KELLY FAITH COLLIVER (NPI# 1649288143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649288143 |
| Entity Type | Individual |
| Full Name | KELLY FAITH COLLIVER |
| Credential | CNP |
| Practice Address |
1402 N High St Hillsboro OH 45133-8514 |
| Mailing Address |
Po Box 637735 Cincinnati OH 45263-7735 |
| Practice Telephone | 9373934899 |
| Practice Fax Number | 9373934996 |
| Mailing Telephone | 5138911006 |
| Mailing Fax Number | 5137931032 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2012-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP08084 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1402 N HIGH ST |
| City | HILLSBORO |
| State | OH |
| Zip Code | 45133-8514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306803440 | Highland District Hospital Professional Services Corporation | Clinic/Center | 1402 N High St, Hillsboro, OH 45133-8514 | 2006-05-01 |
| 1760836621 | Tamara Lynn Yacobucci | Pediatrics | 1402 N High St, Hillsboro, OH 45133-8514 | 2016-04-18 |
| 1548535586 | Highland District Hospital | Clinic/Center | 1402 N High St, Hillsboro, OH 45133 | 2012-03-08 |
| 1174833867 | Pamela Sue Knisley | Nurse Practitioner | 1402 N High St, Hillsboro, OH 45133-8514 | 2010-10-14 |
| 1750512216 | Laura Lee Saylor | Nurse Practitioner | 1402 N High St, Hillsboro, OH 45133-8514 | 2009-08-01 |
| 1013103696 | Poonam Singh | Pediatrics | 1402 N High St, Hillsboro, OH 45133-8514 | 2007-09-18 |
| 1588733778 | Mary F Tamborski | Dietitian, Registered | 1402 N High St, Hillsboro, OH 45133-8514 | 2006-11-06 |
| 1720096399 | Ron Allen Zile | Family Medicine | 1402 N High St, Hillsboro, OH 45133-8514 | 2006-08-03 |
| 1811905391 | Catherine A Shanahan | Family Medicine | 1402 N High St, Hillsboro, OH 45133-8514 | 2006-08-03 |
| 1003822446 | Zile Family Health Care, Inc. | Family Medicine | 1402 N High St, Hillsboro, OH 45133-8514 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275156432 | Laura Andre | Optometrist | 925 W. Main Street, Hillsboro, OH 45133 | 2020-05-22 |
| 1881225381 | Menders Home Care | Home Health | 5778 Crosen Rd, Hillsboro, OH 45133 | 2020-02-03 |
| 1366906844 | Highland Health Providers Corp | Clinic/Center | 11130 North Shore Drive, Hillsboro, OH 45133 | 2019-01-29 |
| 1336639939 | Buckeye Dentistry LLC | Clinic/Center | 7625 Pea Ridge Rd., Hillsboro, OH 45133 | 2018-05-18 |
| 1447752936 | Highland Health Providers Corp | Clinic/Center | 1402 N. High Street, Hillsboro, OH 45133 | 2018-03-01 |
| 1467970103 | Amber Michele Younker | Social Worker | 149 Chillicothe Avenue, Hillsboro, OH 45133 | 2017-09-01 |
| 1972059624 | Connie Sue Fraley | Licensed Practical Nurse | 8958 Pigeon Roost Rd., Hillsboro, OH 45133 | 2016-08-31 |
| 1760857098 | Alicia N Wilson | Nurse Practitioner | 225 W Main St Unit B, Hillsboro, OH 45133 | 2015-12-11 |
| 1427429364 | Crystal Lynn Chambers | Registered Nurse | 7002 St Rt 124, Hillsboro, OH 45133 | 2015-10-19 |
| 1578905022 | Andrea K Howard | Nurse Practitioner | 160 Roberts Lane, Hillsboro, OH 45133 | 2013-07-25 |
| Find all providers in zip 45133 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811521586 | Valorine Tsopmoh Tsopmoh | Nurse Practitioner | 924 Se Sacha Pl, Hillsboro, OR 97123-4685 | 2020-03-02 |
| 1831722743 | Abigail Joanne Thackston | Nurse Practitioner | 105 Danville Pike, Hillsboro, OH 45133-1204 | 2020-02-19 |
| 1780136986 | Marisa Gingerich | Nurse Practitioner | 1323 E Franklin St Ste 105, Hillsboro, TX 76645-2679 | 2016-11-04 |
| 1760857098 | Alicia N Wilson | Nurse Practitioner | 225 W Main St Unit B, Hillsboro, OH 45133 | 2015-12-11 |
| 1144607185 | Tracy Resibois-binkley | Nurse Practitioner | 1487 N High St Ste 102, Hillsboro, OH 45133-8496 | 2015-04-28 |
| 1083048474 | Angela Rae Hardy | Nurse Practitioner | 7594 Pea Ridge Rd, Hillsboro, OH 45133-8518 | 2013-08-21 |
| 1578905022 | Andrea K Howard | Nurse Practitioner | 160 Roberts Lane, Hillsboro, OH 45133 | 2013-07-25 |
| 1952654550 | Jaleen Lynn Klink | Nurse Practitioner | 1049 Sw Baseline St Ste D490, Hillsboro, OR 97123-3857 | 2012-10-19 |
| 1275821704 | Amy R Frasure | Nurse Practitioner | 104 Erin Court, Hillsboro, OH 45123 | 2011-07-19 |
| 1659502904 | Marsha Kay Mitchell | Nurse Practitioner | 11130 North Shore Dr., Hillsboro, OH 45133-8977 | 2009-08-05 |
| Find all providers in HILLSBORO | ||||
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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.