SEAN KELLY (NPI# 1811510894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811510894 |
| Entity Type | Individual |
| Full Name | SEAN KELLY |
| Credential | RN |
| Practice Address |
530 Virginia Dr Lake Worth FL 33461-5751 |
| Practice Telephone | 5615777925 |
| Mailing Telephone | 5615777925 |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2020-05-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 9188756 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326659202 | Sean Michael Kelly | Counselor | 1407 Dellwood Dr, Louisville, KY 40216-4070 | 2020-08-13 |
| 1396275327 | Sean Brett Kelly | Dentist | 13590b North Meridian Street, 101, Carmel, IN 46032-1409 | 2017-06-13 |
| 1073058582 | Sean Kelly | Physician Assistant | Cmr 411 Box 2507, Apo, AE 09112-0026 | 2016-12-20 |
| 1326499088 | Sean Kelly | Internal Medicine | 2401 Laura Cir, Papillion, NE 68046-4216 | 2016-06-23 |
| 1013367069 | Sean Kelly | Psychologist | 2527 W Colorado Ave Ste 208, Colorado Springs, CO 80904-3075 | 2016-06-20 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1346660735 | Sean Kelly | Occupational Therapist | 556 Bay Rd, South Easton, MA 02375-1415 | 2014-04-24 |
| 1063851509 | Sean Michael Kelly | Internal Medicine | 606 Beech St, Township of Washington, NJ 07676-4332 | 2013-06-18 |
| 1154663607 | Sean Patrick Kelly | Orthopaedic Surgery | 55 Fruit St # 125n-260, Boston, MA 02114 | 2013-03-22 |
| 1952600165 | Sean C Kelly | Pathology | 364 13th St Apt 3, Brooklyn, NY 11215-7334 | 2011-03-28 |
| Street Address |
530 VIRGINIA DR |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33461-5751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525391 | Chrisann A Headley | Registered Nurse | 1715 Pierce Dr, Lake Worth, FL 33460-6016 | 2020-10-11 |
| 1619584646 | Derrick R Cleveland | Registered Nurse | 132 S Palmway Apt 3, Lake Worth, FL 33460-4282 | 2020-09-24 |
| 1710593777 | Matthew Ryan Young | Registered Nurse | 6700 Charbonneau Rd, Lake Worth, TX 76135-3502 | 2020-09-16 |
| 1508401803 | Vanessa Lennon | Registered Nurse | 6099 Farmers Pl, Lake Worth, FL 33463-6501 | 2019-11-10 |
| 1689139222 | Amos Vladimir Elien Jr. | Registered Nurse | 5029 Forest Dale Dr, Lake Worth, FL 33449-4626 | 2019-02-07 |
| 1558835777 | George J Townsend | Registered Nurse | 2856 Garden Dr S Apt 301, Lake Worth, FL 33461-6297 | 2019-01-22 |
| 1851838973 | Ashley Rosenberg | Registered Nurse | 8158 Azure Coast Blvd, Lake Worth, FL 33467-6955 | 2017-01-26 |
| 1700242559 | Wilner Thelemaque | Registered Nurse | 6675 Rainwood Cove Ln, Lake Worth, FL 33463-7449 | 2016-01-09 |
| 1467750307 | Ellen Ruth Hillman | Registered Nurse | 9830 Donato Way, Lake Worth, FL 33467-7042 | 2011-03-01 |
| 1699936690 | Ruby Agena Herrera | Registered Nurse | 2600 6th Ave S, Box 132, Lake Worth, FL 33461-5699 | 2008-06-23 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33461 |
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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.