KELLY ANN WHEELER (NPI# 1629622204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629622204 |
Entity Type | Individual |
Full Name | KELLY ANN WHEELER |
Credential | CRNP, AGPCNP-BC |
Practice Address |
252 S 4th St Lebanon PA 17042-6111 |
Mailing Address |
3421 Concord Rd York PA 17402-9001 |
Practice Telephone | 7176393150 |
Practice Fax Number | 7178512602 |
Mailing Telephone | 7176393150 |
Mailing Fax Number | 7178512602 |
Enumeration Date | 2019-07-31 |
Last Update Date | 2020-06-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
SP020438 | PA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306340484 | Kelly Ruth Wheeler | Doula | 715 Augusta St, West Columbia, SC 29169-7203 | 2018-03-22 |
1114356482 | Kelly Wheeler | Marriage & Family Therapist | 41197 Golden Gate Cir Ste 207, Murrieta, CA 92562-6999 | 2013-11-06 |
1881186351 | Kelly Wheeler | Community Health Worker | 600 El Paseo, Lakeland, FL 33805-4521 | 2018-05-31 |
1336515485 | Kelly Wheeler | Speech-Language Pathologist | 6508 Gunn Hwy, Tampa, FL 33625-4022 | 2015-08-12 |
1730597360 | Kelly Wheeler | Nurse Practitioner | 3601 A St, Philadelphia, PA 19134-1043 | 2014-07-28 |
1225471972 | Kelly Wheeler | Pharmacist | 3050 W Northern Ave, Pueblo, CO 81005-2317 | 2013-04-12 |
1457676637 | Kelly Ann Wheeler | Social Worker | 3125 Poplarwood Ct Ste 300, Raleigh, NC 27604-6445 | 2010-03-31 |
1396890513 | Kelly Ann Wheeler | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2007-01-25 |
Street Address |
252 S 4TH ST |
City | LEBANON |
State | PA |
Zip Code | 17042-6111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053309609 | Stephen R. Longo | Anesthesiology | 252 S 4th St, Lebanon, PA 17042-6111 | 2005-10-07 |
1104423219 | Adaelsy M Sanchez | Nurse's Aide | 252 S 4th St, Lebanon, PA 17042-6123 | 2020-10-02 |
1306464847 | Catherine Waselkov | Nurse Practitioner | 252 S 4th St, Lebanon, PA 17042-6111 | 2020-07-10 |
1689291122 | Margo Renee Keller | Physician Assistant | 252 S 4th St, Lebanon, PA 17042-6111 | 2020-07-01 |
1932738150 | Kathleen Glenn | Pediatrics | 252 S 4th St, Lebanon, PA 17042-6111 | 2020-04-08 |
1336777507 | Lindsey Donat | Speech-Language Pathologist | 252 S 4th St, Lebanon, PA 17042-6111 | 2020-04-01 |
1801435714 | Kathryn Ann Ertel | Physician Assistant | 252 S 4th St, Lebanon, PA 17042-6111 | 2019-12-26 |
1083105696 | Ashlee Wheeler | Nurse Anesthetist, Certified Registered | 252 S 4th St, Lebanon, PA 17042-6111 | 2018-05-21 |
1073001319 | Devin Knisely | Registered Nurse | 252 S 4th St, Lebanon, PA 17042 | 2018-04-23 |
1720504152 | Elizabeth A Petcov | Hospitalist | 252 S 4th St, Lebanon, PA 17042-6111 | 2017-08-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
Find all providers in zip 17042 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720645161 | Christine Rose Dobbs | Nurse Practitioner | 509 S 4th St, Lebanon, PA 17042-6806 | 2019-05-21 |
1770048787 | Heather R Wells | Nurse Practitioner | 726 E Main St Ste F #205, Lebanon, OH 45036-1900 | 2019-02-04 |
1962745356 | Angie C Riddle | Nurse Practitioner | 1430 W Baddour Pkwy Ste A, Lebanon, TN 37087-2656 | 2013-04-03 |
1154686673 | Stephanie Ruckman | Nurse Practitioner | 115 Moriah Dr, Lebanon, TN 37090-0731 | 2012-07-10 |
1053874263 | Maria Michelle Druckman | Nurse Practitioner | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2019-04-13 |
1326567017 | Keith Walter Edinger | Nurse Practitioner | 1700 South Lincoln Avenue, Lebanon, PA 17042 | 2017-09-13 |
1295196673 | Amelia Jo Horn | Nurse Practitioner | 1600 W Main St, Lebanon, IN 46052 | 2016-03-14 |
1558600239 | Carole L Putnam | Nurse Practitioner | 18 Old Etna Road, Sleep Medicine, Lebanon, NH 03766 | 2013-01-31 |
1528033016 | Connie Elaine Rawls | Nurse Practitioner | 1420 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-1510 | 2006-02-20 |
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1457967499 | Rpg Health | Nurse Practitioner | 332 Frenchtown Rd, Milford, PA 18337-9004 | 2020-09-16 |
1427666759 | Arevik Bagdasarova | Nurse Practitioner | 312 W Providence Rd, Aldan, PA 19018-3830 | 2020-07-22 |
1346861978 | Christine Martinez | Nurse Practitioner | 2 W Baltimore Ave Ste 101, Media, PA 19063-3740 | 2020-05-05 |
1720608490 | Jaci Trosky | Nurse Practitioner | 2824 Enon Rd, Enon Valley, PA 16120-1454 | 2020-04-22 |
1750910808 | Alpha Integrated Clinic | Nurse Practitioner | 8019 Frankford Ave Rear, Philadelphia, PA 19136-2786 | 2020-04-01 |
1427681394 | Hwayoung Kim | Nurse Practitioner | 315 New St Apt 403, Philadelphia, PA 19106-1135 | 2020-02-19 |
1720624539 | Patrice Carver Cash | Nurse Practitioner | 539 Chain St, Norristown, PA 19401-4607 | 2019-11-27 |
1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
1528601739 | Ashley Lynn Swartz | Nurse Practitioner | 390 Gates St, Johnstown, PA 15906-1906 | 2019-10-21 |
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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.