KELLY LELIA MCDONOUGH


Address: 800 E 28th St, Minneapolis, MN 55407-3723
Phone: 6128634000

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
5955 Ponce De Leon Blvd, Coral Gables, FL 331462423 3056611515 3056623723
800 E 28th St, Minneapolis, MN 554073723 6128634000

Other Providers KELLY MCDONOUGH

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

Office Location

Street Address 800 E 28TH ST
City MINNEAPOLIS
State MN
Zip Code 55407-3723

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City MINNEAPOLIS
Zip Code 55407

Improve Information

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Dataset Information

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.

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