KELLY LELIA MCDONOUGH (NPI# 1881080232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881080232 |
Entity Type | Individual |
Full Name | KELLY LELIA MCDONOUGH |
Credential | ARNP |
Practice Address |
800 E 28th St Minneapolis MN 55407-3723 |
Practice Telephone | 6128634000 |
Mailing Telephone | 6128634000 |
Enumeration Date | 2015-04-13 |
Last Update Date | 2019-12-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 6597 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
6597 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
ARNP9173823 | FL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
6597 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
ARNP9173823 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
5955 Ponce De Leon Blvd, Coral Gables, FL 331462423 | 3056611515 | 3056623723 |
800 E 28th St, Minneapolis, MN 554073723 | 6128634000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255577854 | Kelly Anne Mcdonough | Specialist | 8460 Parsons Blvd, Jamaica, NY 11432-2544 | 2009-01-02 |
1336365279 | Kelly R Mcdonough | Physical Therapist | 11293 N M 37 Ste B, Buckley, MI 49620-9593 | 2007-04-18 |
1326261900 | Kelly Franklyn Mcdonough | Dentist | 19 Monarch Bay Plz, Dana Point, CA 92629-3424 | 2007-04-11 |
1831195528 | Kelly Neaves Mcdonough | Radiology | 2601 Kelley Pointe Pkwy, Ste 101, Edmond, OK 73013-2996 | 2005-06-27 |
1578859872 | Kelly Mcdonough | Student in an Organized Health Care Education/Training Program | 101 Dudley St, Providence, RI 02905-2401 | 2011-06-24 |
Street Address |
800 E 28TH ST |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55407-3723 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053314765 | Judy Garza | Specialist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2005-05-27 |
1568069060 | Brooke Evensen | Occupational Therapist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-07 |
1558968172 | Taiya Brown | Dietitian, Registered | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-06 |
1003413188 | Brandy Kozitza | Physical Medicine & Rehabilitation | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-02 |
1215554522 | Andrea Edwards | Genetic Counselor, MS | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-07-02 |
1740804350 | Danielle Krimmer | Registered Nurse | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-05-31 |
1225650005 | Kimberly Homan | Speech-Language Pathologist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-05-14 |
1568084630 | J&j Services, Inc | Durable Medical Equipment & Medical Supplies | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-05-12 |
1760011837 | Kayla Calhoun | Physical Therapist | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-04-02 |
1831727874 | Steven Thomas Schull | Student in an Organized Health Care Education/Training Program | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-03-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
Find all providers in zip 55407 |
Taxonomy Code | 363LN0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528678133 | Kathy Daniella Lopez Vasquez | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-08-07 |
1558970376 | Corin Mauldin | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-07-28 |
1912525197 | Devon Ratliff-crain | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-07-14 |
1891313862 | Kelli Dawn Guth | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-07-07 |
1225663768 | Amanda Elizabeth Olsen | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-03-05 |
1538713201 | Erin Michelle Miller | Nurse Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-07-30 |
1538712120 | Katie Ann Barber | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2019-07-23 |
1174007504 | Molly Jill Shand | Nurse Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2018-09-21 |
1790296606 | Magdalene Broberg | Nurse Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2017-10-18 |
1184162349 | Paul Duray | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2017-02-08 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55407 |
Please comment or provide details below to improve the information on KELLY LELIA MCDONOUGH.
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.