KELLY DEVOTA EDWARDS (NPI# 1700259595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700259595 |
Entity Type | Individual |
Full Name | KELLY DEVOTA EDWARDS |
Practice Address |
100 North Washington St Station 14 Livingston AL 35470 |
Mailing Address |
144 County Road 3452 Haleyville AL 35565-7257 |
Practice Telephone | 2056523452 |
Mailing Telephone | 2052698654 |
Enumeration Date | 2015-11-03 |
Last Update Date | 2015-11-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205498110 | Kelly Jo Edwards | Nurse Practitioner | 12002 Bandera Rd Ste 111, Helotes, TX 78023-4669 | 2019-07-01 |
1952747271 | Kelly L Edwards | Nurse Practitioner | 4054 State Route 52, Youngsville, NY 12791-0595 | 2013-05-14 |
1285880724 | Kelly D. Edwards | Nurse Practitioner | 1110 Highlands Plaza Dr East, Ste 300, Saint Louis, MO 63110-1353 | 2008-08-15 |
1346389483 | Kelly Roxanne Edwards | Physical Therapist | 1150 W Morton Ave Ste B, Porterville, CA 93257 | 2007-02-05 |
1245871201 | Kelly Harold Edwards | Counselor | 4807 Spicewood Springs Rd, Building 1, #1140, Austin, TX 78759 | 2019-10-01 |
1720447352 | Kelly Edwards | Nurse Anesthetist, Certified Registered | 3333 Cattlemen Rd, Sarasota, FL 34232-6056 | 2016-02-10 |
1548670136 | Kelly Edwards | Registered Nurse | 908 N Elm St, Suite 109, Hinsdale, IL 60521-3635 | 2014-05-05 |
1063787208 | Kelly Edwards | Case Manager/Care Coordinator | 6701 Highway 67 Bldg 4, Benton, AR 72015-8909 | 2012-03-21 |
1588944243 | Kelly Ann Edwards | Registered Nurse | 8420 W Bryn Mawr Ave, Suite 300, Chicago, IL 60631-3479 | 2011-08-25 |
1225283450 | Kelly Gardner Edwards | Nurse Practitioner | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2008-12-02 |
Street Address |
100 NORTH WASHINGTON ST STATION 14 |
City | LIVINGSTON |
State | AL |
Zip Code | 35470 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225513278 | Comfort Care Home Health of West Alabama, LLC | Home Health | 1306 North Washington Street, Livingston, AL 35470 | 2018-09-26 |
1164956819 | Amanda Compton | Specialist/Technologist | Station 14, Livingston, AL 35470 | 2017-04-19 |
1821537028 | Melanie Wilkie Queen | Speech-Language Pathologist | 306 South Washington Street, Livingston, AL 35470 | 2017-02-21 |
1194196618 | Andrea Wilson | Health Educator | 100 North Washington St., Station 14, Livingston, AL 35470 | 2015-10-09 |
1124497227 | Victoria Keen | Specialist/Technologist | Station #14, University of West Alabama, Livingston, AL 35470 | 2015-09-18 |
1588033682 | Aaron Miles | Specialist/Technologist | Uwa Station # 14, Livingston, AL 35470 | 2015-09-18 |
1316322621 | Ashley Kyler | Speech-Language Pathologist | 306 Washington St South, Livingston, AL 35470 | 2015-07-28 |
1528451390 | Stacey Belnap | Occupational Therapist | 306 South Washington St, Livingston, AL 35470 | 2015-03-18 |
1396136552 | Lindsey Roberts | Speech-Language Pathologist | 306 Washington St. South, Livingston, AL 35470 | 2015-02-10 |
1538559828 | Andrea Robertson | Speech-Language Pathologist | 306 Washington Street South, Livingston, AL 35470 | 2015-01-26 |
Find all providers in zip 35470 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538665245 | Kushal Shukla | Student in an Organized Health Care Education/Training Program | 20 Canoe Brook Dr, Livingston, NJ 07039 | 2018-04-02 |
1821594755 | Matthew Garrett | Student in an Organized Health Care Education/Training Program | 9 Northfield Ct, Livingston, NJ 07039-4623 | 2018-03-31 |
1033641469 | Michael Kennth Dalton | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd Dept Of, Livingston, NJ 07039-5672 | 2017-04-03 |
1811428469 | Kimberly Alzuphar | Student in an Organized Health Care Education/Training Program | 44 Wingate Dr, Livingston, NJ 07039-3518 | 2017-03-24 |
1912352824 | Grant Arzumanov | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd., Livingston, NJ 07039 | 2016-04-28 |
1326492893 | Jordan Benjamin Elman | Student in an Organized Health Care Education/Training Program | 299 E Cedar St, Livingston, NJ 07039-4218 | 2016-04-20 |
1760836878 | Steven Shapiro | Student in an Organized Health Care Education/Training Program | 6 Alpine Way, Livingston, NJ 07039-4706 | 2016-04-15 |
1396010187 | Rohini Reveti Raman Dhar | Student in an Organized Health Care Education/Training Program | 17 Lockhern Dr, Livingston, NJ 07039-6224 | 2012-03-13 |
1457376824 | Bradley Scott Montgomery | Student in an Organized Health Care Education/Training Program | Uwa Station 14, Livingston, AL 35470-0682 | 2006-07-13 |
1265057814 | Lisa Suwanna Levine | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2020-06-10 |
Find all providers in LIVINGSTON |
City | LIVINGSTON |
Zip Code | 35470 |
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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.