DEBORAH KELLY (NPI# 1669790010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669790010 |
| Entity Type | Individual |
| Full Name | DEBORAH KELLY |
| Credential | MSN, RN, PMHNP |
| Practice Address |
100 W Griggs Ave Las Cruces NM 88001-1234 |
| Mailing Address |
385 Calle De Alegra Ste A Las Cruces NM 88005-3423 |
| Practice Telephone | 5756472800 |
| Practice Fax Number | 5756472898 |
| Mailing Telephone | 5755261105 |
| Mailing Fax Number | 5755244266 |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2015-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CNP-01627 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | CERTIFIED NURSE PRACTITIONER LICENSE NUMBER | CNP-01627 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019119 | Deborah Lynn Kelly | Counselor | 6409 S Vinewood St Apt 106, Littleton, CO 80120-1805 | 2020-07-02 |
| 1942781364 | Deborah Ann Kelly | Licensed Vocational Nurse | 205 Coby Dr Unit B, Troy, TX 76579-2696 | 2018-08-23 |
| 1164965398 | Deborah Kelly | Registered Nurse | 31533 Gooseberry Way, Lewes, DE 19958-5829 | 2016-11-20 |
| 1215220538 | Deborah Kelly | Case Manager/Care Coordinator | 1473 W 34th St, Riviera Beach, FL 33404-2909 | 2011-05-19 |
| 1689909400 | Deborah Jeanne Kelly | Speech-Language Pathologist | 219 Plymouth Ave, Oreland, PA 19075-1705 | 2009-10-13 |
| 1053385369 | Deborah Marie Kelly | Social Worker | Icd, 340 E 24 Street, New York, NY 10010-4019 | 2006-02-14 |
| 1407494792 | Deborah Jean Kelly | Counselor | 319 Park St, Plainwell, MI 49080-1655 | 2019-12-17 |
| 1205025814 | Deborah Kelly | Nurse Practitioner | 465 Columbus Ave Ste 370, Valhalla, NY 10595-1336 | 2007-10-19 |
| 1609067438 | Deborah B Kelly | Dietitian, Registered | 1425 Portland Ave, Rochester, NY 14621-3001 | 2007-08-07 |
| 1952528176 | Deborah G Kelly | Pharmacist | 2525 Horizon Lake Dr, Suite 101, Memphis, TN 38133-8119 | 2007-04-19 |
| Street Address |
100 W GRIGGS AVE |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407843766 | Erika Lynn Thompson | Social Worker | 100 W Griggs Ave, Las Cruces, NM 88001 | 2005-10-03 |
| 1285247379 | Alisa Mercedes Montoya | Case Manager/Care Coordinator | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2020-08-28 |
| 1235748666 | Ladonna Jo Leonard | Social Worker | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2020-07-31 |
| 1518596915 | Jade Nicole Jenkins | Social Worker | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2020-04-07 |
| 1689201873 | Angela Renee Fresquez | Case Manager/Care Coordinator | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2020-03-26 |
| 1407496128 | Jessica H Sheen | Case Manager/Care Coordinator | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2020-01-10 |
| 1902443112 | Julia Maxine Silverman | Social Worker | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2019-12-06 |
| 1306482161 | Stephanie Necole Reiss | Peer Specialist | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2019-11-26 |
| 1902441280 | Indhira Felicia Lozano | Case Manager/Care Coordinator | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2019-11-11 |
| 1134764418 | Steven Noel Adams | Case Manager/Care Coordinator | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2019-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588172290 | Cecilia Isolina Kasbohm | Nurse Practitioner | 999 W Amador Ave Ste A, Las Cruces, NM 88005-2739 | 2018-01-16 |
| 1831544618 | Clarion Telehealth Network, LLC | Nurse Practitioner | 4611 Research Park Cir Ste B227, Las Cruces, NM 88001-5948 | 2016-04-28 |
| 1639411051 | Lilian Agnete Klinger | Nurse Practitioner | 6932 Barcelona Ridge Rd, Las Cruces, NM 88007-8958 | 2013-03-24 |
| 1134459449 | Shelly Rae Noe | Nurse Practitioner | 1170 N Solano Dr Ste N, Las Cruces, NM 88001-2371 | 2010-01-08 |
| 1689868614 | Karen Marie Fee | Nurse Practitioner | 2144 Sagecrest Ave, Las Cruces, NM 88011-8045 | 2007-09-03 |
| 1396942074 | Jacquelyn Counts Williams | Nurse Practitioner | 3521 Del Rey Blvd Ste B, Las Cruces, NM 88012-7708 | 2007-06-27 |
| 1972714418 | Leslie Kaye Robbins | Nurse Practitioner | 3317 Solarridge St, Las Cruces, NM 88012-7797 | 2007-05-25 |
| 1316572373 | Ariel Hutton Madrid | Nurse Practitioner | 3751 Del Rey Blvd, Las Cruces, NM 88012-7710 | 2020-03-10 |
| 1063050151 | Deanna Joy Fresquez Mynatt | Nurse Practitioner | 1401 S Don Roser Dr, Las Cruces, NM 88011-4567 | 2019-12-19 |
| 1144767104 | Laura Smith | Nurse Practitioner | 250 S Main St, Las Cruces, NM 88001-1278 | 2017-01-27 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
Please comment or provide details below to improve the information on DEBORAH KELLY.
| 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.