-3026 | 2019-11-18 |
| 1407400419 | Colleen Lora Jaimie Kelly | Nurse Practitioner | 2111 Neuse Blvd Ste J, New Bern, NC 28560-4318 | 2019-07-29 |
| 1811457815 | Colleen Hamm Kelly | Surgery | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2019-03-25 |
| Street Address |
3030 CHILDRENS WAY |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-4232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144229600 | Charles Douglas Wallace | Orthopaedic Surgery | 3030 Childrens Way, Ste 410, San Diego, CA 92123-4232 | 2005-07-18 |
| 1841808854 | Lorri A. Kais | Clinical Neuropsychologist | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-07-15 |
| 1114541760 | Samantha Barbara Nigrelli | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-05-29 |
| 1134755630 | Sara J. Fligelman | Psychologist | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-03-16 |
| 1316571367 | Kayleigh M. Prowse | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-02-28 |
| 1639649239 | Kimberly Charlotte Padilla | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123 | 2018-11-27 |
| 1568953172 | Elizabeth Williams Smith | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123-4232 | 2018-05-21 |
| 1083132260 | Eve U. Nguyen | Psychologist | 3030 Childrens Way, San Diego, CA 92123-4232 | 2017-09-07 |
| 1659893295 | Ronak Rahmanian | Otolaryngology | 3030 Childrens Way, San Diego, CA 92123-4232 | 2017-07-14 |
| 1689048530 | Carie Truong Lam | Physician Assistant | 3030 Childrens Way, San Diego, CA 92123-4232 | 2015-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560467 | Helen Regina Stearns | Nurse Practitioner | 8797 Encino Ave, San Diego, CA 92123-3952 | 2020-08-28 |
| 1346852480 | Jenna Juenger | Nurse Practitioner | 10665 Calle Mar De Mariposa Apt 3215, San Diego, CA 92130-8730 | 2020-08-19 |
| 1750908414 | Deborah Lynne Monaghan | Nurse Practitioner | 14471 Via Venezia Apt 601, San Diego, CA 92129-1657 | 2020-06-29 |
| 1780211300 | Amanda Renee Phillips | Nurse Practitioner | 3034 Horton Ave, San Diego, CA 92103-6008 | 2020-03-24 |
| 1538792304 | Allison D White | Nurse Practitioner | 726 W Pennsylvania Ave, San Diego, CA 92103-3804 | 2020-02-19 |
| 1356981351 | Jordan Rae Burke | Nurse Practitioner | 11943 El Camino Real Ste 100, San Diego, CA 92130-2597 | 2020-01-08 |
| 1598319436 | Madison Taylor Shreeve | Nurse Practitioner | 3435 Del Mar Heights Rd # D6a, San Diego, CA 92130-2225 | 2019-07-29 |
| 1659930485 | Lovella Medilo | Nurse Practitioner | 4033 3rd Ave Ste 430, San Diego, CA 92103-2117 | 2019-06-05 |
| 1306300272 | Stephanie O'brien Sramek | Nurse Practitioner | 4077 5th Ave # Ems, San Diego, CA 92103-2105 | 2019-01-25 |
| 1467930875 | Reliable Care Md On The Go | Nurse Practitioner | 4565 Ruffner St Ste 201, San Diego, CA 92111-2259 | 2018-07-30 |
| Find all providers in SAN DIEGO | ||||
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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.