KELLY TRUMP (NPI# 1922615764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922615764 |
| Entity Type | Individual |
| Full Name | KELLY TRUMP |
| Credential | NP |
| Practice Address |
3800 Reservoir Rd Nw Washington DC 20007-2113 |
| Mailing Address |
8599 Coral Gables Ln Vienna VA 22182-2306 |
| Practice Telephone | 2024442000 |
| Mailing Telephone | 3214367449 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN1043599 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3800 RESERVOIR RD NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20007-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748802 | John Hugh Lynch | Urology | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2005-05-31 |
| 1346841087 | Shahrzad Chitsaz | Pharmacist | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-11-07 |
| 1891392296 | Morgan M Casimir | Occupational Therapist | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-10-08 |
| 1790392819 | La Sheron A Bankhead | Speech-Language Pathologist | 3800 Reservoir Rd Nw, Bles Building, Ground Floor, Room Cg-12, Washington, DC 20007 | 2020-09-24 |
| 1689289688 | Laurie L Nguyen | Registered Nurse | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-15 |
| 1598370652 | Yazan Subhi Juma' | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-14 |
| 1326653668 | Allison Elizabeth Boyd | Physician Assistant | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-14 |
| 1770198301 | Medstar Medical Group II LLC | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-10 |
| 1497370167 | Kirby K Edsill | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-06-09 |
| 1659994325 | Brynn Nicole Gerstle | Nurse Practitioner | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872411 | Pamela Angela Jackson | Counselor | 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 | 2020-05-13 |
| 1992289334 | Chelsea Carolyn Stahl | Nurse Practitioner | Medstar Georgetown University Hospital Rad Oncology, 3800 Reservoir Road Nw Ll Bles, Washington, DC 20007 | 2018-09-21 |
| 1205322070 | Etta L Sandler | Social Worker | 3222 N Street, N.w., # 300, Washington, DC 20007 | 2018-07-05 |
| 1609361286 | Sarah Kathryn Thibeau | Speech-Language Pathologist | 4759 Reservoir Rd, Nw, Washington D.c., DC 20007 | 2018-06-26 |
| 1366947871 | Stephen William Kwong | Student in an Organized Health Care Education/Training Program | Medstar Georgetown University Hospital, 3800 Reservoir Road, Washington, DC 20007 | 2018-03-27 |
| 1720599020 | Nnenna Sylverline Ewuzie | Home Health Aide | 501 School Street, Sw Suit 200, Professional Health Care Resources, Washington, DC 20007 | 2017-10-13 |
| 1457870958 | Chief Logan Health Supplies | Durable Medical Equipment & Medical Supplies | 3220 N St Nw #1400, Washington, DC 20007 | 2017-09-15 |
| 1174985220 | Robert Matthew Cronin | Physician Assistant | 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 | 2016-03-27 |
| 1194111898 | Clute Clinic | Nurse Practitioner | 1315 31 St Nw, Washington, DC 20007 | 2015-04-09 |
| 1003211129 | Mary Oluwaseyi Akinbo | Registered Nurse | 1010 Wisconsin Ave N.w., Suite 300, Washington, DC 20007 | 2014-10-31 |
| Find all providers in zip 20007 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973947 | Michael Allen Parsley | Nurse Practitioner | 110 Irving St Nw # At, Washington, DC 20010-3017 | 2019-10-14 |
| 1659927606 | Susan Thornton Oyola | Nurse Practitioner | 110 Irving St Nw Unit 3ne, Washington, DC 20010-3017 | 2019-08-15 |
| 1770055006 | Melanie Dawn Sims | Nurse Practitioner | 110 Irving St Nw # 4b-42, Washington, DC 20010-3017 | 2018-12-27 |
| 1396285680 | Jessica Jean Thurn | Nurse Practitioner | 201 I St Ne, Apt. 408, Washington, DC 20002-4449 | 2017-03-06 |
| 1790150688 | Polly Rebecca Jackson | Nurse Practitioner | 4875 N 4 Mile Rd, Washington, MO 63090-3931 | 2015-12-03 |
| 1437418563 | Alyson Severino | Nurse Practitioner | 110 Irving St Nw # 424b, Washington, DC 20010-3017 | 2012-05-09 |
| 1033340799 | Floyd Joseph Johnson IIi | Nurse Practitioner | 2131 K St Nw Ste 201, Washington, DC 20037-1856 | 2009-07-29 |
| 1073753224 | Latoya Michon Taylor | Nurse Practitioner | 2041 Georgia Ave Nw Towers 2322, Washington, DC 20060 | 2009-03-01 |
| 1427197888 | Anna Lisa Licud | Nurse Practitioner | 110 Irving St., Nw, Whc Surgical Critical Care Service Suite 4b-42, Washington, DC 20010-2975 | 2007-02-05 |
| 1376638866 | Amanda Champion Bunch | Nurse Practitioner | 1203 Carolina Ave, Washington, NC 27889-3571 | 2006-10-03 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20007 |
Please comment or provide details below to improve the information on KELLY TRUMP.
| 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.