KAITLYN KELLY (NPI# 1780143297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780143297 |
| Entity Type | Individual |
| Full Name | KAITLYN KELLY |
| Credential | FNPC |
| Practice Address |
107 Jv Mangubat Dr Waynesboro TN 38485-2440 |
| Mailing Address |
Po Box 689 Waynesboro TN 38485-0689 |
| Practice Telephone | 9317222800 |
| Practice Fax Number | 9317229627 |
| Mailing Telephone | 9317222800 |
| Mailing Fax Number | 9317229627 |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
25512 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124272430 | Kaitlyn J Kelly | Surgery | Moores Cancer Center Ucsd, 3855 Health Sciences Drive, Mail Code 0987, La Jolla, CA 92093-0001 | 2008-11-13 |
| 1275038887 | Kaitlyn Jo Kelly | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2018-03-26 |
| 1588167167 | Kaitlyn Kelly | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2018-03-09 |
| 1578019352 | Kaitlyn Kelly | Behavioral Analyst | 10370 Battleview Pkwy, Manassas, VA 20109-2338 | 2016-08-31 |
| 1639544182 | Kaitlyn Marie Kelly | Audiologist | 1100 Long Pond Rd, Suite 110, Rochester, NY 14626-1177 | 2015-12-09 |
| Street Address |
107 JV MANGUBAT DR |
| City | WAYNESBORO |
| State | TN |
| Zip Code | 38485-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285629287 | Joe I Hall | Family Medicine | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2005-09-15 |
| 1003384645 | Hillary J Cope | Nurse Practitioner | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2018-11-12 |
| 1114493756 | Daniel S Shaw | Nurse Practitioner | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2018-10-22 |
| 1144705765 | Hall Clinic, Inc. | Family Medicine | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2018-09-28 |
| 1285067280 | Duren Clinical Services | Pharmacy | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2013-08-13 |
| 1447586508 | Valerie Ann Hall | Nurse Practitioner | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2009-10-26 |
| 1164405221 | Patricia D Castleman | Nurse Practitioner | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760903066 | Wayne Provision | Community/Behavioral Health | 950 Andrew Jackson Drive, Waynesboro, TN 38485 | 2017-06-28 |
| 1407387772 | Nelda Prater | Counselor | 942 Andrew Jackson Dr., Waynesboro, TN 38485 | 2017-03-27 |
| 1427479328 | Tennessee Pain Management Associates | Pain Medicine | 530 Us Hwy 64, Suite 5, Waynesboro, TN 38485 | 2013-12-18 |
| 1982031415 | Donna J Casteel | Nurse Practitioner | 107 Jv Mangubat Drive, Waynesboro, TN 38485 | 2013-09-30 |
| 1316371222 | Wes Yeiser Donaldson | Physical Therapy Assistant | 183 Long Vue, Waynesboro, TN 38485 | 2013-08-27 |
| 1407096829 | Brian Paul Coggins | Physical Therapist | 514 South High St, Waynesboro, TN 38485 | 2009-02-25 |
| 1467691600 | At Home Meds, LLC | Durable Medical Equipment & Medical Supplies | 1126 B Collinwood Highway, Waynesboro, TN 38485 | 2009-02-11 |
| 1730375908 | Best Medical Inc. | Durable Medical Equipment & Medical Supplies | 905 Andrew Jackson Drive, Suite C, Waynesboro, TN 38485 | 2007-09-20 |
| 1295933661 | Air Evac Ems Inc. | Ambulance | 915 Andrew Jackson Drive, Waynesboro, TN 38485 | 2007-07-06 |
| 1871650895 | Mrh Dba Wmc | Nursing Facility/Intermediate Care Facility | 505 South High Street, Waynesboro, TN 38485 | 2007-01-02 |
| Find all providers in zip 38485 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268235 | Selena M Powe | Nurse Practitioner | 951 Matthew Dr Ste D, Waynesboro, MS 39367-2566 | 2020-02-28 |
| 1144862970 | Bobby Harris | Nurse Practitioner | 1008 Azalea Dr, Waynesboro, MS 39367-2499 | 2019-10-14 |
| 1659928083 | Kara Lynn Jacobs | Nurse Practitioner | 15 Pratts Run Ste 104, Waynesboro, VA 22980-6606 | 2019-08-21 |
| 1083181499 | Jennifer Adler | Nurse Practitioner | 12466 Jackson Ave, Waynesboro, PA 17268-4006 | 2018-10-24 |
| 1144795618 | Shametrial Litrell Glascock | Nurse Practitioner | 509 W 4th St, Waynesboro, GA 30830-1514 | 2018-10-10 |
| 1447637905 | Abigail Joyce Gingerich | Nurse Practitioner | 11609 Koons Rd, Waynesboro, PA 17268-9606 | 2015-05-04 |
| 1982031415 | Donna J Casteel | Nurse Practitioner | 107 Jv Mangubat Drive, Waynesboro, TN 38485 | 2013-09-30 |
| 1477833770 | Janna Phillips | Nurse Practitioner | 713 Lomax Ave, Waynesboro, MS 39367-2556 | 2011-08-18 |
| 1932413762 | Bendan Boyd | Nurse Practitioner | 501 Azalea Dr. Suite F, Waynesboro, MS 39367 | 2010-08-04 |
| 1225341100 | Angela B Boyd | Nurse Practitioner | 501 Azalea Dr Ste F, Waynesboro, MS 39367-2661 | 2010-07-20 |
| Find all providers in WAYNESBORO | ||||
| City | WAYNESBORO |
| Zip Code | 38485 |
Please comment or provide details below to improve the information on KAITLYN KELLY.
| 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.