KELLY MARIE WARE (NPI# 1801356605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801356605 |
| Entity Type | Individual |
| Full Name | KELLY MARIE WARE |
| Credential | NP |
| Practice Address |
1179 N Mcdowell Blvd Petaluma CA 94954-6559 |
| Practice Telephone | 7075597500 |
| Practice Fax Number | 7075597620 |
| Mailing Telephone | 7075597500 |
| Mailing Fax Number | 7075597620 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95011357 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5900 State Farm Dr Ste 200, Rohnert Park, CA 949282149 | 7075597600 | 7075597620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654744 | Kelly Ware | Nurse Practitioner | 921 Jasonway Ave Ste B, Columbus, OH 43214-2456 | 2018-06-29 |
| 1467985648 | Kelly Ware | Student in an Organized Health Care Education/Training Program | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2017-04-05 |
| 1497056741 | Kelly F Ware | Physical Therapy Assistant | 801 Sw Fairlawn Rd, Topeka, KS 66606-2338 | 2010-11-03 |
| Street Address |
1179 N MCDOWELL BLVD |
| City | PETALUMA |
| State | CA |
| Zip Code | 94954-6559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445785 | Michelle Davey | Family Medicine | 1179 N Mcdowell Blvd, Petaluma, CA 94954 | 2005-05-31 |
| 1942809256 | Rachel Pradarelli | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2020-10-19 |
| 1518573161 | Cicily Raye Cooper | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2020-09-18 |
| 1912512492 | Andrea Akabike | Dentist | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2020-09-11 |
| 1306479381 | Leslie Ann Burger | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2020-02-18 |
| 1932759461 | Joanna Tripet-diel | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-09-17 |
| 1588214019 | Colette Long | Registered Nurse | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-09-17 |
| 1184274615 | Mario Marin Garcia | Physician Assistant | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-09-17 |
| 1073162541 | Luisa Rendon Ward | Social Worker | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-09-08 |
| 1124586755 | Gisselle E Suazo | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883840 | Miguel Ibarra | Counselor | 5350 Old Redwood Highway, Petaluma, CA 94954 | 2019-10-28 |
| 1073169223 | Monica Renee Najera | Behavior Technician | 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 | 2019-08-14 |
| 1326607201 | Making Magic Happen - People Helping People, Inc. | Marriage & Family Therapist | 1318 Redwood Way, Suite 260, Petaluma, CA 94954 | 2019-06-13 |
| 1477019917 | Rubi Isela Cruz Mendoza I | Behavioral Analyst | 8 Round Walk Circle, Petaluma, CA 94954 | 2019-02-20 |
| 1932679511 | Karen Christianson | Behavior Technician | 1670 Corporate Circle Suite 100, Petaluma, CA 94954 | 2018-11-27 |
| 1669956967 | Alyssa Messer | Assistant Behavior Analyst | 1670 Corporate Cir, Petaluma, CA 94954 | 2018-09-21 |
| 1235620592 | Mallory Paige Mullikin | Nurse Practitioner | 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 | 2018-05-22 |
| 1457723710 | Lisabel Dolne | Counselor | 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 | 2015-10-27 |
| 1083080717 | Pacific Restorative Center | Clinic/Center | 1456 Professional Drive, Suite 404, Petaluma, CA 94954 | 2015-08-17 |
| 1619354198 | Accu Quest Hearing Centers | Clinic/Center | 1456 Professional Dr., Suite 404, Petaluma, CA 94954 | 2015-05-04 |
| Find all providers in zip 94954 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922513548 | Lisa Marie Laidlaw | Nurse Practitioner | 104 Lynch Creek Way Ste 10, Petaluma, CA 94954-2355 | 2017-12-05 |
| 1619977154 | Molly Hogan | Nurse Practitioner | 405 D St, Suite #1, Petaluma, CA 94952-3006 | 2005-07-27 |
| 1932759461 | Joanna Tripet-diel | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-09-17 |
| 1306285697 | Lynne Dee Palma | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954 | 2013-06-19 |
| 1174844674 | Andrew K Chinnock | Nurse Practitioner | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 | 2010-06-18 |
| 1548479181 | Eleanor Mclaughlin | Nurse Practitioner | 905 E Washington St, Petaluma, CA 94952-3389 | 2007-05-21 |
| 1538186457 | Patricia Lynn Grinnell | Nurse Practitioner | 110 Lynch Creek Way Ste A, Petaluma, CA 94954-2337 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1447851324 | Anna Patricia Torres | Nurse Practitioner | 1158 Santa Lucia Dr, Pittsburg, CA 94565-7615 | 2020-11-05 |
| 1447851647 | Melanie Ganotisi | Nurse Practitioner | 11541 Blucher Ave Unit 125, Granada Hills, CA 91344-4362 | 2020-11-04 |
| 1659971729 | Raquel Y Mccarthy | Nurse Practitioner | 334 Via Vera Cruz Ste 257, San Marcos, CA 92078-2643 | 2020-10-28 |
| 1689274607 | Aleksandra Zaitseva | Nurse Practitioner | 6850 Sepulveda Blvd Ste 215, Van Nuys, CA 91405-4450 | 2020-10-28 |
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KELLY MARIE WARE.
| 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.