KELLY ANNE MCCONNELL (NPI# 1730455395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730455395 |
| Entity Type | Individual |
| Full Name | KELLY ANNE MCCONNELL |
| Credential | MD |
| Practice Address |
1200 Mountain St Carson City NV 89703 |
| Mailing Address |
1200 Mountain St Ste 230 Carson City NV 89703-3823 |
| Practice Telephone | 7752835075 |
| Mailing Telephone | 7758852229 |
| Mailing Fax Number | 7758825045 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2017-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 16408 | NV | Allopathic & Osteopathic Physicians |
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
DR.0055733 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093121253 | Kelly Mcconnell | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2014-07-09 |
| 1851706303 | Kelly Mcconnell | Podiatrist | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2014-06-24 |
| 1992825319 | Kelly Dobbs Mcconnell | Audiologist | 7980 Anchor Dr, Suite 300-b, Port Arthur, TX 77642-8266 | 2007-03-30 |
| Street Address |
1200 MOUNTAIN ST |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073584785 | Caroline G Habaradas | Obstetrics & Gynecology | 1200 Mountain St, Carson City, NV 89703-3821 | 2006-01-30 |
| 1811410871 | Jessie Jean Laack | Nurse Practitioner | 1200 Mountain St, Carson City, NV 89703-3821 | 2017-07-21 |
| 1528581006 | Keri Kartch | Physician Assistant | 1200 Mountain St, Carson City, NV 89703-3821 | 2017-07-17 |
| 1083159719 | Emanuella Pomerlyan | Nurse Practitioner | 1200 Mountain St, Carson City, NV 89703-3821 | 2017-01-04 |
| 1467816926 | Amy Jernigan | Nurse Practitioner | 1200 Mountain St, Carson City, NV 89703-3821 | 2016-04-11 |
| 1639533243 | David Lyons | Nurse Practitioner | 1200 Mountain St, Carson City, NV 89703-3821 | 2016-04-09 |
| 1538549704 | Diana Carolina Rivera | Physician Assistant | 1200 Mountain St, Carson City, NV 89703-3821 | 2015-06-03 |
| 1477947778 | Laura Stroup | Family Medicine | 1200 Mountain St, Carson City, NV 89703-3821 | 2015-03-24 |
| 1699181636 | Emilee Elliott | Nurse Practitioner | 1200 Mountain St, Carson City, NV 89703-3821 | 2014-07-10 |
| 1598182479 | Sarah Maples | Family Medicine | 1200 Mountain St, Carson City, NV 89703-3821 | 2014-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487215232 | Madison M Gurries | Audiologist | 1493 Medical Parkway, Carson City, NV 89703 | 2019-06-24 |
| 1609332949 | Tsl Skyline Estates, LLC | Assisted Living Facility | 2705 Mountain St., Carson City, NV 89703 | 2019-02-12 |
| 1790252120 | Reno Orthopaedic Clinic Inc. | Physical Therapist | 1365 Medical Parkway, Carson City, NV 89703 | 2018-10-24 |
| 1265910970 | Marvel Dental Carson City, LLC | Clinic/Center | 410 Fleischmann Way Suite A., Carson City, NV 89703 | 2018-08-03 |
| 1619348489 | Nevada Health Centers Inc. | Clinic/Center | 618 W. Musser Street, Carson City, NV 89703 | 2015-10-19 |
| 1518351089 | Christopher Vlasek | Family Medicine | 412 W John St Ste B, Carson City, NV 89703 | 2015-03-23 |
| 1902215254 | Grant Vaughn Davis | Behavioral Analyst | 1316 Monte Rosa Drive, Carson City, NV 89703 | 2014-08-11 |
| 1437563152 | Nina Patynowski | Nurse Practitioner | 415 W Sofia St, Ste 100, Carson City, NV 89703 | 2014-06-20 |
| 1679853089 | Carson Tahoe Physician Clinics | Family Medicine | 1200 Moutain Street, Suite 220, Carson City, NV 89703 | 2011-08-17 |
| 1790094076 | Darlene Parrish | Occupational Therapy Assistant | 3050 N. Ormsby Bl, Carson City, NV 89703 | 2010-10-04 |
| Find all providers in zip 89703 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114039450 | Thomas F Harlow | Pediatrics | 212 W Ann St, Carson City, NV 89703-3901 | 2006-08-31 |
| 1356451447 | Patrick W. Gunn | Pediatrics | 1200 Mountain Street, Carson City, NV 89703-2138 | 2006-08-30 |
| 1043284631 | Alberto Betancourt | Pediatrics | 245 South Second St, Suite 200, Carson City, MI 48811 | 2006-02-13 |
| 1710984364 | Rita Lap Kee Wang | Pediatrics | 1475 Medical Pkwy, Carson City, NV 89703-4635 | 2005-06-28 |
| 1194252460 | Michael Dickson | Pediatrics | 1475 Medical Pkwy, Carson City, NV 89703-4635 | 2017-05-17 |
| 1700237500 | Heather Axelrod | Pediatrics | 1475 Medical Pkwy, Carson City, NV 89703-4635 | 2016-06-23 |
| 1457689721 | Aida Jennifer Rutledge | Pediatrics | 1475 Medical Pkwy, Carson City, NV 89703-4635 | 2009-11-25 |
| 1649458613 | Rebecca Theresa Papez | Pediatrics | 1200 Mountain St, Carson City, NV 89703-3821 | 2008-02-01 |
| 1013135003 | Nilufer Raj Goyal | Pediatrics | 1475 Medical Pkwy, Carson City, NV 89703-4635 | 2007-04-23 |
| 1063568467 | Susan R Pintar | Pediatrics | 2874 N Carson St, Suite 200, Carson City, NV 89706-0177 | 2007-01-26 |
| Find all providers in CARSON CITY | ||||
| City | CARSON CITY |
| Zip Code | 89703 |
Please comment or provide details below to improve the information on KELLY ANNE MCCONNELL.
| 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.