RACHEL KELLY (NPI# 1598145138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598145138 |
| Entity Type | Individual |
| Full Name | RACHEL KELLY |
| Credential | CRNP |
| Practice Address |
1310 14th Ave Se Decatur AL 35601-4347 |
| Practice Telephone | 2563535151 |
| Practice Fax Number | 2563519915 |
| Mailing Telephone | 2563535151 |
| Mailing Fax Number | 2563519915 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1-128853 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1629543624 | Rachel Kelly | Counselor | 3005 Brodhead Rd Ste 28, Bethlehem, PA 18020-9101 | 2018-10-05 |
| 1669987384 | Rachel Kelly | Specialist/Technologist | 13800 Brandywine Rd, Brandywine, MD 20613-5806 | 2017-12-04 |
| 1700205416 | Rachel Kelly | Developmental Therapist | 500 Fairway Drive Ste.102, Butterfly Effects, LLC, Deerfield Beach, FL 33441 | 2014-04-09 |
| 1821559881 | Rachel Elizabeth Kelly | Occupational Therapist | 2990 Carlisle Pike, New Oxford, PA 17350-9582 | 2019-03-30 |
| 1659831444 | Rachel Kelly | Registered Nurse | 2210 S Ridge Rd E, Ashtabula, OH 44004-4459 | 2019-03-20 |
| 1801392162 | Rachel Kelly | Counselor | 2929 Meade Ave, San Diego, CA 92116-4251 | 2018-04-04 |
| 1699209130 | Rachel M Kelly | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-04-11 |
| 1831634047 | Rachel Helen Kelly | Physician Assistant | 345 W Washington Ave, Suite 100, Madison, WI 53703-2996 | 2016-12-23 |
| 1285082537 | Rachel Kelly | Physical Therapist | 14 Wall St, New York, NY 10005-2101 | 2016-05-27 |
| Street Address |
1310 14TH AVE SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-4347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023025434 | Naveen Thomas Lobo | Internal Medicine | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2006-08-01 |
| 1861019697 | Esther Miranda Hambrick | Nurse Practitioner | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2020-06-27 |
| 1417425257 | Jenny Lee Mink | Registered Nurse | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2018-11-09 |
| 1083094627 | Elizabeth Clark | Nurse Practitioner | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2015-06-08 |
| 1831588748 | Elizabeth C Elmore | Nurse Practitioner | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2015-01-15 |
| 1861797920 | Cancer Care Center PC | Internal Medicine | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2011-01-21 |
| 1245404847 | Julie M Sexton | Nurse Practitioner | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2008-04-15 |
| 1154501955 | Lise Ann Griffin | Registered Nurse | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2007-11-08 |
| 1003012055 | Michael A. Henngian, M.d., P.c | Internal Medicine | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2007-06-26 |
| 1881712537 | Cheryl D Watrous | Dietitian, Registered | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| 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 |
|---|---|---|---|---|
| 1427686062 | Tara Cooley | Nurse Practitioner | 909 Tracey Ln, Decatur, AL 35601-7701 | 2020-03-30 |
| 1407489479 | Marathon Health LLC | Nurse Practitioner | 152 Ipsco St, Decatur, AL 35601-7412 | 2020-02-19 |
| 1518502475 | Marissa Lynne Henderson | Nurse Practitioner | 609 Medical Center Dr Ste 2700, Decatur, TX 76234-3839 | 2019-11-14 |
| 1912463456 | Kimberly S Williams | Nurse Practitioner | 4565 Riverwood Cir, Decatur, GA 30035-2935 | 2019-02-20 |
| 1164907242 | Megan Skelley | Nurse Practitioner | 487 Winn Way Ste 202, Decatur, GA 30030-1728 | 2018-09-25 |
| 1508359969 | Rebecca A Voyles | Nurse Practitioner | 575 W Hay St, Decatur, IL 62526-4164 | 2018-06-11 |
| 1598278558 | Vera Mahou | Nurse Practitioner | 4150 Snapfinger Woods Dr Ste 120, Decatur, GA 30035-3417 | 2017-11-13 |
| 1346753738 | Alexis Renee Graven | Nurse Practitioner | 2300 N Edward St Ste 2400, Decatur, IL 62526-4163 | 2017-11-08 |
| 1508240409 | Zachary Pitts | Nurse Practitioner | 2606 Woodridge Dr, Decatur, GA 30033-4835 | 2015-07-10 |
| 1891063095 | Alexis E. Daugherty | Nurse Practitioner | 603 Church St, Decatur, GA 30030-2517 | 2011-12-02 |
| Find all providers in DECATUR | ||||
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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.