KELLIE JO DUNLAP (NPI# 1972906113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972906113 |
| Entity Type | Individual |
| Full Name | KELLIE JO DUNLAP |
| Credential | PA |
| Practice Address |
830 105th Ave N Naples FL 34108-1844 |
| Practice Telephone | 2392726366 |
| Mailing Telephone | 2392726366 |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9108264 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619379880 | Kellie Amanda Dunlap | Pharmacist | 3650 Wheeler Rd, Augusta, GA 30909-6520 | 2014-09-19 |
| 1689905770 | Kellie Lynn Dunlap | Community Health Worker | 14960 E Park St, Capac, MI 48014-3177 | 2010-01-29 |
| Street Address |
830 105TH AVE N |
| City | NAPLES |
| State | FL |
| Zip Code | 34108-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417422262 | Alejandra Herrera Munoz | Occupational Therapist | 646 103rd Ave N, Naples, FL 34108 | 2018-10-08 |
| 1912402983 | Cvs Aoc Services, L.L.C. | Audiologist-Hearing Aid Fitter | 8863h Tamiami Trl N, Naples, FL 34108 | 2018-03-29 |
| 1861886863 | Zounds Hearing | Durable Medical Equipment & Medical Supplies | 9331 Tamiami Trail, Naples, FL 34108 | 2015-03-27 |
| 1750651220 | Dr. Alfonso Olivos, P.a. | Family Medicine | 873 101 Avenue N., Naples, FL 34108 | 2011-12-30 |
| 1083901367 | Gregory Alan Mazur | Podiatrist | 9915 Tamiami Trl N Ste 1, Naples, FL 34108 | 2011-07-07 |
| 1124253398 | G B Fisher IIi Do Pa | Ophthalmology | 875 105 Ave North, Naples, FL 34108 | 2009-05-18 |
| 1134378466 | Susanna Alis | Counselor | 9853 Tamiami Trl N Ste 227c, Naples, FL 34108 | 2008-09-10 |
| 1194995720 | William Nicholas Sullivan | Dentist | 6100 Trail Blvd North, Suite 1, Naples, FL 34108 | 2008-03-11 |
| 1285838219 | John Woolman Cox | Dermatology | 650 Bridgeway Lane, Naples, FL 34108 | 2007-06-13 |
| 1780888263 | Gerald Frank Levens | Family Medicine | 1175 Creekside Pkwy Ste 200, Naples, FL 34108 | 2007-06-11 |
| Find all providers in zip 34108 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575479 | Cristina Marie Lago | Physician Assistant | 2325 Stanford Ct, Naples, FL 34112-4813 | 2020-10-14 |
| 1497375075 | Daniela Herrera Ceballos | Physician Assistant | 7943 Haven Dr Unit 1, Naples, FL 34104-5979 | 2020-04-23 |
| 1215587340 | Aida Brax | Physician Assistant | 13005 Collier Blvd, Naples, FL 34116-4003 | 2019-09-20 |
| 1568931335 | Jonathan Fletcher Michaelis | Physician Assistant | 13020 Livingston Rd Ste 14, Naples, FL 34105-5023 | 2018-11-21 |
| 1669971412 | Chelsea Allan | Physician Assistant | 848 1st Ave N Ste 100, Naples, FL 34102-6063 | 2018-02-07 |
| 1336659622 | Miriam Albritton | Physician Assistant | 1201 Piper Blvd Ste 24, Naples, FL 34110-1385 | 2017-10-02 |
| 1821455262 | Laura Khawaja | Physician Assistant | 7069 Lone Oak Blvd, Naples, FL 34109-8875 | 2016-01-15 |
| 1225429889 | Maria Francesca Zampogna Wilson | Physician Assistant | 6400 Davis Blvd Ste 203, Naples, FL 34104-5321 | 2015-02-17 |
| 1902208077 | Bogdan-gabriel Cozmuta | Physician Assistant | 400 8th Street North, Naples, FL 34102-7906 | 2014-09-20 |
| 1295148021 | Kelsey Rubin | Physician Assistant | 1575 Pine Ridge Rd Ste 19, Naples, FL 34109-2110 | 2014-06-10 |
| Find all providers in NAPLES | ||||
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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.