DR. JACQUELINE KELLY (NPI# 1699774505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699774505 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE KELLY |
| Credential | MD |
| Practice Address |
300 E 8th St G-159 Austin TX 78701-3233 |
| Mailing Address |
904 W 30th St Austin TX 78705-2104 |
| Practice Telephone | 5125870065 |
| Practice Fax Number | 5124697854 |
| Mailing Telephone | 5125870065 |
| Mailing Fax Number | 5124697854 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | F6266 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104169283 | Jacqueline Kelly | Internal Medicine | 500 West Fort St. #111, Boise Vamc, Boise, ID 83702 | 2013-03-27 |
| 1669432498 | Jacqueline F Kelly | Legal Medicine | 1428 S Osprey Ave, Sarasota, FL 34239-2914 | 2006-03-24 |
| 1558855296 | Jacqueline Kelly | Nurse Practitioner | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2018-06-17 |
| 1730507971 | Jacqueline Kelly | Radiology | 20 York St, Ynhh Department of Therapeutic Radiology, New Haven, CT 06510-3220 | 2014-04-04 |
| 1710293436 | Jacqueline Kelly | Marriage & Family Therapist | 220 George W Liles Pkwy Nw, Concord, NC 28027-6531 | 2010-08-19 |
| 1124109624 | Jacqueline Kelly | Nurse Practitioner | 400 Gresham Dr, Suite 303, Norfolk, VA 23507-1901 | 2006-10-18 |
| 1235231630 | Jacqueline Kelly | Pediatrics | 269 Peninsula Farm Rd, Suite F, Arnold, MD 21012-1013 | 2006-09-05 |
| Street Address |
300 E 8TH ST G-159 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78701-3233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501820 | Megan Elise Gittins | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School 1400 Ih-35, Cec 300, Austin, TX 78701 | 2020-06-04 |
| 1306467956 | Jason Russell Paxman | Internal Medicine | Dell Seton Medical Center 1500 Red River, Austin, TX 78701 | 2020-05-05 |
| 1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
| 1215558689 | Margaret Marie Coates | Student in an Organized Health Care Education/Training Program | 1400 N Interstate Highway 35, Cec 2.404, Austin, TX 78701 | 2020-04-27 |
| 1740817956 | Woody Starcloud Green | Emergency Medicine | Dell Emergency Medicine Residency Program, 1400 N. Interstate Hwy 35, Suite 2.230, Austin, TX 78701 | 2020-03-26 |
| 1235771403 | Central Ortho Assists Pllc | Physician Assistant | 501 Congress, Suite 150, Austin, TX 78701 | 2019-10-09 |
| 1114575792 | Shyneice Lasha Gaddis | Behavior Technician | 100 Congress Ave Suite 2000, Austin, TX 78701 | 2019-08-28 |
| 1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
| 1538726195 | Zahra Virginia Cain-akbar | Student in an Organized Health Care Education/Training Program | Ut Dell Medical, 1500 Red River St, Austin, TX 78701 | 2019-05-20 |
| 1457918021 | Sara Lugonjic | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School Neurology Program, 1400 Ih- 35, Cec 300, Austin, TX 78701 | 2019-05-20 |
| Find all providers in zip 78701 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457974065 | Dagoberto Balderas, Do, Pllc | General Practice | 5424 W Highway 290 Ste 101, Austin, TX 78735-8838 | 2020-05-19 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1356858377 | Where R U Now, LLC | General Practice | 7110 Cameron Rd Ste E, Austin, TX 78752-2868 | 2017-12-29 |
| 1073066239 | The University of Texas At Austin | General Practice | 1601 Trinity Street, Austin, TX 78712 | 2016-07-25 |
| 1306291620 | Healthy Schools Texas Pllc | General Practice | 9415 Burnet Rd, Ste 309b, Austin, TX 78758-5255 | 2016-04-25 |
| 1649694035 | John Maxwell | General Practice | 12817 Hacienda Rdg, Austin, TX 78738-7652 | 2014-02-06 |
| 1982031852 | Total Md Physicians Group, Pllc | General Practice | 12717 Shops Pkwy, Suite 500, Austin, TX 78738-6621 | 2013-10-08 |
| 1932440245 | Travis County Employee Wellness & Health | General Practice | 1010 Lavaca St # 221, Austin, TX 78701-2331 | 2013-03-12 |
| 1447590765 | David L King | General Practice | 10609 Pickfair Dr, Austin, TX 78750-4010 | 2013-02-23 |
| 1407101744 | Susan Elizabeth Zane | General Practice | 100 Pascal Ln, Austin, TX 78746-2506 | 2012-07-23 |
| Find all providers in AUSTIN | ||||
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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.