KRISTIN SKELLY (NPI# 1639522816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639522816 |
| Entity Type | Individual |
| Full Name | KRISTIN SKELLY |
| Credential | NP |
| Practice Address |
289 Pleasant St Ste 501 Fall River MA 02721-3005 |
| Practice Telephone | 5086796611 |
| Practice Fax Number | 5086791218 |
| Mailing Telephone | 5086796611 |
| Mailing Fax Number | 5086791218 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN225032 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
289 PLEASANT ST STE 501 |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02721-3005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821055518 | Alyson L Mandel | Nurse Practitioner | 289 Pleasant St Ste 501, Fall River, MA 02721-3005 | 2006-04-27 |
| 1457798506 | Sidney Olefson | Internal Medicine | 289 Pleasant St Ste 501, Fall River, MA 02721-3005 | 2013-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139703 | Ervin Pejo | Dentist | 824 William S Canning Blvd A, Fall River, MA 02721 | 2020-09-18 |
| 1316561814 | Sravanthi Tapal | Dentist | 45 Mariano South, Mariano Bishop Blvd, Fallriver, MA 02721 | 2020-06-01 |
| 1447808811 | Guilbert Maria | Dentist | 45 Mariano South, Mariano Bishop Blvd, Fall River, MA 02721 | 2019-08-29 |
| 1619466638 | Alpha Dental Center, P.c | Dentist | 516 Newton St., Fall River, MA 02721 | 2018-05-04 |
| 1083987374 | Fall River Dental Center | Dentist | 516 Newton St, Fall River, MA 02721 | 2012-02-16 |
| 1033489109 | Phoenix Psychiatric Services | Clinic/Center | 101 Jeremiah Sullivan Dr, Fall River, MA 02721 | 2012-01-06 |
| 1619271491 | Amanda Leigh Sims | Student in an Organized Health Care Education/Training Program | 1575 North Main Street, Fall River, MA 02721 | 2011-01-07 |
| 1346481280 | Paul Ongulo | Counselor | 170 Pleasant Street, Fall River, MA 02721 | 2009-03-23 |
| 1508020439 | Dental Dreams LLC | Dentist | 45 Mariano South Bishop Blvd, Fall River, MA 02721 | 2008-07-10 |
| 1174793244 | Joan P Riley | Social Worker | 700 Shore Dr Unit 605, Fall River, MA 02721 | 2008-03-05 |
| Find all providers in zip 02721 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883345 | Kristin Cabral | Nurse Practitioner | 795 Middle St, Fall River, MA 02721-1798 | 2019-10-22 |
| 1649749839 | Alicia Jane Medeiros | Nurse Practitioner | 1601 S Main St, Fall River, MA 02724-2107 | 2018-11-16 |
| 1871043729 | Crystal Mendonsa | Nurse Practitioner | 191 Bedford St, Fall River, MA 02720-3050 | 2016-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018370 | Ashley Erin Dimauro | Nurse Practitioner | 155 Federal St Ste 700, Boston, MA 02110-1727 | 2019-11-18 |
| 1780228924 | Jeffrey J Benoit | Nurse Practitioner | 103 Upper Rd, Deerfield, MA 01342-9739 | 2019-10-31 |
| 1962064626 | Katharine Kingsley Campbell | Nurse Practitioner | 50 Orchardhill Rd, Jamaica Plain, MA 02130-3725 | 2019-07-02 |
| 1124502737 | Rebecca Gaffney | Nurse Practitioner | 200 Mill Rd Ste 190, Fairhaven, MA 02719-5259 | 2018-09-19 |
| 1154821114 | Caroline Namuzinda Mawanda | Nurse Practitioner | 8 Baron Park Ln Apt 20, Burlington, MA 01803-5453 | 2018-02-16 |
| 1205334588 | Mary Torkornoo | Nurse Practitioner | 430 Massasoit Rd, Worcester, MA 01604-3546 | 2018-01-31 |
| 1508374406 | Kristin Tyrrell Chouinard | Nurse Practitioner | Home Md, 75 Sylvan St., Danvers, MA 01923-0192 | 2018-01-14 |
| 1962921379 | Krysta L Doucette | Nurse Practitioner | 47 High Street Suite 101, North Andover, MA 01845-5201 | 2017-09-18 |
| 1366961310 | Christine Anna Corallino | Nurse Practitioner | 14 Foster Street, #3, Boston, MA 02109 | 2017-09-11 |
| 1922546407 | Lisa Marie Joyce | Nurse Practitioner | 321 Manley St, West Bridgewater, MA 02379 | 2017-02-06 |
| Find all providers with the same taxonomy | ||||
| City | FALL RIVER |
| Zip Code | 02721 |
Please comment or provide details below to improve the information on KRISTIN SKELLY.
| 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.