KELLY MCCORMICK (NPI# 1770867335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770867335 |
| Entity Type | Individual |
| Full Name | KELLY MCCORMICK |
| Practice Address |
2017 E 4th St Long Beach CA 90814-1001 |
| Practice Telephone | 5624344455 |
| Practice Fax Number | 5624336428 |
| Mailing Telephone | 5624344455 |
| Mailing Fax Number | 5624336428 |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477905966 | Kelly J Mccormick | Speech-Language Pathologist | 1359 Plum Creek Dr, Bourbonnais, IL 60914-1533 | 2016-07-07 |
| 1801264528 | Kelly J Mccormick | Counselor | 8810 Torchwood Dr, Trinity, FL 34655-5333 | 2015-09-11 |
| 1851490650 | Kelly A Mccormick | Chiropractor | 5101 Old Highway 5 Ste 1, Woodstock, GA 30188 | 2006-09-21 |
| 1801431259 | Kelly Ann Mccormick | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2019-11-08 |
| 1790347961 | Kelly Mccormick | Counselor | 55 Dodge Rd, Getzville, NY 14068-1205 | 2019-07-08 |
| 1447815857 | Kelly Nicole Mccormick | Nurse Practitioner | 1401 Nicholasville Rd, Lexington, KY 40503-1140 | 2019-05-01 |
| 1497102784 | Kelly Alexander Mccormick | Student in an Organized Health Care Education/Training Program | 817 Princeton Ave Sw, Pob II; Suite 106, Birmingham, AL 35211-1333 | 2016-05-17 |
| 1922455328 | Kelly Mccormick | Physical Therapist | 3201 Farnam St Ste 6110, Omaha, NE 68131-3405 | 2016-05-16 |
| 1932534039 | Kelly Mccormick | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2013-09-08 |
| 1912211749 | Kelly Marie Mccormick | Social Worker | 1450 Chapel St, 2nd Floor- Haelen Center, New Haven, CT 06511-4405 | 2010-08-04 |
| Street Address |
2017 E 4TH ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90814-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093848848 | Anna Marie Rubin | Marriage & Family Therapist | 2017 E 4th St, Long Beach, CA 90814-1001 | 2007-03-13 |
| 1649881079 | Rudy Acosta | Rehabilitation Practitioner | 2017 E 4th St, Long Beach, CA 90814-1001 | 2020-08-10 |
| 1043844277 | Kate Katzban-beren | Rehabilitation Practitioner | 2017 E 4th St, Long Beach, CA 90814-1001 | 2020-02-26 |
| 1316502552 | Alice Marie Ivey | Rehabilitation Practitioner | 2017 E 4th St, Long Beach, CA 90814-1001 | 2019-05-02 |
| 1285298620 | Mariham Wahba Iskander | Rehabilitation Practitioner | 2017 E 4th St, Long Beach, CA 90814-1001 | 2019-04-30 |
| 1154881597 | Jade Elese Bermudez | Rehabilitation Practitioner | 2017 E 4th St, Long Beach, CA 90814-1001 | 2019-03-21 |
| 1740740380 | Robert Donald Marcoux | Rehabilitation Practitioner | 2017 E 4th St, Long Beach, CA 90814-1001 | 2019-03-20 |
| 1467910604 | Yvonne Y La | Rehabilitation Practitioner | 2017 E 4th St, Long Beach, CA 90814-1001 | 2019-03-06 |
| 1962960278 | Oriel Brian Briguela | Rehabilitation Practitioner | 2017 E 4th St, Long Beach, CA 90814-1001 | 2019-03-05 |
| 1619435922 | Taj Bhagti Lane | Rehabilitation Practitioner | 2017 E 4th St, Long Beach, CA 90814-1001 | 2019-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164797056 | Recovery At Sea | Community/Behavioral Health | 2345 East 4th Street, Long Beach, CA 90814 | 2012-03-12 |
| 1982869616 | James R Gaither Jr. | Rehabilitation Practitioner | 2017 E 4th Street, Long Beach, CA 90814 | 2008-07-22 |
| 1760676274 | Charles Edward Criddle | Chiropractor | 352 Newport Ave, Long Beach, CA 90814 | 2007-08-29 |
| 1891911459 | Ting-wey Yen | Dentist | 319 Redondo Ave., Long Beach, CA 90814 | 2007-04-18 |
| 1194850495 | Donna Marie Camagay Calima | Dentist | 389 Redondo Ave, Long Beach, CA 90814 | 2007-02-23 |
| 1366595332 | Roger Justin Wood | Marriage & Family Therapist | 3424 E 4th St, Long Beach, CA 90814 | 2007-01-20 |
| 1467558338 | Rudy Steven Mendoza | Dentist | 392 Redondo Ave, Long Beach, CA 90814 | 2006-09-16 |
| 1578670766 | Seany Renfrow | Psychologist | 5170 Colorado, Long Beach, CA 90814 | 2006-08-24 |
| 1245210368 | Johnny L Triplett | Anesthesiology | 4674 East Barker Way, Long Beach, CA 90814 | 2006-01-17 |
| 1992960371 | Maria Veronica Uvero Racelis | Rehabilitation Practitioner | 2017 E 4th Street, Long Beach, CA 90814 | 2008-07-24 |
| Find all providers in zip 90814 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801419239 | Region Home Therapy Corp | Rehabilitation Practitioner | 854 E Broadway Apt 3p, Long Beach, NY 11561-4731 | 2020-05-20 |
| 1104475896 | Margaret Tham | Rehabilitation Practitioner | 2201 E Anaheim St Ste 200, Long Beach, CA 90804-3411 | 2019-09-05 |
| 1255706560 | Sabrina Navarro | Rehabilitation Practitioner | 1501 Hughles Way, Suite 150, Long Beach, CA 90810 | 2015-12-11 |
| 1356786008 | Natalie Jayne Pierson | Rehabilitation Practitioner | 456 Elm Ave., Long Beach, CA 90802 | 2013-05-08 |
| 1801170972 | Christina Burton Tompkins | Rehabilitation Practitioner | 3918 E Mayfield St, Apartment A, Long Beach, CA 90804-4106 | 2011-10-06 |
| 1396059416 | Kimiko Merzouk | Rehabilitation Practitioner | 850 East Wardlow Rd, Long Beach, CA 90807 | 2010-07-30 |
| 1033431481 | Saundria C. Zomalt | Rehabilitation Practitioner | 6770 N Paramount Blvd, Unit #a, Long Beach, CA 90805-1902 | 2010-02-25 |
| 1134455488 | Gemma Tarape | Rehabilitation Practitioner | 2241 W Williams St, Long Beach, CA 90810-3652 | 2009-10-21 |
| 1649411547 | James Whitfield Bemis | Rehabilitation Practitioner | 814 Atlantic Ave, #303, Long Beach, CA 90813-4547 | 2009-03-23 |
| 1275773673 | Armida Cortez | Rehabilitation Practitioner | 3391 Pasadena Ave, Long Beach, CA 90807-4521 | 2009-02-24 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90814 |
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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.