KELLY L YEONG (NPI# 1770764383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770764383 |
| Entity Type | Individual |
| Full Name | KELLY L YEONG |
| Credential | WHNP |
| Practice Address |
12129 Graham Meadows Dr Richmond VA 23233-6661 |
| Mailing Address |
7130 Glen Forest Dr Suite 101 Richmond VA 23226-3754 |
| Practice Telephone | 8042884084 |
| Practice Fax Number | 8042822601 |
| Mailing Telephone | 8046626138 |
| Mailing Fax Number | 8042828678 |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
0024147154 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
0024147154 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1770764383 | 05 |
| Street Address |
12129 GRAHAM MEADOWS DR |
| City | RICHMOND |
| State | VA |
| Zip Code | 23233-6661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093708281 | Jessica M Demay | Obstetrics & Gynecology | 12129 Graham Meadows Dr, Richmond, VA 23233-6661 | 2005-08-24 |
| 1104117357 | Megan Brady Shannon | Obstetrics & Gynecology | 12129 Graham Meadows Dr, Richmond, VA 23233 | 2011-04-22 |
| 1407175748 | Christie G Farrell | Nurse Practitioner | 12129 Graham Meadows Dr, Richmond, VA 23233-6661 | 2010-05-26 |
| 1831325398 | Eryn Kathleen Stansbury Clipp | Obstetrics & Gynecology | 12129 Graham Meadows Dr, Richmond, VA 23233-6661 | 2009-06-10 |
| 1922268895 | Courtney Stuart Legum-wenk | Obstetrics & Gynecology | 12129 Graham Meadows Dr, Richmond, VA 23233-6661 | 2008-06-13 |
| 1710168224 | Elizabeth R Compton | Nurse Practitioner | 12129 Graham Meadows Dr, Richmond, VA 23233-6661 | 2007-11-27 |
| 1144353582 | Megan K Cassidy | Obstetrics & Gynecology | 12129 Graham Meadows Dr, Richmond, VA 23233-6661 | 2007-03-14 |
| 1366528002 | Catherine D Douglas | Nurse Practitioner | 12129 Graham Meadows Dr, Richmond, VA 23233-6661 | 2006-10-27 |
| 1073531299 | Lisa Ann Cuseo-ott | Psychologist | 12129 Graham Meadows Dr, Richmond, VA 23233-6661 | 2006-07-17 |
| 1962476283 | Lonny Stenzler Green | Urology | 12129 Graham Meadows Dr, Richmond, VA 23233-6661 | 2006-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1770193286 | Penelope Kate Eissenberg | Occupational Therapist | Cedarfields, 2300 Cedarfield Parkway, Richmond, VA 23233 | 2020-08-10 |
| 1962038570 | Samantha Montgomery Warren | Nurse Practitioner | 3900 Westerre Parkway, Suite 300 Pmb# 308, Richmond, VA 23233 | 2020-03-15 |
| 1285269696 | Joyce Prayer Medical Transportion LLC | Transportation Broker | 2437 Bidgeview Ln, Henrico, VA 23233 | 2020-03-05 |
| 1821621228 | Marlon Reyes | Private Vehicle | 2500 Pump Rd, Richmond, VA 23233 | 2020-02-13 |
| 1659840924 | Brent Rusnak River Run Dental Greengate | Dentist | 3700 Haydenpark Lane, Medical Office J, Henrico, VA 23233 | 2018-11-16 |
| 1003309808 | Jeffrey Walker | Pharmacist | 3460 Pump Road, Henrico, VA 23233 | 2018-06-07 |
| 1346741667 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100, Richmond, VA 23233 | 2018-02-22 |
| 1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
| 1295235026 | Zackery Firesheets | Physical Therapy Assistant | 2422 University Park Blvd., Richmond, VA 23233 | 2018-02-19 |
| Find all providers in zip 23233 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609415249 | Kaamilya King | Nurse Practitioner | 5100 Avia Cir Apt 207, Richmond, VA 23233-7840 | 2019-12-30 |
| 1144885849 | Rachel Daou Featherstone | Nurse Practitioner | 8639 Mayland Dr Ste 102, Richmond, VA 23294-4752 | 2019-05-08 |
| 1215317623 | Nicole Shaver | Nurse Practitioner | 118 N. Blvd, Richmond, VA 23220 | 2015-06-02 |
| 1336533132 | Robin Lynn Hills | Nurse Practitioner | 1400 N Laburnum Ave, Richmond, VA 23223-1521 | 2015-03-19 |
| 1588001556 | Mary Brantley Holmes | Nurse Practitioner | 8955 Wishart Rd, Richmond, VA 23229-7158 | 2013-05-30 |
| 1710023403 | Marsha S. Williamson | Nurse Practitioner | 1104 S A St, Richmond, IN 47374-5526 | 2007-01-29 |
| 1720161532 | Susan Wolfe Davenport | Nurse Practitioner | 3415 Floyd Ave, Richmond, VA 23221-2710 | 2006-10-23 |
| 1760429872 | Anne Kathleen Walpole | Nurse Practitioner | 8600 Dixon Powers Dr., Richmond, VA 23273-0001 | 2006-05-31 |
| 1578536835 | Rebecca Elizabeth Moon | Nurse Practitioner | 118 N Boulevard, Richmond, VA 23220-4304 | 2006-02-08 |
| 1275140329 | Cassandra Perron | Nurse Practitioner | 401 N 11th St, Richmond, VA 23219-1901 | 2020-09-23 |
| Find all providers in RICHMOND | ||||
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| 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.