SHAWNA KELLY (NPI# 1790240505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790240505 |
| Entity Type | Individual |
| Full Name | SHAWNA KELLY |
| Practice Address |
11279 Perry Hwy Wexford PA 15090-9381 |
| Practice Telephone | 7249331020 |
| Practice Fax Number | 7249331010 |
| Mailing Telephone | 7249331020 |
| Mailing Fax Number | 7249331010 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
11279 PERRY HWY |
| City | WEXFORD |
| State | PA |
| Zip Code | 15090-9381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495426 | Robin P Gehris | Dermatology | 11279 Perry Hwy, Ste 108, Wexford, PA 15090-9303 | 2005-05-27 |
| 1346854452 | Danielle Lynn Henderson | Counselor | 11279 Perry Hwy, Wexford, PA 15090-9381 | 2020-09-04 |
| 1881217214 | Natalie Catherine Tyner | Counselor | 11279 Perry Hwy, Wexford, PA 15090-9381 | 2020-05-20 |
| 1285256891 | Colleen Elizabeth Fisher | Counselor | 11279 Perry Hwy, Wexford, PA 15090-9381 | 2020-05-18 |
| 1215567706 | Stephanie Marie Gigler | Psychologist | 11279 Perry Hwy, Wexford, PA 15090-9381 | 2020-01-23 |
| 1528698743 | Shelby Flynn | Social Worker | 11279 Perry Hwy, Wexford, PA 15090-9381 | 2020-01-16 |
| 1013566447 | Amber Lee Miller | Counselor | 11279 Perry Hwy, Wexford, PA 15090-9381 | 2019-09-09 |
| 1215585187 | Amanda Martin | Counselor | 11279 Perry Hwy, Wexford, PA 15090-9381 | 2019-09-03 |
| 1275189748 | Cary C Truley Jr. | Counselor | 11279 Perry Hwy, Wexford, PA 15090-9381 | 2019-08-12 |
| 1174083117 | Sirena Ann Claxon | Counselor | 11279 Perry Hwy, Wexford, PA 15090-9381 | 2019-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746443 | Lauren Jennifer Kinder | Nurse Practitioner | 103 North Meadows Dr., Suite 220, Wexford, PA 15090 | 2019-12-03 |
| 1235608365 | Pittsburgh Ear LLC | Audiologist | 6041 Wallace Road Ext, Suite 110, Wexford, PA 15090 | 2018-11-19 |
| 1659847739 | Anna Zenkova | Physician Assistant | 10466 Perry Highway, Baierl Honda Cpo Building. 2nd Floor., Wexford, PA 15090 | 2018-10-16 |
| 1831674571 | Comprehensive Care Multi-specialty Physician Organization PC | Internal Medicine | 6400 Brooktree Court., Suite. 320, Wexford, PA 15090 | 2018-09-28 |
| 1760989115 | Kerry L Vaughn | Nurse Practitioner | 12311 Perry Hwy Fl 1, Wexford, PA 15090 | 2018-04-11 |
| 1821446097 | John Richard Moesch | Internal Medicine | 9000 Brooktree Rd, Brooktree Office Park, Suite 2000, Hexford, PA 15090 | 2016-05-28 |
| 1336595511 | Kelly Mea | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090 | 2016-05-06 |
| 1194194282 | Natassia Dickey | Counselor | 101 N Meadows Dr Ste 234, Wexford, PA 15090 | 2015-09-18 |
| 1912382631 | Jessica Hamilton | Dietitian, Registered | 155 Towne Centre Avenue, Wexford, PA 15090 | 2015-07-23 |
| 1205211224 | Tamara Domnitz | Optometrist | 110 Vip Dr Ste 301, Wexford, PA 15090 | 2015-07-21 |
| Find all providers in zip 15090 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578174611 | Paige Mcmaster Beckwith | Counselor | 11279 Perry Hwy Ste 400, Wexford, PA 15090-9386 | 2020-08-12 |
| 1093335168 | Kevin Olszewski | Counselor | 11279 Perry Hwy Fl 4, Wexford, PA 15090-9381 | 2020-04-20 |
| 1598396673 | Kandel Ayad | Counselor | 400 Fairmont Dr, Wexford, PA 15090-1326 | 2020-01-28 |
| 1437794435 | Jessica Peluso | Counselor | 10475 Perry Hwy Ste 107, Wexford, PA 15090-9213 | 2019-11-13 |
| 1255897583 | Joanne Smith | Counselor | 11279 Perry Hwy Fl 5, Suite 500, Wexford, PA 15090-9381 | 2019-02-12 |
| 1851714455 | Stephanie J. Dalness | Counselor | 9500 Brooktree Rd Ste 310, Wexford, PA 15090-9227 | 2014-02-03 |
| 1508290552 | Robyn Crouch | Counselor | 11676 Perry Hwy Ste 2108, Wexford, PA 15090-7202 | 2013-08-27 |
| 1669750667 | Jamie Harkins | Counselor | 117 Vip Drive, Suite 310, Wexford, PA 15090 | 2011-07-26 |
| 1740327113 | Janet A Cipkala-gaffin | Counselor | 12300 Perry Hwy, Suite 309, Wexford, PA 15090-8379 | 2007-02-01 |
| 1669523056 | Lindsay Joy Brunswick | Counselor | 12300 Perry Hwy Ste 313, Wexford, PA 15090-8318 | 2007-01-15 |
| Find all providers in WEXFORD | ||||
Please comment or provide details below to improve the information on SHAWNA 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.