KELLY ANN BAZAN (NPI# 1740888668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740888668 |
| Entity Type | Individual |
| Full Name | KELLY ANN BAZAN |
| Practice Address |
3737 Woodland Ave Ste 430 West Des Moines IA 50266-1909 |
| Mailing Address |
3737 Woodland Ave West Des Moines IA 50266-1909 |
| Practice Telephone | 5152254006 |
| Mailing Telephone | 5152254006 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3737 WOODLAND AVE STE 430 |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720261 | Bryce Carithers | Counselor | 3408 Woodland Ave Ste 403a, West Des Moines, IA 50266-6506 | 2019-09-25 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1780244772 | Inspired Journey Counseling Pllc | Counselor | 1200 Valley West Dr Ste 304-14, West Des Moines, IA 50266-1904 | 2019-06-20 |
| 1245710706 | Kelsey Jean Steed | Counselor | 1200 Valley West Dr Ste 508, West Des Moines, IA 50266-1906 | 2018-08-15 |
| 1255840534 | Vincent Hanna | Counselor | 225 23rd Street, West Des Moines, IA 50265 | 2017-09-29 |
| 1225556616 | Bethany Jo Zeitz | Counselor | 1001 Office Park Rd Ste 205, West Des Moines, IA 50265-2509 | 2017-09-06 |
| 1750818233 | Harold Richard Webster | Counselor | 1200 Valley West Dr Ste 304-08, West Des Moines, IA 50266-1908 | 2017-05-16 |
| 1316494354 | Hallie Henely | Counselor | 3408 Woodland Ave., Suite 102, West Des Moines, IA 50266 | 2016-09-07 |
| 1093180416 | Jacarie Eileen Owens | Counselor | 1200 Valley West Dr Ste 704, West Des Moines, IA 50266 | 2015-12-10 |
| 1629466206 | Diane Eischeid | Counselor | 414 S Crescent Way, West Des Moines, IA 50266-3838 | 2015-01-05 |
| Find all providers in WEST DES MOINES | ||||
| City | WEST DES MOINES |
| Zip Code | 50266 |
Please comment or provide details below to improve the information on KELLY ANN BAZAN.
| 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.