ANGELA ELENA KELLY (NPI# 1699015248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699015248 |
| Entity Type | Individual |
| Full Name | ANGELA ELENA KELLY |
| Practice Address |
520 Dudley St Roxbury MA 02119-2769 |
| Practice Telephone | 6179899499 |
| Mailing Telephone | 6179899499 |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276485 | Angela Wilson Kelly | Counselor | 907 Haviland Dr, Vestavia Hills, AL 35216-2330 | 2019-10-09 |
| 1992115547 | Angela Kelly | Custodial Care Facility | 720 Valley Forge Rd, Jacksonville, FL 32208-3566 | 2014-05-05 |
| 1205180718 | Angela M Kelly | Occupational Therapist | 3261 Hwy 49 South, Va State Home/collins, Collins, MS 39428 | 2012-11-06 |
| 1205899358 | Angela Dawn Kelly | Chiropractor | 4329 Easton Ave, Bethlehem, PA 18020-1431 | 2006-04-10 |
| 1568956373 | Angela Diane Kelly | Counselor | 306 Sw 8th St, Corvallis, OR 97333-4543 | 2018-06-15 |
| 1366963514 | Angela Dawn Kelly | Pharmacist | 555 W Marion Rd, Mount Gilead, OH 43338-1025 | 2017-06-28 |
| 1497015143 | Angela K Kelly | Social Worker | 822 Washington St, Montpelier, ID 83254-1423 | 2012-05-28 |
| 1962732784 | Angela Kelly | Community Health Worker | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2009-12-29 |
| 1851444392 | Angela M Kelly | Speech-Language Pathologist | 17929 Gottschalk Ave, Homewood, IL 60430-1709 | 2007-01-19 |
| 1174671689 | Angela J. Kelly | Nurse Anesthetist, Certified Registered | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2007-01-08 |
| Street Address |
520 DUDLEY ST |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119-2769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396924007 | Devin George Atallah-gutierrez | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2007-10-30 |
| 1205441425 | Kianna Barbosa | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-14 |
| 1962017483 | Sophia Eloise Stanford | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-11 |
| 1275148660 | Teila Gray | Case Manager/Care Coordinator | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-11 |
| 1124633516 | Herlen Carius | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-11 |
| 1679188312 | Brienna Nicole Santaniello | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-10 |
| 1568077121 | Tatiana Peavy | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-10 |
| 1326652215 | Eric Andrew Meyers | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-08 |
| 1427662386 | Rayel Smith | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-08 |
| 1952915241 | Tyrelle Lavette Hill | Community Health Worker | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661511 | A Bucket for The Well LLC. | Counselor | 100 Warren St Ste 1a, Roxbury, MA 02119-3259 | 2020-08-28 |
| 1689292831 | Maria Pia Biggs | Counselor | 409 Walnut Ave, Roxbury, MA 02119-3133 | 2020-07-13 |
| 1699322313 | Kristen Lourens | Counselor | 64b Regent St, Roxbury, MA 02119-1980 | 2019-08-19 |
| 1366954570 | Anthony Dewayne Quarles Jr. | Counselor | 520 Dudley St Fl 2, Roxbury, MA 02119-2769 | 2017-10-27 |
| 1043694060 | Jennifer Price | Counselor | 82 Rockland St, Apt. 3f, Roxbury, MA 02119-1966 | 2015-07-20 |
| 1255710851 | Jacqueline Smith | Counselor | 40 Dimock Services, Roxbury, MA 02119-0000 | 2015-05-28 |
| 1154749331 | Keyana Jones | Counselor | 11 Roxbury St Fl 2, Roxbury, MA 02119-1720 | 2014-04-03 |
| 1902221344 | Lakia Cherry | Counselor | 11 Roxbury St, Second Floor, Roxbury, MA 02119-1720 | 2014-02-21 |
| 1942633748 | Gelen Zepeda | Counselor | 1544 Columbus Ave, Roxbury, MA 02119-1026 | 2013-08-15 |
| 1932547353 | Chandra C Williams | Counselor | 504 Dudley Street, Roxbury, MA 02121 | 2013-06-07 |
| Find all providers in ROXBURY | ||||
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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.