ROSALIE KELLEY (NPI# 1700862679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700862679 |
Entity Type | Individual |
Full Name | ROSALIE KELLEY |
Credential | C.N.P. |
Practice Address |
167 S Main St Roseville OH 43777-1284 |
Mailing Address |
860 Bethesda Dr Zanesville OH 43701-1800 |
Practice Telephone | 7406977373 |
Mailing Telephone | 7404544651 |
Mailing Fax Number | 7404544653 |
Enumeration Date | 2005-12-21 |
Last Update Date | 2008-08-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
NP01589 | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | GROUP MEDICAID | 0989499 | 01 |
OH | 2046628 | 05 | |
OH | CARESOURCE PIN | 311413469059 | 01 |
OH | MEDICARE RAILROAD | 010002059 | 01 |
MEDICARE PTAN | KENP06141 | 01 | |
GROUP MEDICARE RAILROAD | CA1586 | 01 | |
OH | MEDICARE RAILROAD | 080161106 | 01 |
Street Address |
167 S MAIN ST |
City | ROSEVILLE |
State | OH |
Zip Code | 43777-1284 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639154495 | Jack Butterfield | Family Medicine | 167 S Main St, Roseville, OH 43777-1284 | 2005-12-14 |
1356696918 | Lauren A Hogue | Physician Assistant | 167 S Main St, Roseville, OH 43777-1284 | 2012-07-19 |
1588612006 | Michael D Bobb Jr. | Family Medicine | 167 S Main St, Roseville, OH 43777-1284 | 2006-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699078477 | Nelson Mccoy Melick | Anesthesiology | 8000 Fulton-rose Rd., Roseville, OH 43777 | 2010-12-16 |
1437371077 | Dawn M Blake | Home Health Aide | 100 1/2 Old Rainer Road, Roseville, OH 43777 | 2007-05-03 |
1811026453 | Village of Roseville | Ambulance | 9 W 1st St, Roseville, OH 43777 | 2007-03-02 |
1770712622 | Dana White | Licensed Practical Nurse | 284 W Lake St, Roseville, OH 43777-1120 | 2009-07-13 |
1457737868 | Tiffany Private Duty Nursing | Licensed Practical Nurse | 42 Severt Ln, Roseville, OH 43777-1179 | 2015-08-07 |
1891392833 | Lois Ann Guy | Homemaker | 87 E Athens Rd, Roseville, OH 43777-1212 | 2020-10-02 |
1861449043 | Care Equip, LLC | Pharmacy | 157 S Main St, Roseville, OH 43777-1238 | 2006-05-31 |
1801321773 | Alexander David Smith | Pharmacist | 157 S Main St, Roseville, OH 43777-1238 | 2017-04-27 |
1952534604 | Robyn Lynn Seenes | Licensed Practical Nurse | 139 Peggy St, Roseville, OH 43777-1243 | 2009-08-28 |
1285932657 | Melissa Marie Dillehay | Licensed Practical Nurse | 4480 Moxahala Ave, Roseville, OH 43777-9410 | 2011-03-08 |
Find all providers in zip 43777 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174902829 | Lindsay Bodene | Nurse Practitioner | 1465 W Colonial Pkwy, Roseville, CA 95661-5037 | 2015-05-28 |
1245625664 | Catherine Mary Carlson | Nurse Practitioner | 1935 County Road B2 W, Suite 100, Roseville, MN 55113-2729 | 2015-04-02 |
1144592643 | Alexandria Johnson | Nurse Practitioner | 508 Gibson Dr, Suite 220, Roseville, CA 95678-5794 | 2012-01-31 |
1053565283 | Donna R. Chipps | Nurse Practitioner | 1451 Secret Ravine Pkwy, Suite 150, Roseville, CA 95661-6052 | 2008-11-14 |
1376604421 | Linda Lael Mchugh | Nurse Practitioner | 1840 Sierra Gardens Drive, Roseville, CA 95661 | 2006-12-13 |
1275693038 | Marilynne Dee Crawford | Nurse Practitioner | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-12-11 |
1003904418 | Pantea Nosrat Dunn | Nurse Practitioner | 1528 Eureka Rd, Suite 102, Roseville, CA 95661-3047 | 2006-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588264675 | House Calls for Kids, LLC | Nurse Practitioner | 308 Taft St, Columbus Grove, OH 45830-1122 | 2020-10-28 |
1225637150 | Leesha Paulus | Nurse Practitioner | 7984 Windward Trace Cir Nw, Massillon, OH 44646-1176 | 2020-10-21 |
1861008948 | Amanda Marie Allmon | Nurse Practitioner | 5669 New Albany Rd W, New Albany, OH 43054-7589 | 2020-09-23 |
1568099182 | Megan Mackenzie Novak | Nurse Practitioner | 11820 Edgewater Dr Apt 106, Lakewood, OH 44107-1767 | 2020-03-24 |
1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
1720640089 | Marybeth Kathleen Hannum | Nurse Practitioner | 6076 Whipple Ave Nw, North Canton, OH 44720-7616 | 2019-07-07 |
1558832758 | Kisandra Leigh Sanders | Nurse Practitioner | 3500 Wild Cherry Ave, Celina, OH 45822-2747 | 2018-12-16 |
1851869598 | Whitney Stine | Nurse Practitioner | 410 W 10th Ave Fl 7, Columbus, OH 43210-1240 | 2018-11-12 |
1194291070 | Helena Horwitz | Nurse Practitioner | 7200 Poe Ave Ste 201, Dayton, OH 45414-2799 | 2018-10-18 |
Find all providers with the same taxonomy |
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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.