KELLY MARCELLO


Address: 11207 N Lamar Blvd Ste B, Austin, TX 78753
Phone: 6495122195

KELLY MARCELLO (NPI# 1699270462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699270462
Entity Type Individual
Full Name KELLY MARCELLO
Practice Address 11207 N Lamar Blvd Ste B
Austin
TX 78753
Mailing Address 300 S Commerce St Ste B
Lockhart
TX 78644-2887
Practice Telephone 6495122195
Enumeration Date 2018-03-26
Last Update Date 2018-09-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP136616 TX Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
11207 N Lamar Blvd Ste B, Austin, TX 787533056 6495122195

Office Location

Street Address 11207 N LAMAR BLVD STE B
City AUSTIN
State TX
Zip Code 78753

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417508490 Kristin Cates Means Nurse Practitioner 11207 N Lamar Blvd Ste B, Austin, TX 78753-3056 2019-09-22

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NPI Name Taxonomy Address Enumeration
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1205320538 Cameron Health Care LLC Skilled Nursing Facility 8324 Cameron Road, Austin, TX 78753 2018-06-20
1851883433 Greater Austin Transportation Company Taxi 10630 Joseph Clayton Dr., Bldg A, Austin, TX 78753 2018-05-31
1093212151 Enamel Dentistry Parmer Park, Pllc Dentist 1606 E. Parmer Ln, Suite #125, Austin, TX 78753 2018-04-06
1710481155 Techridge Oaks, LLC Assisted Living Facility 400 E Yager Ln, Austin, TX 78753 2018-03-21
1013441286 Mydental At Norwood Pllc Dentist 1045 Norwood Park Blvd, Suite 103, Austin, TX 78753 2017-04-14
1477908093 Nicole Amy Kosich Massage Therapist 8740 N. Lamar Blvd., Austin, TX 78753 2016-05-02
1184096539 Vanessa Dawn Sadd Nurse Practitioner 8300 N Lamar Blvd, Austin, TX 78753 2015-10-26
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1003413055 Anthony Delovino Lista Nurse Practitioner 311 Bowie St Apt 1215, Austin, TX 78703-5296 2020-10-02
1366049553 Lauren Nicole Crider Nurse Practitioner 3601 S Congress Ave Ste D100, Austin, TX 78704-7205 2020-10-01
1366059784 Teresa Marie Reed Nurse Practitioner 3921 Steck Ave Ste A120, Austin, TX 78759-8669 2020-09-29
1144836289 Amy Silva Nurse Practitioner 1824 Rainy Meadows Dr, Austin, TX 78758-3518 2020-09-22
1326652470 Carolyn Lee Stanford Nurse Practitioner 14902 Crosscreek, Austin, TX 78737-8904 2020-09-06
1457965899 Lorie Kmetz Nurse Practitioner 1907 Alguno Rd, Austin, TX 78757-3220 2020-09-02
1184238735 Amanda Kanski Nurse Practitioner 9525 N Capital of Texas Hwy Unit 416, Austin, TX 78759-7294 2020-09-01
1487265013 Lisa Karen Brogan Nurse Practitioner 1805 Forest Hill Dr, Austin, TX 78745-1720 2020-08-17
1992316327 Mona Saberi Nurse Practitioner 15024 Calaveras Dr, Austin, TX 78717-4577 2020-08-10
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Competitor

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City AUSTIN
Zip Code 78753

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Dataset Information

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.

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