KELLY DARDEN (NPI# 1629342951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629342951 |
| Entity Type | Individual |
| Full Name | KELLY DARDEN |
| Credential | MSN ANP-BC |
| Practice Address |
2010 Dowlen Rd Beaumont TX 77706-2525 |
| Mailing Address |
2929 Calder St Suite 100 Beaumont TX 77702-1845 |
| Practice Telephone | 4098339797 |
| Practice Fax Number | 4096546918 |
| Mailing Telephone | 4098339797 |
| Mailing Fax Number | 4096546886 |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP121656 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
679092 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 356068201 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3570 College St Ste 200, Beaumont, TX 777014679 | 4098339797 | 4096546918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922402197 | Kelly Darden | Nurse Practitioner | 207 W Gore St Ste 302, Orlando, FL 32806-1014 | 2014-10-17 |
| Street Address |
2010 DOWLEN RD |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758767 | Dean Halbert | Family Medicine | 2010 Dowlen Rd, Beaumont, TX 77706-2525 | 2005-05-31 |
| 1336175231 | Majaz A Khan | Family Medicine | 2010 Dowlen Rd, Beaumont, TX 77706-2525 | 2006-06-23 |
| 1194728428 | John S Vardiman | Family Medicine | 2010 Dowlen Rd, Beaumont, TX 77706-2525 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| Find all providers in zip 77706 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033638333 | Wanda Renee Young | Nurse Practitioner | 3295 Fm 3514, Beaumont, TX 77705-7655 | 2017-09-18 |
| 1932625571 | George O Egesi | Nurse Practitioner | 3060 Fm 3514, Beaumont, TX 77705-7635 | 2017-08-15 |
| 1124412341 | Amy Featherston | Nurse Practitioner | 3070 College St Ste 300, Beaumont, TX 77701-4667 | 2015-03-25 |
| 1174896575 | Travis E Read | Nurse Practitioner | 755 N 11th St, Suite P5200, Beaumont, TX 77702-1500 | 2012-02-15 |
| 1508037037 | Erica N. Cheshire | Nurse Practitioner | 5875 N Major Dr, Beaumont, TX 77713-9034 | 2008-03-12 |
| 1124189550 | Penny L Hashop | Nurse Practitioner | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2006-12-12 |
| 1528126034 | Susan Hidalgo | Nurse Practitioner | 6510 Folsom Dr, Beaumont, TX 77706-7274 | 2006-12-05 |
| 1134237266 | Folsom Medical Group | Nurse Practitioner | 6510 Folsom Dr, Beaumont, TX 77706 | 2006-08-28 |
| 1386686350 | Romona Harrison Richard | Nurse Practitioner | 6510 Folsom Dr, Beaumont, TX 77706-7274 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275778 | Anel Odette Chavez | Nurse Practitioner | 1006 Sage Ln, Edinburg, TX 78539-7820 | 2020-11-04 |
| 1104427335 | Randel Bond | Nurse Practitioner | 337 Woodstone Loop, Cibolo, TX 78108-3268 | 2020-11-04 |
| 1467051870 | Melinda Davis-mcclendon | Nurse Practitioner | 2158 River Edge Dr, Belton, TX 76513-1429 | 2020-10-19 |
| 1053910489 | Morgan Lee Lemoine | Nurse Practitioner | 1811 Stephen Dr, Wylie, TX 75098-0258 | 2020-10-17 |
| 1255939740 | Melissa Walles George | Nurse Practitioner | 941 Scotland Dr, Desoto, TX 75115-2058 | 2020-10-15 |
| 1487251377 | Karen Baricaua Bautista | Nurse Practitioner | 1912 78th St, Lubbock, TX 79423-2455 | 2020-10-05 |
| 1205443132 | Rincy P Mathew | Nurse Practitioner | 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 | 2020-09-24 |
| 1326654724 | Connie Sue Fiser | Nurse Practitioner | 248 Cass Cir, Flint, TX 75762-6990 | 2020-09-21 |
| 1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
| 1033723184 | Rita Chibuzor Nwajei | Nurse Practitioner | 2726 Atlas Dr, Missouri City, TX 77459-6745 | 2020-09-06 |
| Find all providers with the same taxonomy | ||||
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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.