KELLY NICOLE HILL (NPI# 1780040378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780040378 |
| Entity Type | Individual |
| Full Name | KELLY NICOLE HILL |
| Practice Address |
808 N Center St Stockton CA 95202-1610 |
| Practice Telephone | 2092277467 |
| Practice Fax Number | 2099329694 |
| Mailing Telephone | 2092277467 |
| Mailing Fax Number | 2099329694 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477997997 | Kelly Gallagher Hill | Counselor | 510 Gates St, Philadelphia, PA 19128-2509 | 2013-04-26 |
| 1003113044 | Kelly Lynette Hill | Registered Nurse | 7341 Kingswood Dr, West Chester, OH 45069-2646 | 2011-02-25 |
| 1396208500 | Kelly Starosta Hill | Student in an Organized Health Care Education/Training Program | 721 Fairfax Ave, Norfolk, VA 23507-2007 | 2019-04-14 |
| 1386137032 | Kelly Hill | Dentist | 320 W Bristol St, Elkhart, IN 46514-3085 | 2018-06-07 |
| 1669988986 | Kelly Arendall Hill | Nurse Practitioner | 103 Rosehill Dr, South Boston, VA 24592-4843 | 2017-12-22 |
| 1194237776 | Kelly Marie Hill | Occupational Therapist | 685 Salina Rd, Sewell, NJ 08080-4602 | 2017-11-03 |
| 1760914196 | Kelly Lynn Hill | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, 2nd Floor, Tulane Orthopedics, New Orleans, LA 70112-2632 | 2017-04-03 |
| 1891227062 | Kelly Jeanette Hill | Counselor | 1930 Post Aly, Seattle, WA 98101-1074 | 2017-03-28 |
| 1265988398 | Kelly Marie Hill | Acupuncturist | 111 W Evans Ave, Pueblo, CO 81004-4215 | 2016-08-29 |
| 1700253721 | Kelly Hill | Nurse Practitioner | 85 River Trce, Chillicothe, OH 45601-2686 | 2015-08-25 |
| Street Address |
808 N CENTER ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95202-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811395288 | Pacific Center for Addiction Services Inc. | Substance Abuse Rehabilitation Facility | 808 N Center St, Stockton, CA 95202-1610 | 2014-12-16 |
| 1376088971 | Kiersten Valda Perkins | Counselor | 808 N Center St, Stockton, CA 95202-1610 | 2017-01-05 |
| 1952799108 | Lisa Maria Norton I | Counselor | 808 N Center St, Stockton, CA 95202-1610 | 2014-12-22 |
| 1295133478 | George Robert Feicht | Counselor | 808 N Center St, Stockton, CA 95202-1610 | 2014-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
| 1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1912406976 | Janet Mendoza | Social Worker | 6 South Eldorado Street, Stockton, CA 95202 | 2018-02-06 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
| 1821513946 | Savoeun Phal | Counselor | 1212 N California St Ste A214, Stockton, CA 95202 | 2017-08-09 |
| 1861921272 | Mandeep K Minhas | Registered Nurse | 1212 California St, Stockton, CA 95202 | 2017-06-08 |
| Find all providers in zip 95202 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893155 | Tracey Black | Counselor | 130 W Flora St, Stockton, CA 95202-1636 | 2020-08-25 |
| 1699305508 | Juan Robles | Counselor | 1947 N California St # 95204, Stockton, CA 95204-6029 | 2020-01-20 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1821648353 | Kaye Lynn Scott-roy | Counselor | 285 H Rd, Stockton, KS 67669-8889 | 2019-09-17 |
| 1760049043 | Jay Frank Williams | Counselor | 1105 N El Dorado St, Stockton, CA 95202-1305 | 2019-05-22 |
| 1184105462 | Rachelle Diane Wilson | Counselor | 2733 N Sutter St, Stockton, CA 95204-4548 | 2018-08-24 |
| 1568943835 | Heather Lynn Rogers | Counselor | 3990 Black Butte Cir, Stockton, CA 95209-3500 | 2018-08-24 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1760995781 | Dana Lamont Harris | Counselor | 2833 Buckner Ct, Stockton, CA 95207-2302 | 2017-11-13 |
| Find all providers in STOCKTON | ||||
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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.