CHARLOTTE MARY KELLEY (NPI# 1710989132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710989132 |
| Entity Type | Individual |
| Full Name | CHARLOTTE MARY KELLEY |
| Credential | A.R.N.P., G.N.P. |
| Practice Address |
2600 Grand Ave Suite 125 Des Moines IA 50312-5375 |
| Mailing Address |
2213 Grand Ave Des Moines IA 50312-5305 |
| Practice Telephone | 5152773400 |
| Practice Fax Number | 5152779036 |
| Mailing Telephone | 5152373974 |
| Mailing Fax Number | 5158832692 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
00000 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417471319 | Charlotte Kelley | Social Worker | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2017-08-01 |
| Street Address |
2600 GRAND AVE SUITE 125 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50312-5375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588666184 | Charles Ford Denhart | Physical Medicine & Rehabilitation | 2600 Grand Ave, Suite 102, Des Moines, IA 50312-5375 | 2005-08-12 |
| 1063878577 | Pencroft Psychology Associates LLC | Social Worker | 2600 Grand Ave, Suite 102, Des Moines, IA 50312-5375 | 2016-01-13 |
| 1942684725 | Angela Emerson | Social Worker | 2600 Grand Ave, Suite 130, Des Moines, IA 50312-5375 | 2015-07-12 |
| 1598196040 | Nurse In The House, Inc. | Home Health | 2600 Grand Ave, Suite 140, Des Moines, IA 50312-5375 | 2013-12-10 |
| 1891125829 | Michael Davis | Counselor | 2600 Grand Ave, 130, Des Moines, IA 50312-5375 | 2013-11-12 |
| 1710298617 | Wd Franks Jr., Md Plastic Surgery Inc | Plastic Surgery | 2600 Grand Ave, Suite 125, Des Moines, IA 50312-5375 | 2010-06-24 |
| 1184760977 | Kerry Lea Anderson | Counselor | 2600 Grand Ave, Suite 312, Des Moines, IA 50312-5375 | 2007-01-29 |
| 1679681860 | William Dale Franks Jr. | Plastic Surgery | 2600 Grand Ave, Suite 125, Des Moines, IA 50312-5375 | 2006-08-28 |
| 1811942659 | W C Koenig Jr Md PC | Physical Medicine & Rehabilitation | 2600 Grand Ave, Suite 102, Des Moines, IA 50312-5375 | 2006-05-23 |
| 1104870674 | Charlotte Kelley & Associates PC | Nurse Practitioner | 2600 Grand Ave, Suite 125, Des Moines, IA 50312-5375 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837976 | Devon Anderson | Student in an Organized Health Care Education/Training Program | Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 | 2020-03-27 |
| 1578190583 | Christian Ostrander | Student in an Organized Health Care Education/Training Program | Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 | 2020-03-27 |
| 1194209312 | Margaret Dedecker | Speech-Language Pathologist | 644 24th St., Des Moines, IA 50312 | 2018-09-24 |
| 1942702410 | Nelson-kirby Therapy & Consulting Services, LLC | Marriage & Family Therapist | 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 | 2018-03-01 |
| 1851839864 | Lawrence Scanlon | Counselor | 412 42nd St, Des Moines, IA 50312 | 2017-02-09 |
| 1104275122 | Melissa Joshel | Social Worker | 2116 Grand Ave Ste 2, Des Moines, IA 50312 | 2016-06-09 |
| 1629435813 | Abby Michele Miller | Acupuncturist | 531 40th Street, Des Moines, IA 50312 | 2016-01-20 |
| 1326410689 | Dawn Theresa Corriere | Advanced Practice Midwife | 3714 Ingersoll Ave, Des Moines, IA 50312 | 2015-10-27 |
| 1336558154 | Paul Johnston | Counselor | 600 42nd Street, Des Moines, IA 50312 | 2014-08-06 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| Find all providers in zip 50312 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245433655 | Anne Renee Lewis | Nurse Practitioner | 1111 6th Ave Ste A100, Des Moines, IA 50314-2610 | 2007-06-06 |
| 1174637748 | Andrea Blake | Nurse Practitioner | 1111 6th Ave, East Tower Suite A100, Des Moines, IA 50314-2610 | 2006-08-19 |
| 1104870674 | Charlotte Kelley & Associates PC | Nurse Practitioner | 2600 Grand Ave, Suite 125, Des Moines, IA 50312-5375 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730704644 | Edna Mae Scherbring | Nurse Practitioner | 908 8th St Sw, Dyersville, IA 52040-2146 | 2020-06-16 |
| 1659784866 | Halley Boston | Nurse Practitioner | 32061 Old Portland Rd, Adel, IA 50003-8703 | 2014-06-05 |
| 1952679292 | Kathleen Chapman | Nurse Practitioner | 2797 Reading Trl, Logan, IA 51546-5053 | 2011-12-01 |
| 1376724260 | Hoskins Geriatrics, PC | Nurse Practitioner | 1827 Reed St, Grinnell, IA 50112-1029 | 2007-11-19 |
| 1497848014 | Denise Overby-reyes | Nurse Practitioner | 7968 Essen Park Lane, Baton Rouge, IA 70806 | 2006-10-02 |
| 1447247184 | Karen J. Bates | Nurse Practitioner | 705 8th St, Story City, IA 50248-1301 | 2005-09-27 |
| 1891797494 | Cynthia S Rebik Christensen | Nurse Practitioner | 1325 Ne 31st St, Ankeny, IA 50021-6695 | 2005-08-12 |
| 1407474133 | Erika Lea Harwood | Nurse Practitioner | 115 S Park Ave, Eagle Grove, IA 50533-2219 | 2020-07-09 |
| 1629690508 | Tara Nichols | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2020-05-13 |
| 1306470851 | Michelle A Richmond | Nurse Practitioner | 1440 W Dunkerton Rd, Waterloo, IA 50703-9648 | 2020-02-24 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50312 |
Please comment or provide details below to improve the information on CHARLOTTE MARY KELLEY.
| 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.