KELLY MARIE WEST (NPI# 1699224873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699224873 |
| Entity Type | Individual |
| Full Name | KELLY MARIE WEST |
| Credential | APN |
| Practice Address |
250 W Kenwood Ave Decatur IL 62526-4371 |
| Mailing Address |
1025 S 6th St Springfield IL 62703-2499 |
| Practice Telephone | 2175287541 |
| Practice Fax Number | 2172336574 |
| Mailing Telephone | 2175287541 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014918 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285299883 | Kelly West | Physical Therapist | 3949 Evans To Locks Rd, Evans, GA 30809-8054 | 2019-05-08 |
| 1366992760 | Kelly Ann West | Nurse Practitioner | 1236 Knoxville Hwy., Wartburg, TN 37887-4200 | 2016-10-10 |
| 1053736546 | Kelly Rae West | Registered Nurse | 19197 Golden Valley Rd # 923, Santa Clarita, CA 91387-1428 | 2014-02-20 |
| 1467763490 | Kelly Nicole West | Speech-Language Pathologist | 32201 S 655 Rd, Grove, OK 74344-7647 | 2010-06-24 |
| 1932431624 | Kelly Joy West | Music Therapist | 13625 S 48th St, Apt. 2210, Phoenix, AZ 85044-5000 | 2010-02-04 |
| 1669703088 | Kelly Lynn West | Dentist | 608 E Bailey Boswell Rd, Suite 100, Saginaw, TX 76131-3569 | 2010-01-25 |
| 1447585278 | Kelly David West | Massage Therapist | 9112 E Lacrosse Ln, Spokane Valley, WA 99206-4585 | 2009-10-13 |
| 1134393929 | Kelly Leigh West | Pathology | 2006 New Garden Road, Suite 106, Greensboro, NC 27410-2567 | 2008-04-14 |
| 1245389071 | Kelly Neil West | Family Medicine | 9th Medical Group, 15301 Warren Shingle Road, Beale Afb, CA 95903-1907 | 2007-01-10 |
| 1760582480 | Kelly Nicole West | Dentist | 1245 Cheyenne Ave, Suite 104, Grafton, WI 53024 | 2006-09-23 |
| Street Address |
250 W KENWOOD AVE |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-4371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721571 | Cynthia D Marschner | Family Medicine | 250 W Kenwood Ave, Decatur, IL 62526-4371 | 2005-06-22 |
| 1245614338 | Sujiththa Suntharalingam | Family Medicine | 250 W Kenwood Ave, Decatur, IL 62526-4371 | 2015-07-17 |
| 1053795765 | Vijay Krishan Sharma | Family Medicine | 250 W Kenwood Ave, Decatur, IL 62526-4371 | 2015-07-13 |
| 1902287956 | Naeem Iqbal Patel | Family Medicine | 250 W Kenwood Ave, Decatur, IL 62526-4371 | 2015-06-16 |
| 1053718700 | Sara D. O'brien | Nurse Practitioner | 250 W Kenwood Ave, Decatur, IL 62526-4371 | 2014-11-24 |
| 1730581166 | Tammie J. Buzan | Nurse Practitioner | 250 W Kenwood Ave, Decatur, IL 62526-4371 | 2014-09-17 |
| 1447667100 | Vanessa Ramlal | Family Medicine | 250 W Kenwood Ave, Decatur, IL 62526-4371 | 2014-07-15 |
| 1225443542 | David Ibrahim | Family Medicine | 250 W Kenwood Ave, Decatur, IL 62526-4371 | 2014-06-25 |
| 1770924672 | Samitha C Chandraratne | Family Medicine | 250 W Kenwood Ave, Decatur, IL 62526-4371 | 2013-07-09 |
| 1588005482 | Joshua J Starr | Family Medicine | 250 W Kenwood Ave, Decatur, IL 62526-4371 | 2013-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1790383776 | Angela Tope Adeleke | Nurse Practitioner | 3185 Georgian Woods Cir, Decatur, GA 30034-5105 | 2020-10-13 |
| 1417564147 | Jigna Patel | Nurse Practitioner | 1963 Don Juan Ln, Decatur, GA 30032-4218 | 2020-09-27 |
| 1659983856 | Emilie Carsell Mathias | Nurse Practitioner | 2208 N Crossing Way, Decatur, GA 30033-4175 | 2020-08-19 |
| 1275151078 | Tiffanie Marshall Mcguire | Nurse Practitioner | 2042 Beltline Rd Sw Ste B101, Decatur, AL 35601-5571 | 2020-07-08 |
| 1922623610 | Anastasiya A Drogoul | Nurse Practitioner | 2675 N Decatur Rd Ste 404, Decatur, GA 30033-6133 | 2020-06-09 |
| 1174156244 | Anne Marie Strickland | Nurse Practitioner | 3109 Vicksburg Pl Sw, Decatur, AL 35603-3107 | 2020-02-18 |
| 1174161822 | Allison Leanne Hall | Nurse Practitioner | 304 W Hay St Ste 312, Decatur, IL 62526-4170 | 2019-12-12 |
| 1396387866 | Elizabeth Nichole Mathews | Nurse Practitioner | 2301 S Fm 51 Ste 100, Decatur, TX 76234-3864 | 2019-10-16 |
| 1861040479 | Oladunni Funmi Faminu | Nurse Practitioner | 2701 N Decatur Rd # 2400, Decatur, GA 30033-5918 | 2019-08-27 |
| Find all providers in DECATUR | ||||
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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.