LISA A. KELLY (NPI# 1912317629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912317629 |
| Entity Type | Individual |
| Full Name | LISA A. KELLY |
| Other Name | LISA A. MESSER |
| Credential | APRN,NP-C |
| Practice Address |
116 Hills Plz Charleston WV 25387-2438 |
| Mailing Address |
97 Great Teays Blvd Ste 6 Scott Depot WV 25560-9816 |
| Practice Telephone | 3047204466 |
| Mailing Telephone | 3047576999 |
| Mailing Fax Number | 3042015019 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
59915 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1912317629 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Wildcat Way, Logan, WV 256013474 | 3046889949 | 3046889953 |
| 12 Kanawha Ter, Saint Albans, WV 251772750 | 3042011130 | 3042011134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164075453 | Lisa Marie Kelly | Nurse Practitioner | 10 E Front St Apt B, Monroe, MI 48161-2269 | 2019-07-16 |
| 1831752401 | Lisa A. Kelly | Social Worker | 23245 Brandywynne St, Southfield, MI 48033-4875 | 2019-04-18 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1457728628 | Lisa Kelly | Psychologist | 11765 Hamilton Ave, Cincinnati, OH 45231-1128 | 2015-08-24 |
| 1558707828 | Lisa Kelly | Occupational Therapist | 8410 North Maple Avenue, Crystal River, FL 34428 | 2013-05-14 |
| 1417289935 | Lisa Catherine Kelly | Acupuncturist | 846 Ritchie Hwy, Suite 1a, Severna Park, MD 21146-4150 | 2010-02-09 |
| 1033342795 | Lisa Ann Kelly | Speech-Language Pathologist | 33 Winding Path, Apt 20, Manorville, NY 11949-2276 | 2009-08-28 |
| 1508019076 | Lisa Jean Kelly | Physical Therapy Assistant | 325 S Brookside Dr, Oxford, PA 19363-1192 | 2008-10-28 |
| 1952588154 | Lisa Maria Kelly | Family Medicine | 6006 Le Moyne Pass Ln, Missouri City, TX 77459-1762 | 2008-01-30 |
| 1720105711 | Lisa Ann Kelly | Speech-Language Pathologist | 459 Erickson Ct, Elburn, IL 60119-8990 | 2007-03-23 |
| Street Address |
116 HILLS PLZ |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25387-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750382297 | Brian Wayne Macaulay | Family Medicine | 116 Hills Plz, Charleston, WV 25387-2438 | 2005-08-09 |
| 1033741855 | Sarah Elizabeth Shapero | Counselor | 116 Hills Plz, Charleston, WV 25387-2438 | 2020-02-10 |
| 1174164115 | Susan A Bailey | Counselor | 116 Hills Plz, Charleston, WV 25387-2438 | 2019-10-01 |
| 1659842912 | Tina L Faber | Social Worker | 116 Hills Plz, Charleston, WV 25387-2438 | 2018-12-16 |
| 1326524323 | Hannah R Hudson | Nurse Practitioner | 116 Hills Plz, Charleston, WV 25387-2438 | 2018-07-13 |
| 1720530074 | Rhoda Hamilton | Nurse Practitioner | 116 Hills Plz, Charleston, WV 25387-2438 | 2016-11-02 |
| 1427502632 | Suzanne Riley | Social Worker | 116 Hills Plz, Charleston, WV 25387-2438 | 2016-08-05 |
| 1932508413 | Elizabeth C Frampton | Social Worker | 116 Hills Plz, Charleston, WV 25387-2438 | 2014-08-20 |
| 1629322524 | Casey Jo Breedlove-miller | Physician Assistant | 116 Hills Plz, Charleston, WV 25387-2438 | 2012-10-31 |
| 1336401504 | Kasey Beth Gentilin | Dentist | 116 Hills Plz, Charleston, WV 25387-2438 | 2012-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679792493 | Letitia Elaine Tierney | Internal Medicine | Familycare Health Center, 116 N. Hills Plaza, Charleston, WV 25387 | 2007-04-24 |
| 1427661651 | James Michael Adkins | Technician | 1029 Nease Dr, Charleston, WV 25387-1007 | 2020-08-27 |
| 1578964474 | Resilience Home Care Services, LLC | Home Health | 3700 Washington St W, Charleston, WV 25387-1121 | 2014-09-10 |
| 1205448610 | Christiana E Sovine | Technician | 3902 Washington St W, Charleston, WV 25387-1123 | 2020-08-18 |
| 1245841360 | Nellie Mae Ford | Technician | 802 N Hills Dr, Charleston, WV 25387-1230 | 2020-08-12 |
| 1255941316 | Itai Gravely | Technician | 1863 Sugar Creek Dr, Charleston, WV 25387-1344 | 2020-08-04 |
| 1437513538 | Paula Mooney | Social Worker | 862 Hanna Dr, Charleston, WV 25387-1402 | 2016-04-05 |
| 1952649071 | Enact, Inc. | Case Management | 1701 5th Ave Ste 7, Charleston, WV 25387-1900 | 2013-01-24 |
| 1609045400 | Womencare, Inc | Clinic/Center | 1701 5th Ave, Charleston, WV 25387-1900 | 2008-02-26 |
| 1457967200 | Tameika M Mcneil | Technician | 113 Mcvey Way, Charleston, WV 25387-2168 | 2020-09-17 |
| Find all providers in zip 25387 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1427656735 | Kisha Lanece James | Nurse Practitioner | 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 | 2020-10-09 |
| 1043822216 | Amber Bagwell | Nurse Practitioner | 442 King St Fl 2, Charleston, SC 29403-6230 | 2020-08-19 |
| 1790396273 | Amanda Jo Grant | Nurse Practitioner | 2207 Seneca Dr, Charleston, IL 61920-3836 | 2020-08-10 |
| 1811514961 | Isabel Margarita Lemasters | Nurse Practitioner | 3226 Moonlight Dr, Charleston, SC 29414-8052 | 2020-07-05 |
| 1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
| 1770123929 | Catherine A. Woods | Nurse Practitioner | 9313 Medical Plaza Dr Ste 310, Charleston, SC 29406-9197 | 2020-01-15 |
| 1104464999 | Brittany D Griffith | Nurse Practitioner | 830 Pennsylvania Ave Ste 402, Charleston, WV 25302-3390 | 2019-12-12 |
| 1437795747 | Brigitte Britt Huttemeyer | Nurse Practitioner | 678 Castle Pinckney Dr, Charleston, SC 29412 | 2019-11-21 |
| 1124660774 | Dennis Robert Moore | Nurse Practitioner | 4610 Kanawha Ave Sw Ste 302, Charleston, WV 25309-1367 | 2019-10-16 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25387 |
Please comment or provide details below to improve the information on LISA A. KELLY.
| 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.