KATHLEEN MARIE KELLY (NPI# 1821012758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821012758 |
| Entity Type | Individual |
| Full Name | KATHLEEN MARIE KELLY |
| Credential | CRNA, RN |
| Practice Address |
900 11th St Se Bandon OR 97411-9114 |
| Practice Telephone | 5413472426 |
| Practice Fax Number | 5413473923 |
| Mailing Telephone | 5413472426 |
| Mailing Fax Number | 5413473923 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 044645 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335511 | Kathleen Kelly | Social Worker | 1672 S Ocean Ln Apt 155, Fort Lauderdale, FL 33316-3341 | 2020-10-27 |
| 1699226415 | Kathleen Ann Kelly | Clinical Medical Laboratory | David Geffen Medical Ctr Ucla 10833 Le Conte Ave, Mailroom A3-215 Chs, Mailcode 173216, Los Angeles, CA 90095-1732 | 2016-10-17 |
| 1033510359 | Kathleen P Kelly | Licensed Practical Nurse | 25 Rogers Pl, Hyde Park, NY 12538-1112 | 2014-09-05 |
| 1730522418 | Kathleen Kelly | Registered Nurse | 319 Middlesex Rd, Buffalo, NY 14216-3140 | 2013-04-11 |
| 1528328432 | Kathleen Marie Kelly | Behavioral Analyst | 1031 S Crescent Heights Blvd, Los Angeles, CA 90035-2632 | 2012-05-24 |
| 1013241512 | Kathleen Marie Kelly | Psychologist | #1670 Calle Georgina Volga, Urb. Reparto De Diego, San Juan, PR 00926-9998 | 2009-09-30 |
| 1174739882 | Kathleen Petrie Kelly | Physical Therapist | 4 Kildare Walk, Rockaway Point, NY 11697-1708 | 2007-05-16 |
| 1073664710 | Kathleen Lorraine Kelly | Counselor | 1070 W. Horizon Ridge Pkwy., Suite 200, Henderson, NV 89012-6019 | 2007-01-16 |
| 1811062839 | Kathleen Kelly | Nurse Practitioner | 55 Fruit Street Yaw 4b, Boston, MA 02114-2696 | 2006-11-22 |
| 1467455147 | Kathleen A Kelly | Dentist | 44 E Mifflin St, Ste 204, Madison, WI 53703-2895 | 2005-05-24 |
| Street Address |
900 11TH ST SE |
| City | BANDON |
| State | OR |
| Zip Code | 97411-9114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588684484 | Southern Coos Health District | General Acute Care Hospital | 900 11th St Se, Bandon, OR 97411-9114 | 2006-07-20 |
| 1417094145 | Southern Coos Health District | General Acute Care Hospital | 900 11th St Se, Bandon, OR 97411-9114 | 2007-01-31 |
| 1760552483 | Mark Andreas Pasternak | Family Medicine | 900 11th St Se, Bandon, OR 97411-9114 | 2006-11-09 |
| 1538239280 | Stephen Roy Kelly | Nurse Anesthetist, Certified Registered | 900 11th St Se, Bandon, OR 97411-9114 | 2006-11-09 |
| 1891705299 | Kenneth Robert Bates | Hospitalist | 900 11th St Se, Bandon, OR 97411-9114 | 2006-08-08 |
| 1184632366 | Megan M Holland | Family Medicine | 900 11th St Se, Bandon, OR 97411-9114 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851756340 | Carl John Moehring | Internal Medicine | 2840 Beach Loop Dr. Sw, Bandon, OR 97411 | 2015-12-28 |
| 1841692969 | Bandon Senior Living LLC | Assisted Living Facility | 1000 6th Ave West, Bandon, OR 97411 | 2014-09-19 |
| 1962824821 | Oregon Retina, LLP | Ophthalmology | 1095 Alabama Street, Bandon, OR 97411 | 2014-01-13 |
| 1063756401 | Bandon Coastal Dental, LLC | Clinic/Center | 1097 Baltimore Ave, Bandon, OR 97411 | 2012-11-26 |
| 1114205028 | James Ryan Surface | Dentist | 1275 Oregon Ave., Bandon, OR 97411 | 2011-07-26 |
| 1790083509 | William M. Soper, Dds | Preferred Provider Organization | 1275 Oregon Ave, Bandon, OR 97411 | 2011-03-02 |
| 1285860635 | Sharen C. Strong | Dentist | 155 Delaware Ave, Bandon, OR 97411 | 2009-05-29 |
| 1518158500 | Coos Eye Centers, Inc. | Optometrist | 1095 Alabama Avenue, Bandon, OR 97411 | 2007-08-06 |
| 1043432040 | Michael Brent Currie | Chiropractor | 55416 Melton Road, Bandon, OR 97411 | 2007-05-02 |
| 1619098167 | Susan Lynn Dimock | Social Worker | 1212 Alabama St, Suite 27, Bandon, OR 97411 | 2007-04-03 |
| Find all providers in zip 97411 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538239280 | Stephen Roy Kelly | Nurse Anesthetist, Certified Registered | 900 11th St Se, Bandon, OR 97411-9114 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285275495 | Sunstone Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 12538 Sw 134th Ave, Tigard, OR 97223-4721 | 2019-09-30 |
| 1487158390 | Springfield Or Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 1007 Harlow Rd Ste 110, Springfield, OR 97477-7125 | 2018-03-23 |
| 1710400254 | Juniper Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 1835 Nw Pence Ln, Bend, OR 97703-1551 | 2017-07-17 |
| 1174053334 | Kristen M Engstrom Crna LLC | Nurse Anesthetist, Certified Registered | 658 N Main St, Ashland, OR 97520-1710 | 2017-06-19 |
| 1154876183 | Cameron Mcguire | Nurse Anesthetist, Certified Registered | 930 9th Ave Sw, Albany, OR 97321-2419 | 2016-08-19 |
| 1891148094 | Stefany Mcmullen | Nurse Anesthetist, Certified Registered | 5230 Eola Dr Nw, Salem, OR 97304-3355 | 2016-07-22 |
| 1538537121 | Khia Gilbert | Nurse Anesthetist, Certified Registered | 14415 Se 119th Ave, Clackamas, OR 97015-7217 | 2015-09-13 |
| 1831567551 | Highlands Anesthesia, PC | Nurse Anesthetist, Certified Registered | 17158 Caddis Ct, Sisters, OR 97759-9826 | 2015-09-11 |
| 1518352350 | Jeremy Daniel Noel | Nurse Anesthetist, Certified Registered | 39609 Wall St, Sandy, OR 97055-5394 | 2015-03-30 |
| 1942695770 | 10th Planet LLC | Nurse Anesthetist, Certified Registered | 2125 Se Oak St, Portland, OR 97214-1606 | 2015-03-30 |
| Find all providers with the same taxonomy | ||||
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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.