MRS. JACQUELINE ANN KELLEY (NPI# 1932530276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932530276 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE ANN KELLEY |
| Credential | APRN, DNP |
| Practice Address |
1105 West 8th Street Mount Marty College Yankton SD 57078 |
| Practice Telephone | 6056681435 |
| Mailing Telephone | 6056681435 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
CP000042 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
CP000042 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265915714 | Jacqueline Mary Kelley | Registered Nurse | 591 Spring Grove Dr, Tallmadge, OH 44278-1341 | 2018-09-11 |
| 1245644780 | Jacqueline Kelley | Nurse Practitioner | 1309 W 17th St Ste 101, Sioux Falls, SD 57104-8805 | 2014-06-12 |
| Street Address |
1105 WEST 8TH STREET MOUNT MARTY COLLEGE |
| City | YANKTON |
| State | SD |
| Zip Code | 57078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719661 | Jime Lynne Rivera | Psychiatry & Neurology | 708 E 21st Street, Yankton, SD 57078 | 2020-11-01 |
| 1043617210 | Kenneth Tomek | Dietitian, Registered | 2100 Broadway St, Yankton, SD 57078 | 2014-12-03 |
| 1124363130 | Susan Kay Taecker | Occupational Therapist | 1502 Jo Ln, Yankton, SD 57078 | 2012-12-02 |
| 1295865178 | Dr Jon C Baumann Dds PC | Dentist | 809 Belfast Street, Yankton, SD 57078 | 2007-03-07 |
| 1306989090 | Gregory Scott Erickson | Internal Medicine | 501 Summit, Yankton, SD 57078 | 2007-02-14 |
| 1104976356 | Pine Lane Estates LLC | Assisted Living Facility | 2905 Douglas Ave, Yankton, SD 57078 | 2007-01-11 |
| 1518029917 | Teresa M Henrickson | Counselor | 904 W 23rd St Ste 101, Heartland Psychological Services, Yankton, SD 57078 | 2006-12-14 |
| 1396805016 | Joseph G Blackinton | Psychologist | Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 | 2006-12-11 |
| 1942383468 | Deborah Jean Kachena | Social Worker | 610 W 23rd Street, Yankton, SD 57078 | 2006-10-21 |
| 1528155926 | Gary Allen Merkwan | Chiropractor | 2708 East South Dakota Highway 50, Yankton, SD 57078 | 2006-10-06 |
| Find all providers in zip 57078 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871827626 | Bryan Matthew Wermers | Nurse Practitioner | 1600 W 22nd Street, Sioux Falls, SD 57117-5039 | 2009-09-28 |
| 1336238195 | Theresa Marten | Nurse Practitioner | 640 Flormann Street, Suite 100, Rapid City, SD 57701 | 2006-10-12 |
| 1295767416 | Carol Ann Wade | Nurse Practitioner | Rosebud Ihs Hospital Soldier Creek Road, Rosebud, SD 57570-0400 | 2006-07-07 |
| 1033762984 | Theresa Miiller | Nurse Practitioner | 1900 Grassland Dr, Mitchell, SD 57301-6205 | 2019-07-19 |
| 1588027536 | Wendy Lynn Asher | Nurse Practitioner | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2016-03-29 |
| 1154792539 | Althea Groen Hooyer | Nurse Practitioner | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2015-10-12 |
| 1477716736 | Teresa M Cass | Nurse Practitioner | 100 Mac Ln, Avera Medical Group Pierre, Pierre, SD 57501 | 2008-07-08 |
| 1215199500 | Bobby Goeman | Nurse Practitioner | 3015 3rd Ave Se Ste 104, Aberdeen, SD 57401-5539 | 2008-06-27 |
| 1497844336 | Joanie Holm | Nurse Practitioner | 400 22nd Ave, Brookings, SD 57006-2497 | 2006-10-11 |
| 1376572693 | Jean Marie Hohm | Nurse Practitioner | 211 Founders Park Dr, Suite 3, Rapid City, SD 57701-8098 | 2006-06-30 |
| Find all providers with the same taxonomy | ||||
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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.