ROSALIE KELLEY


Address: 167 S Main St, Roseville, OH 43777-1284
Phone: 7406977373

ROSALIE KELLEY (NPI# 1700862679) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
NP01589 OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

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

Office Location

Street Address 167 S MAIN ST
City ROSEVILLE
State OH
Zip Code 43777-1284

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City ROSEVILLE
Zip Code 43777

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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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