MS. SUZANNE M KELLEY (NPI# 1689931180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689931180 |
| Entity Type | Individual |
| Full Name | MS. SUZANNE M KELLEY |
| Credential | APRN, FNP-C, WHNP-BC |
| Practice Address |
4716 Alliance Blvd Ste 500 Plano TX 75093 |
| Mailing Address |
4716 Alliance Blvd Ste 500 Plano TX 75093-5386 |
| Practice Telephone | 4698006000 |
| Practice Fax Number | 4698006095 |
| Mailing Telephone | 4698006000 |
| Mailing Fax Number | 4698006095 |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2019-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP121560 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP121560 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4716 Alliance Blvd Ste 500, Plano, TX 75093 | 4698006000 | 4698006095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790203768 | Suzanne Kelley | Speech-Language Pathologist | 1719 Kingsbury Rd, Washington, IL 61571-9278 | 2017-08-30 |
| 1275637795 | Suzanne Kay Kelley | Family Medicine | 3721 Tecport Dr, Harrisburg, PA 17111-1219 | 2006-09-13 |
| 1871512277 | Suzanne Kelley | Pharmacist | 5041 North 12th Avenue, Covenant Hospice, Pensacola, FL 32504 | 2006-07-18 |
| 1336118678 | Suzanne Kelley | Nurse Practitioner | 222 W Thomas Rd Ste 114, Phoenix, AZ 85013 | 2006-03-17 |
| 1164959599 | Suzanne Nicole Kelley | Massage Therapist | 55 Nw Wall St Ste 100, Bend, OR 97703-3200 | 2017-05-16 |
| 1518385863 | Suzanne Kelley | Counselor | 633 Asbury Dr, Suite A, Mandeville, LA 70471-6511 | 2014-04-03 |
| 1508135138 | Suzanne Kelley | Counselor | 950 N 4th St, Longview, TX 75601-5436 | 2011-12-28 |
| 1659569192 | Suzanne P Kelley | Counselor | 101 Jordan Dr, Chattanooga, TN 37421-6732 | 2007-10-10 |
| 1033146436 | Suzanne B Kelley | Pediatrics | 1500 S Main St, Fort Worth, TX 76104-4917 | 2006-06-28 |
| Street Address |
4716 ALLIANCE BLVD STE 500 |
| City | PLANO |
| State | TX |
| Zip Code | 75093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124131412 | Richard C. Chen | Internal Medicine | 4716 Alliance Blvd Ste 500, Plano, TX 75093-5386 | 2006-08-17 |
| 1578117495 | Kristin Paige Dittrich | Family Medicine | 4716 Alliance Blvd Ste 500, Plano, TX 75093 | 2019-07-29 |
| 1114432309 | Mackenzie Erin Lamb | Nurse Practitioner | 4716 Alliance Blvd Ste 500, Plano, TX 75093 | 2017-12-09 |
| 1164788790 | Stephanie Sbong | Internal Medicine | 4716 Alliance Blvd Ste 500, Plano, TX 75093-5386 | 2012-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081244 | Congling Wang | Nurse Practitioner | 400 Maplelawn Dr Ste 100, Plano, TX 75075-5743 | 2020-10-26 |
| 1457958712 | Evelyn C.k. Maangi | Nurse Practitioner | 9428 Patagonia Ln, Plano, TX 75025-4594 | 2020-10-08 |
| 1609487222 | Melissa Garcia | Nurse Practitioner | 1550 W Plano Pkwy Apt 1118, Plano, TX 75075-8671 | 2020-08-17 |
| 1538779533 | Karissa Janda | Nurse Practitioner | 3908 Legner St, Plano, IL 60545-1397 | 2020-08-04 |
| 1689290660 | Kelsey Perry | Nurse Practitioner | 5717 Legacy Dr Ste 170, Plano, TX 75024-3813 | 2020-06-24 |
| 1821622259 | Dinah M. Ogeto | Nurse Practitioner | 7117 Sugarplum Dr, Plano, TX 75074-2058 | 2020-02-25 |
| 1285264937 | Graciella Martinez | Nurse Practitioner | 5425 W Spring Creek Pkwy Ste 210, Plano, TX 75024-4241 | 2020-01-22 |
| 1083253587 | Rachel Aldis-krengel | Nurse Practitioner | 807 Cole Ct, Plano, IL 60545-9815 | 2019-12-31 |
| 1932740982 | Nitas Duru Oha | Nurse Practitioner | 555 Republic Dr Fl 2, Plano, TX 75074-5481 | 2019-10-01 |
| 1306499157 | Kristin Joo Eun Kim | Nurse Practitioner | 3108 Midway Rd Ste 105, Plano, TX 75093-8470 | 2019-07-22 |
| Find all providers in PLANO | ||||
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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.