MRS. KELLY CALLAHAN CHASE (NPI# 1669750592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669750592 |
| Entity Type | Individual |
| Full Name | MRS. KELLY CALLAHAN CHASE |
| Credential | APRN |
| Practice Address |
1498 Jesse Jewell Pkwy Se Suite C Gainesville GA 30501-3874 |
| Practice Telephone | 7702879240 |
| Practice Fax Number | 7705353059 |
| Mailing Telephone | 7702879240 |
| Mailing Fax Number | 7705353059 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN139247 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN139247 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124539846 | Kelly Chase | Licensed Practical Nurse | 7 Community Dr, Cheektowaga, NY 14225-2523 | 2017-10-20 |
| 1134113681 | Kelly Chase | Speech-Language Pathologist | 800 Brookstown Ave, Winston-salem, NC 27101-3745 | 2005-09-09 |
| 1417954652 | Kelly Marie Chase | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2005-07-01 |
| Street Address |
1498 JESSE JEWELL PKWY SE SUITE C |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093774424 | Margaret Ellen Watson | Nurse Practitioner | 1498 Jesse Jewell Pkwy Se, Ste A, Gainesville, GA 30501-3874 | 2006-03-23 |
| 1639509672 | Teresa Rebakah Matthews | Nurse Practitioner | 1498 Jesse Jewell Pkwy Se, Suite A, Gainesville, GA 30501-3874 | 2013-11-12 |
| 1720225410 | Lakeside Ob/gyn and Pelvic Surgery, LLC | Obstetrics & Gynecology | 1498 Jesse Jewell Pkwy Se, Suite D, Gainesville, GA 30501-3852 | 2009-01-16 |
| 1629276159 | Jawad Ilyas | Internal Medicine | 1498 Jesse Jewell Pkwy Se, Suite A, Gainesville, GA 30501-3874 | 2007-07-05 |
| 1922204361 | Neurology Specialists of Georgia, P.C. | Clinic/Center | 1498 Jesse Jewell Pkwy Se, Suite A, Gainesville, GA 30501-3852 | 2007-06-22 |
| 1871537019 | Amy L Ledford | Midwife | 1498 Jesse Jewell Pkwy Se, Suite D, Gainesville, GA 30501-3874 | 2006-06-16 |
| 1457304339 | Sherry M Nored | Advanced Practice Midwife | 1498 Jesse Jewell Pkwy Se, Suite D, Gainesville, GA 30501-3874 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154865814 | Kimberly Farr | Nurse Practitioner | 2601 Kensington Aly, Gainesville, GA 30504-2689 | 2016-12-14 |
| 1396293056 | Lelah Ruth Marzi | Nurse Practitioner | 10229 Nw 13th Ave, Gainesville, FL 32606-8056 | 2016-09-12 |
| 1942697560 | Darelys Andino Ruiz | Nurse Practitioner | 5510 Sw 41st Blvd Ste 202, Gainesville, FL 32608-4975 | 2015-04-21 |
| 1306243845 | Robin Denise Clayton | Nurse Practitioner | 2822 Ne 16th Ter, Gainesville, FL 32609-3235 | 2014-11-27 |
| 1154736544 | Hannah S Day | Nurse Practitioner | 1376 Burns Dr Ne, Gainesville, GA 30501-1904 | 2014-06-25 |
| 1902141260 | Michell Mulberry | Nurse Practitioner | 2318 Nw 90th Ter, Gainesville, FL 32606 | 2012-11-27 |
| 1760734057 | Danielle Foti Digennaro | Nurse Practitioner | Internal Medicine/palliative Care 100283, Gainesville, FL 32610-2299 | 2012-10-10 |
| 1154673606 | Carolyn A Rollins | Nurse Practitioner | 1600 Sw Archer Rd # 100129, Gainesville, FL 32610-4524 | 2012-10-09 |
| 1477803989 | Michelle Senerpida Barnas | Nurse Practitioner | 5236 Sw 34th Street, Gainesville, FL 32608 | 2012-09-12 |
| 1356645352 | Shannon Large | Nurse Practitioner | 4001 Sw 13th Street, Florida Recovery Center, Gainesville, FL 32608 | 2011-01-05 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on MRS. KELLY CALLAHAN CHASE.
| 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.