MOLLY KELLEY (NPI# 1871795583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871795583 |
| Entity Type | Individual |
| Full Name | MOLLY KELLEY |
| Other Name | MS. MOLLY KELLEY EIMERMANN |
| Credential | BSN, MSN, CPNP |
| Practice Address |
2880 University Ave Madison WI 53705-3644 |
| Practice Telephone | 6083326676 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2011-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1646-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43917900 | 05 |
| Street Address |
2880 UNIVERSITY AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53705-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053393769 | Diane L Sippel | Nurse Practitioner | 2880 University Ave, Madison, WI 53705-3644 | 2005-11-17 |
| 1376026492 | Rebecca Edwards Koslov | Nurse Practitioner | 2880 University Ave, Madison, WI 53705-3644 | 2018-09-14 |
| 1619489267 | Zachary C. Zugin | Counselor | 2880 University Ave, Madison, WI 53705-3644 | 2017-11-03 |
| 1548793144 | Jessica Lindsey Vaughan | Pediatrics | 2880 University Ave, Madison, WI 53705-3644 | 2017-04-10 |
| 1649728411 | Maria Standiford | Nurse Practitioner | 2880 University Ave, Madison, WI 53705-3644 | 2016-09-21 |
| 1578912077 | Margaret Shelley Powell | Internal Medicine | 2880 University Ave, Madison, WI 53705-3644 | 2016-06-07 |
| 1841647302 | Brittany Galusha | Internal Medicine | 2880 University Ave, Madison, WI 53705 | 2016-05-15 |
| 1073975322 | Meisha Raven | Ophthalmology | 2880 University Ave, Madison, WI 53705-3644 | 2016-03-25 |
| 1063897163 | Karla K Wethal | Physician Assistant | 2880 University Ave, Madison, WI 53705-3644 | 2015-07-30 |
| 1306228796 | Cynthia Carlson | Nurse Practitioner | 2880 University Ave, Madison, WI 53705-3644 | 2015-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629563986 | Magdalena Maria Siodlak | Pharmacist | 2500 Overlook Terrace (119), Madison, WI 53705 | 2018-06-28 |
| 1104343243 | Aisling Margaret Tallman | Physician Assistant | 725 University Row, Apt 124, Madison, WI 53705 | 2017-08-29 |
| 1346785938 | Rachel Maria Sanabria | Social Worker | 4513 Vernon Blvd Ste 100, Madison, WI 53705 | 2017-01-05 |
| 1124482856 | Samantha Jo Juve | Social Worker | 313 Price Pl Ste 212, Madison, WI 53705 | 2016-04-08 |
| 1912373002 | Brittany Dennis | Counselor | 5005 University Avenue, Suite 100, Madison, WI 53705 | 2015-08-12 |
| 1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
| 1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
| 1396083168 | Madison Psychiatric & Psychological Services | Psychiatry & Neurology | 702 N. Blackhawk Ave, #100, Madison, WI 53705 | 2013-01-29 |
| 1174872808 | Natasha Bulat | Massage Therapist | 5317 Old Middleton Rd, Room #102, 'hot Stone Therapy & Massage', Madison, WI 53705 | 2012-09-10 |
| 1033401609 | Ann B Braus | Family Medicine | 6209 Mineral Point Rd, Madison, WI 53705 | 2011-05-13 |
| Find all providers in zip 53705 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436821 | Elizabeth Stevenson | Nurse Practitioner | 1021 Gilson St, Madison, WI 53715-1721 | 2020-11-01 |
| 1427678176 | Cody Cameron Brunet | Nurse Practitioner | 1002 Bultman Rd, Madison, WI 53704-8933 | 2020-04-23 |
| 1013543388 | Mallory Elizabeth Boggs | Nurse Practitioner | 159 Fountains Blvd Ste B, Madison, MS 39110-6344 | 2020-03-19 |
| 1639668031 | Katherine Wargo | Nurse Practitioner | 66 Acorn Rd, Madison, CT 06443-3340 | 2018-05-02 |
| 1053665232 | Larona Rachelle Searcy | Nurse Practitioner | 161 Woodland Dr, Madison, MS 39110-8751 | 2012-11-09 |
| 1518592286 | Kerri C Abernathy | Nurse Practitioner | 600 Sun Temple Dr, Madison, AL 35758-8643 | 2020-03-03 |
| 1871145367 | Jillian Marie Bodden Hoenisch | Nurse Practitioner | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2019-07-15 |
| 1053899351 | Wargo & Associates, LLC | Nurse Practitioner | 66 Acorn Rd, Madison, CT 06443-3340 | 2018-07-30 |
| 1245757475 | Joshua Scott | Nurse Practitioner | 1801 Clifty Dr, Madison, IN 47250-1627 | 2017-08-28 |
| 1750830105 | Paula Brady | Nurse Practitioner | 600 Highland Ave, Madison, WI 53792-0001 | 2016-09-27 |
| Find all providers in MADISON | ||||
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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.