KELLI ANN CALLAHAN (NPI# 1639620826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639620826 |
| Entity Type | Individual |
| Full Name | KELLI ANN CALLAHAN |
| Credential | PA-C |
| Practice Address |
625 N Flagler Dr Ste 100 West Palm Beach FL 33401-4027 |
| Practice Telephone | 5612637060 |
| Practice Fax Number | 5618385649 |
| Enumeration Date | 2016-10-22 |
| Last Update Date | 2017-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 9109851 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
625 N FLAGLER DR STE 100 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33401-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1699338152 | Carly N Lupo | Social Worker | 700 S Rosemary Ave, Suite 204 Ofc 101, West Palm Beach, FL 33401 | 2019-04-19 |
| 1740752625 | Latasha Harper | Specialist | 512 N St, West Palm Beach, FL 33401 | 2018-12-17 |
| 1124595640 | Elin Nordegren | Counselor | 1555 Palm Beach Lakes Blvd Suite 1560, West Palm Beach, FL 33401 | 2018-11-02 |
| 1205318664 | Phanette Turene | Behavior Technician | 1720 N Congress Ave Apt B207, West Palm Beach, FL 33401 | 2018-09-02 |
| 1790277002 | Ashley Zarda | Developmental Therapist | 253 8th St, West Palm Beach, FL 33401 | 2018-06-01 |
| 1487162988 | Pinnacle Counseling Service Pllc | Social Worker | 1900 S Olive Avenue, West Palm Beach, FL 33401 | 2018-01-18 |
| 1245754027 | Patricia Caroscio | Dental Hygienist | 800 Clematis Street, West Palm Beach, FL 33401 | 2017-08-02 |
| 1255852562 | Dermnow Pa | Dermatology | 1500 N Flasler Dr #, 101, West Palm Beach, FL 33401 | 2017-06-28 |
| 1699204289 | Edward Gerardo Ortiz | Counselor | 1639 Forum Place Suite #7, West Palm Beach, West Palm Beach, FL 33401 | 2017-06-07 |
| Find all providers in zip 33401 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518229079 | First Care Family Resources | Physician Assistant | 3115 45th St, West Palm Beach, FL 33407-1915 | 2012-06-11 |
| 1164728093 | Tiphanie Alexandria Allonce | Physician Assistant | 4700 N Congress Ave Ste 201, West Palm Beach, FL 33407-3291 | 2011-02-10 |
| 1265688899 | Angela G Gonzalez | Physician Assistant | 1500 N. Dixie Highway, Suite 103, West Palm Beach, FL 33401 | 2008-08-14 |
| 1093260226 | Nicole Mayberry O'donnell | Physician Assistant | 901 45th Street, Kimmel Building, West Palm Beach, FL 33407 | 2016-08-17 |
| 1265805881 | Estefanie A Witteman | Physician Assistant | 1217 S Military Trl Ste C, West Palm Beach, FL 33415-4600 | 2015-11-04 |
| 1114397775 | Juliana Alvarez | Physician Assistant | 2070 S Military Trl, West Palm Beach, FL 33415-6409 | 2015-09-25 |
| 1942688825 | Nina L Thrasher | Physician Assistant | 901 45th Street, Kimmel Bldg, West Palm Beach, FL 33407 | 2015-05-12 |
| 1265841274 | Zenia Echeverria | Physician Assistant | 911 Village Blvd, Suite 807, West Palm Beach, FL 33409-1938 | 2014-08-05 |
| 1558782284 | Kelley Nugent | Physician Assistant | 2070 S Military Trl, West Palm Beach, FL 33415-6409 | 2013-12-24 |
| 1528368263 | Eric Verfaillie | Physician Assistant | 5325 Greenwood Ave, Suite 306, West Palm Beach, FL 33407-2452 | 2010-10-28 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33401 |
Please comment or provide details below to improve the information on KELLI ANN CALLAHAN.
| 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.