MRS. HOLLY JO KELLY (NPI# 1639257595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639257595 |
| Entity Type | Individual |
| Full Name | MRS. HOLLY JO KELLY |
| Credential | RNFA CNOR |
| Practice Address |
520 N 4th Ave Pasco WA 99301-5257 |
| Mailing Address |
3333 N Whitman St Tacoma WA 98407-1547 |
| Practice Telephone | 5095462203 |
| Practice Fax Number | 5095462262 |
| Mailing Telephone | 2537593065 |
| Mailing Fax Number | 2537593075 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
025801 RN0011487 | WA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9632084 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294282 | Holly Suzanne Kelly | Counselor | 2000 S Summit Ave, Sioux Falls, SD 57105-2727 | 2020-04-23 |
| 1750630786 | Holly R. Kelly | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-2808 | 2012-09-06 |
| 1053523365 | Holly C Kelly | Case Manager/Care Coordinator | 807 Lawn Avenue, Sellersville, PA 18960 | 2007-05-07 |
| 1619076528 | Holly C Kelly | Specialist | 7100 Redwood Blvd, Suite 200, Novato, CA 94945-4110 | 2006-09-21 |
| Street Address |
520 N 4TH AVE |
| City | PASCO |
| State | WA |
| Zip Code | 99301-5257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861485773 | J Kelsey Jackson | Physician Assistant | 520 N 4th Ave, Pulmonary Svcs, Pasco, WA 99301-5257 | 2005-08-25 |
| 1417564014 | Carley May Stringer | Registered Nurse | 520 N 4th Ave, Pasco, WA 99301-5257 | 2020-09-28 |
| 1811516297 | Kacie Michelle Sams | Physical Therapist | 520 N 4th Ave, Pasco, WA 99301-5257 | 2020-04-15 |
| 1760017164 | Alyssa Dawn Neil | Physician Assistant | 520 N 4th Ave, Pasco, WA 99301-5257 | 2020-03-05 |
| 1285101097 | Joshua Scoville | Nurse Practitioner | 520 N 4th Ave, Pasco, WA 99301-5257 | 2018-10-30 |
| 1891280459 | Lourdes Hospital LLC | General Acute Care Hospital | 520 N 4th Ave, Pasco, WA 99301 | 2018-06-26 |
| 1659861060 | Lourdes Hospital LLC | Internal Medicine | 520 N 4th Ave, Pasco, WA 99301 | 2018-05-11 |
| 1033637582 | Jesse Manuel Clossey | Physician Assistant | 520 N 4th Ave, Pasco, WA 99301 | 2017-09-05 |
| 1780110775 | Audrey Anna Mcgary | Dietitian, Registered | 520 N 4th Ave, Pasco, WA 99301-5257 | 2017-05-11 |
| 1548701733 | James Martin Epperly | Registered Nurse | 520 N 4th Ave, Pasco, WA 99301-5257 | 2017-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504550 | Kayshuv Enterprises | Pharmacy | 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 | 2020-06-27 |
| 1558883157 | Cecilia Carmen Asenjo | Registered Nurse | 715 W Court Street, Pasco, WA 99301 | 2017-07-14 |
| 1528451085 | Felix Ramos | Dentist | 7425 Wrigley Dr Ste 201, Pasco, WA 99301 | 2015-03-09 |
| 1861896631 | Tri-cities Community Health | General Practice | 1801 E Sheppard St, Pasco, WA 99301 | 2014-10-22 |
| 1649617861 | Thompson.ferguson,steinhart. James.pllc | Dentist | 6525 Burden Blvd, Pasco, WA 99301 | 2013-05-29 |
| 1598008880 | Thompson. Ferguson. Steinhart. James, Pllc | Dentist | 6525 Burden Boulevard, Pasco, WA 99301 | 2013-04-04 |
| 1639421720 | Comprehensive Healthcare | Community/Behavioral Health | 2715 Saint Andrews Loop, Suite C, Pasco, WA 99301 | 2012-10-12 |
| 1497065395 | Danny M Trapp Jr. | Counselor | 516 W. Margaret, Pasco, WA 99301 | 2010-10-14 |
| 1740510486 | Columbia Basin College | Dental Hygienist | 2600 N 20th Ave, Ms T-1, Pasco, WA 99301 | 2009-12-31 |
| 1417286386 | Wanda Marie Good | Surgery | 1200 N 14th Ave Ste 255, Pasco, WA 99301 | 2009-12-23 |
| Find all providers in zip 99301 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023624681 | I Cameron Enterprises LLC | Registered Nurse | 5908 Bedford St, Pasco, WA 99301-6605 | 2020-09-18 |
| 1548701733 | James Martin Epperly | Registered Nurse | 520 N 4th Ave, Pasco, WA 99301-5257 | 2017-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588287817 | Kameo Nelson | Registered Nurse | 3329 Upland Ln, Port Angeles, WA 98362-3760 | 2020-05-21 |
| 1376195263 | Olga A Rybakov | Registered Nurse | 230 Grand Road Suite B-2, East Wenatchee, WA 98802-7723 | 2019-07-11 |
| 1023679636 | Elizabeth Ariel Brown | Registered Nurse | 1814 N Aurora Ave, East Wenatchee, WA 98802-4168 | 2019-06-25 |
| 1710402565 | Bentley Richard Everingham | Registered Nurse | 1945 16th Ln Ne, Issaquah, WA 98029-7330 | 2017-08-12 |
| 1275088742 | Stephanie Gaston | Registered Nurse | 8903 52nd Street Ct W, University Place, WA 98467-1763 | 2016-08-24 |
| 1568818748 | Michael Testa | Registered Nurse | 17005 Scandia Ct Nw, Poulsbo, WA 98370-8154 | 2016-05-06 |
| 1407217698 | Elisabeth K Kenoyer, LLC | Registered Nurse | 917 10th St Apt 2, Bellingham, WA 98225-6234 | 2016-03-15 |
| 1639536907 | Jennifer Marie Travis | Registered Nurse | 12018 Clear Lake South Rd E, Eatonville, WA 98328-8300 | 2016-01-18 |
| 1437541620 | Sb Surgical Assistant, LLC | Registered Nurse | 20659 Bulson Rd, Mount Vernon, WA 98274-8032 | 2015-02-24 |
| 1154739662 | Barbara Ann Budinsky | Registered Nurse | 14561 Cavalli Rd Se, Olalla, WA 98359-7516 | 2014-07-28 |
| 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.