LEAH KELLY (NPI# 1659705077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659705077 |
| Entity Type | Individual |
| Full Name | LEAH KELLY |
| Other Name | LEAH OTTINGER |
| Credential | PNP-BC |
| Practice Address |
200 Forbes St Ste 200 Annapolis MD 21401-1599 |
| Mailing Address |
1919 Dulany Pl Annapolis MD 21409-6220 |
| Practice Telephone | 4015804247 |
| Mailing Telephone | 4015804247 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R200411 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95003321 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4150 Regents Park Row, Suite 355, La Jolla, CA 920379124 | 8584572043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023247657 | Leah Michelle Kelly | Audiologist | 6104 Lindholm Dr, Mobile, AL 36693-3732 | 2009-07-02 |
| Street Address |
200 FORBES ST STE 200 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-1599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386685089 | Samuel Libber | Pediatrics | 200 Forbes St Ste 200, Annapolis, MD 21401-1599 | 2006-06-10 |
| 1134773138 | Alison Marie Lyon Rodriguez | Nurse Practitioner | 200 Forbes St Ste 200, Annapolis, MD 21401-1527 | 2019-07-29 |
| 1982139531 | Alexandra Michele Turek | Pediatrics | 200 Forbes St Ste 200, Annapolis, MD 21401-1527 | 2017-04-20 |
| 1073045514 | Yodit Tsegaye | Pediatrics | 200 Forbes St Ste 200, Annapolis, MD 21401-1599 | 2017-04-03 |
| 1619418712 | Amanda Woodwell Alberotanza | Nurse Practitioner | 200 Forbes St Ste 200, Annapolis, MD 21401 | 2017-03-09 |
| 1609289263 | Laura Elizabeth Herzig | Pediatrics | 200 Forbes St Ste 200, Annapolis, MD 21401-1527 | 2014-06-11 |
| 1841618055 | Tuyen Phan | Pediatrics | 200 Forbes St Ste 200, Annapolis, MD 21401-1599 | 2014-04-03 |
| 1558629055 | Cindy Chen | Pediatrics | 200 Forbes St Ste 200, Annapolis, MD 21401-1527 | 2012-05-03 |
| 1326313453 | Ashley Foster Lanzel | Pediatrics | 200 Forbes St Ste 200, Annapolis, MD 21401-1527 | 2012-03-22 |
| 1376708834 | Kristen Michele Medina | Nurse Practitioner | 200 Forbes St Ste 200, Annapolis, MD 21401-1527 | 2008-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1902891344 | Gina Ann Friel | Nurse Practitioner | 200 Forbes St, Annapolis, MD 21401-1538 | 2005-09-13 |
| 1134773138 | Alison Marie Lyon Rodriguez | Nurse Practitioner | 200 Forbes St Ste 200, Annapolis, MD 21401-1527 | 2019-07-29 |
| 1619418712 | Amanda Woodwell Alberotanza | Nurse Practitioner | 200 Forbes St Ste 200, Annapolis, MD 21401 | 2017-03-09 |
| 1104279934 | Jennifer M Redmond | Nurse Practitioner | 200 Forbes St, Suite 200, Annapolis, MD 21401-1538 | 2016-07-17 |
| 1477914638 | Shaun Tompkins Fritz | Nurse Practitioner | 200 Forbes St, Suite 200, Annapolis, MD 21401-1538 | 2016-03-16 |
| 1861755928 | Nichole Elizabeth Tucker | Nurse Practitioner | 200 Forbes St, Ste 200, Annapolis, MD 21401-1538 | 2012-06-22 |
| 1326312729 | Michelle Elizabeth Schall | Nurse Practitioner | 200 Forbes St, Suite 200, Annapolis, MD 21401-1538 | 2012-03-02 |
| 1255572970 | Kay Pessagno | Nurse Practitioner | 200 Forbes St, Suite 200, Annapolis, MD 21401-1538 | 2009-03-09 |
| 1376708834 | Kristen Michele Medina | Nurse Practitioner | 200 Forbes St Ste 200, Annapolis, MD 21401-1527 | 2008-07-24 |
| Find all providers in ANNAPOLIS | ||||
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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.