KIMBERLY KELLY (NPI# 1699711366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699711366 |
| Entity Type | Individual |
| Full Name | KIMBERLY KELLY |
| Credential | CRNA |
| Practice Address |
355 Crawford St Suite808 Portsmouth VA 23704-2816 |
| Practice Telephone | 7573997451 |
| Practice Fax Number | 7573991158 |
| Mailing Telephone | 7573997451 |
| Mailing Fax Number | 7573991158 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 0024115873 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083252878 | Kimberly Anne Kelly | Nurse Practitioner | 3056 Hickory St, Yorktown Heights, NY 10598-2734 | 2019-12-12 |
| 1023503919 | Kimberly Kelly | Counselor | 1382 Bull Lea Rd, Lexington, KY 40511-1247 | 2018-06-25 |
| 1265812085 | Kimberly Kelly | Counselor | 80 Kleyona Ave, Phoenixville, PA 19460-2568 | 2015-06-06 |
| 1144600115 | Kimberly Ann Kelly | Dietitian, Registered | 3550 Ballina Canyon Rd, Encino, CA 91436-4108 | 2015-06-04 |
| 1922403955 | Kimberly C. Kelly | Behavioral Analyst | 62 Lowell St Ste 5, Manchester, NH 03101-1607 | 2014-11-04 |
| 1710390828 | Kimberly Kelly | Speech-Language Pathologist | 1313 Southside Cir, Nashville, TN 37212-2442 | 2014-06-05 |
| 1669727186 | Kimberly Kelly | Social Worker | 2750 Sutterville Road, Sacramento, CA 95820 | 2012-07-20 |
| 1174833966 | Kimberly Sue Kelly | Psychologist | 630 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2010-10-14 |
| 1245460120 | Kimberly A Kelly | Pharmacist | 8571 Rivers Ave, North Charleston, SC 29406-9208 | 2009-07-24 |
| 1992944870 | Kimberly Ann Kelly | Counselor | 114 E Bolton St, Pontotoc, MS 38863-1506 | 2009-02-17 |
| Street Address |
355 CRAWFORD ST SUITE808 |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23704-2816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720082183 | Lloyd A Shabazz | Internal Medicine | 355 Crawford St, Ste 300, Portsmouth, VA 23704-2819 | 2005-06-13 |
| 1528544186 | Elvira Feliciano Barcoma | Nurse Practitioner | 355 Crawford St, Portsmouth, VA 23704-2816 | 2018-07-17 |
| 1114416187 | Rise Behavioral Health, LLC | Clinic/Center | 355 Crawford St, Portsmouth, VA 23704-2816 | 2018-05-06 |
| 1437515665 | Womens Imaging Center of Portsmouth LLC | Radiology | 355 Crawford St, Suite 102, Portsmouth, VA 23704-2816 | 2016-01-04 |
| 1487020962 | Cecilia Otoo | Nurse Practitioner | 355 Crawford St, Suite 300, Portsmouth, VA 23704-2816 | 2015-08-19 |
| 1881013555 | Essential Family Services, LLC | In Home Supportive Care | 355 Crawford St, Suite 808, Portsmouth, VA 23704-2816 | 2014-04-10 |
| 1447674742 | Delta Oncology Associates, P.C. | Radiologic Technologist | 355 Crawford St, Suite 102, Portsmouth, VA 23704-2816 | 2014-02-07 |
| 1235476490 | Jeffrey S Goodman Phd, PC | Psychologist | 355 Crawford St, Suite 804, Portsmouth, VA 23704-2816 | 2013-01-08 |
| 1073809125 | The Arkk Group, LLC | Respite Care | 355 Crawford St, Ste 333, Portsmouth, VA 23704-2816 | 2011-06-27 |
| 1811298912 | Sergey Kobzar | Nurse Anesthetist, Certified Registered | 355 Crawford St, Suite 808, Portsmouth, VA 23704-2816 | 2010-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973588 | Ralpheana Denee Lawton | Clinic/Center | 2317 Richmond Ave, Portsmouth, VA 23704 | 2020-05-12 |
| 1376079186 | Faithful Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1509 Parker Ave, Portsmouth, VA 23704 | 2017-05-11 |
| 1285184168 | Sarah Crawford | Counselor | Harbor Point, 301 Fort Lane, Portsmouth, VA 23704 | 2016-10-04 |
| 1295137560 | Sarah Lee Arnell Rogers | Registered Nurse | 935 Blair Steet, Portsmouth, VA 23704 | 2014-09-18 |
| 1396161212 | Cheryl Denise Mcneil | Home Health | 1416 Portsmouth Boulevard, Portsmouth, VA 23704 | 2014-03-17 |
| 1609173988 | Roberta Marie Hansel-union | Behavioral Analyst | 711 Court Street, Portsmouth, VA 23704 | 2011-02-22 |
| 1447560875 | Denise Anderson Anderson | Licensed Vocational Nurse | 1227 Summit Ave, Portsmouth, VA 23704 | 2010-10-19 |
| 1770890204 | Reymond G. Pascual Md.,pc | Specialist | 704 London Blvd, Portsmouth, VA 23704 | 2010-09-03 |
| 1184820003 | Charles Seth Eisenberg | Internal Medicine | Nmcp Cardiology, 620 John Paul Jones Cir, Portsmouth, VA 23704 | 2007-06-26 |
| 1902028251 | James Bentley Treatment Program | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1020 Leckie Street, Portsmouth, VA 23704 | 2007-05-03 |
| Find all providers in zip 23704 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730129628 | Olivia Annette Brown | Nurse Anesthetist, Certified Registered | 3636 High Street, Maryview Medical Center, Portsmouth, VA 23707 | 2006-06-07 |
| 1053391839 | John Edward Lenahan | Nurse Anesthetist, Certified Registered | 3200 Tyre Neck Rd, Suite101, Portsmouth, VA 23703-3329 | 2006-01-18 |
| 1316932411 | Aimee Marie Darling | Nurse Anesthetist, Certified Registered | 3115 Riveredge Dr, Portsmouth, VA 23703-4307 | 2005-09-14 |
| 1427676279 | Edwiin D Parra Munoz | Nurse Anesthetist, Certified Registered | 1805 27th St, Portsmouth, OH 45662-2640 | 2020-07-08 |
| 1386262251 | Charles Richard Roberts IIi | Nurse Anesthetist, Certified Registered | 1805 27th St, Portsmouth, OH 45662-2640 | 2020-07-08 |
| 1518582188 | Angelo Ambridge | Nurse Anesthetist, Certified Registered | 3636 High St, Portsmouth, VA 23707-3236 | 2020-06-10 |
| 1790308252 | Larry C Beasley Jr. | Nurse Anesthetist, Certified Registered | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-05-19 |
| 1063035673 | Keenart Tio | Nurse Anesthetist, Certified Registered | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-05-19 |
| 1215550835 | Julia C Camp | Nurse Anesthetist, Certified Registered | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-05-19 |
| 1003439548 | Kristen Evette Brown | Nurse Anesthetist, Certified Registered | 3636 High St, Portsmouth, VA 23707-3236 | 2020-05-19 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23704 |
Please comment or provide details below to improve the information on KIMBERLY 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.