KELLY MICHELLE WOOD (NPI# 1710280888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710280888 |
| Entity Type | Individual |
| Full Name | KELLY MICHELLE WOOD |
| Credential | COTA |
| Practice Address |
8528 Killeen Run Fort Wayne IN 46835-9657 |
| Practice Telephone | 2604140079 |
| Mailing Telephone | 2604140079 |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 32001909A | IN | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982231916 | Kelly Wood | Social Worker | 305 Wilson Ave, Glassboro, NJ 08028-8350 | 2020-03-27 |
| 1558744854 | Kelly Wood | Case Manager/Care Coordinator | 1138 6th Ave, Lake Odessa, MI 48849-1059 | 2015-07-04 |
| 1750640801 | Kelly Marie Wood | Physical Therapy Assistant | 933 3 Mile Rd Nw Ste 110, Grand Rapids, MI 49544-1673 | 2012-05-10 |
| 1821245747 | Kelly L Wood | Chiropractor | 518 W Platte Ave, Colorado Springs, CO 80905-1334 | 2008-08-21 |
| 1619193869 | Kelly Ann Wood | Family Medicine | 521 N Borders Ave Ste C, Marissa Medical Clinic, Marissa, IL 62257-1195 | 2007-04-17 |
| 1710043492 | Kelly Natasha Wood | Internal Medicine | 1265 Highway 54 W Ste 302, Fayetteville, GA 30214 | 2006-12-28 |
| 1235207929 | Kelly Sue Wood | Occupational Therapy Assistant | 1942 Old Dekalb Rd, Canton, NY 13617 | 2006-12-01 |
| 1851478069 | Kelly Copps Wood | Dentist | 7679 N Longview Dr, Glendale, WI 53209-1863 | 2006-11-01 |
| 1649703109 | Kelly Cole Wood | Nurse Practitioner | 2995 Reidville Rd Ste 210, Spartanburg, SC 29301-5631 | 2017-04-11 |
| 1952706723 | Kelly Wood | Dietitian, Registered | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2014-10-23 |
| Street Address |
8528 KILLEEN RUN |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46835-9657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760993810 | Longe Enterprises Corp | Eyewear Supplier (Equipment, not the service) | 5711 Ymca Park Dr East, Fort Wayne, IN 46835 | 2017-10-17 |
| 1801144464 | Tracey Gordon | Physical Therapy Assistant | 2827 Northgate Boulevard, Fort Wayne, IN 46835 | 2012-08-29 |
| 1316179682 | Janet L Daniel | Counselor | 310 E Dupont Road, Suite 2, Fort Wayne, IN 46835 | 2009-08-20 |
| 1083868863 | Nicholas Joseph Sullivan | Chiropractor | 8320 Chapel Bend Drive, Fort Wayne, IN 46835 | 2008-11-06 |
| 1497922090 | Michelle A Bailey | Registered Nurse | 6108 Maplecrest Road, Fort Wayne, IN 46835 | 2008-05-13 |
| 1073789954 | Charles Arthur Bolinger | Technician, Other | 4546 Maplecrest Rd, Ft Wayne, IN 46835 | 2008-05-01 |
| 1851469878 | Richard J Klaehn | Optometrist | 4536 Maplecrest Road, Ft. Wayne, IN 46835 | 2006-11-30 |
| 1639272339 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 6220 St Joseph Center Rd, Fort Wayne, IN 46835 | 2006-09-07 |
| 1275649014 | Adrienne Meyer | Pharmacist | 7909 Brixham Place, Fort Wayne, IN 46835 | 2006-08-22 |
| 1750378147 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4430 Elsdale Dr, Fort Wayne, IN 46835 | 2005-09-30 |
| Find all providers in zip 46835 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023487592 | Lindsey Marie Fuller | Skilled Nursing Facility | 10603 Wild Flower Pl, Fort Wayne, IN 46845-1687 | 2015-09-15 |
| 1336548353 | Pulaski Memorial Hospital | Skilled Nursing Facility | 6050 S Cr 800 E-92, Fort Wayne, IN 46814-9201 | 2014-08-14 |
| 1154766459 | Major Hospital | Skilled Nursing Facility | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2013-05-01 |
| 1326310400 | Riverview Hospital | Skilled Nursing Facility | 4111 Park Place Drive, Fort Wayne, IN 46845-8793 | 2012-02-03 |
| 1194940205 | Recovery Health Services, Inc | Skilled Nursing Facility | 12101 Lima Rd, Fort Wayne, IN 46818-8903 | 2007-04-16 |
| 1871623041 | Henry County Memorial Hospital | Skilled Nursing Facility | 1400 Medical Park Dr, Fort Wayne, IN 46825-5832 | 2007-03-06 |
| 1740315878 | Henry County Memorial Hospital | Skilled Nursing Facility | 5700 Wilkie Dr, Fort Wayne, IN 46804-1662 | 2007-02-22 |
| 1326180803 | Woodlawn Hospital | Skilled Nursing Facility | 3136 Goeglein Rd, Fort Wayne, IN 46815-6685 | 2007-02-13 |
| 1528130432 | Indiana Health & Rehabilitation Center | Skilled Nursing Facility | 3811 Parnell Ave, Fort Wayne, IN 46805-1409 | 2006-11-15 |
| 1255441663 | Bhi Senior Living, Inc. | Skilled Nursing Facility | 2209 Saint Joe Center Rd, Fort Wayne, IN 46825-5061 | 2006-08-30 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46835 |
Please comment or provide details below to improve the information on KELLY MICHELLE WOOD.
| 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.