MRS. MARY CAY BROOKS ELY (NPI# 1639477425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639477425 |
| Entity Type | Individual |
| Full Name | MRS. MARY CAY BROOKS ELY |
| Credential | NP |
| Practice Address |
810 E Sunflower Rd Ste 140 Cleveland MS 38732-2800 |
| Mailing Address |
928 Highway 448 Shaw MS 38773-9799 |
| Practice Telephone | 6628432889 |
| Mailing Telephone | 4233020566 |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 766681 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 Baker Blvd, Leland, MS 387563401 | 6626864121 | 6626864770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992104699 | Mary Ely | Registered Nurse | 7055 Samuel Morse Dr, Columbia, MD 21046-3439 | 2014-08-19 |
| 1548412562 | Mary Beth Ely | Occupational Therapist | 3325 Pocahontas Rd, Baker City, OR 97814-1464 | 2008-10-21 |
| 1225074495 | Mary Ely | Nurse Practitioner | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2006-06-22 |
| Street Address |
810 E SUNFLOWER RD STE 140 |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831168350 | Paul Warrington | Family Medicine | 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732-2800 | 2006-03-16 |
| 1104332089 | Clare Adams Moore | Nurse Practitioner | 810 E Sunflower Rd, Cleveland, MS 38732-2800 | 2017-12-14 |
| 1366966228 | Matthew Jackson Mosow | Physical Medicine & Rehabilitation | 810 E Sunflower Rd, Suite 150, Cleveland, MS 38732 | 2017-08-01 |
| 1518394287 | Urgent Team Management of Cleveland, LLC | Clinic/Center | 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732-2800 | 2013-09-26 |
| 1467794578 | The Medical Technology Institute | Nurse Practitioner | 810 E Sunflower Rd, Suite J, Cleveland, MS 38732-2800 | 2013-03-27 |
| 1902176373 | Long Chiropractic Pllc | Chiropractor | 810 E Sunflower Rd, Suite 100 E, Cleveland, MS 38732-2800 | 2012-01-03 |
| 1184994634 | Joy Victoria Long | Chiropractor | 810 E Sunflower Rd, Suite 100e, Cleveland, MS 38732-2800 | 2011-12-30 |
| 1235414145 | Melanie King | Nurse Practitioner | 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732-2800 | 2011-10-12 |
| 1851620249 | Vascular Access Center of Bolivar County LLC | Radiology | 810 E Sunflower Rd, Suite 100b, Cleveland, MS 38732-2800 | 2009-12-14 |
| 1720216955 | Degail Jamar Hadley | Family Medicine | 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732-2800 | 2009-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| 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 |
|---|---|---|---|---|
| 1073121042 | Madelyn Suzanne Yacavino | Nurse Practitioner | 1229 W 70th St, Cleveland, OH 44102-2017 | 2020-07-16 |
| 1972139590 | Ciara Kessler | Nurse Practitioner | 10685 Carnegie Avenue, Cleveland, OH 44195-0001 | 2020-03-15 |
| 1700411568 | Mallory Spieth | Nurse Practitioner | 9600 Euclid Ave, Cleveland, OH 44195-0001 | 2020-03-11 |
| 1912540543 | Lyndsey Rachelle Kytta | Nurse Practitioner | 5420 Saint Stephens Ct, Cleveland, OH 44102-3200 | 2019-10-27 |
| 1649829730 | Ashley Johnson | Nurse Practitioner | 770 Stuart Rd Ne, Cleveland, TN 37312-5080 | 2019-09-10 |
| 1821642422 | Ashley Nicole Sutkowski | Nurse Practitioner | 9500 Euclid Ave # J1-5, Cleveland, OH 44195-0001 | 2019-07-31 |
| 1063979656 | Kimberly Jones | Nurse Practitioner | 9500 Euclid Ave # Deskj82, Cleveland, OH 44195-0001 | 2019-03-01 |
| 1255804019 | Kerri Hopkins | Nurse Practitioner | 3913 Georgetown Rd Nw, Cleveland, TN 37312-1806 | 2019-01-04 |
| 1124595749 | Natalie Wolters Gery | Nurse Practitioner | 2253 Chambliss Ave Nw Ste 2012, Cleveland, TN 37311-3861 | 2018-11-01 |
| 1477039113 | Rachel Wolff | Nurse Practitioner | 1001 Lakeside Ave E Ste 100, Cleveland, OH 44114-1172 | 2018-07-16 |
| Find all providers in CLEVELAND | ||||
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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.