MS. KELLY ANN PEARSON (NPI# 1992216618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992216618 |
| Entity Type | Individual |
| Full Name | MS. KELLY ANN PEARSON |
| Credential | CNP |
| Practice Address |
2945 Hazelwood St Maplewood MN 55109-1241 |
| Mailing Address |
335 Daly St Saint Paul MN 55102-3211 |
| Practice Telephone | 6512327800 |
| Practice Fax Number | 6512327940 |
| Mailing Telephone | 6513434891 |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2018-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1618718 | MN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5448 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1801 Nicollet Ave, Minneapolis, MN 554033791 | 6128232947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841823937 | Kelly Marie Pearson | Nurse Practitioner | 1802 6th Ave S, Birmingham, AL 35233-1932 | 2020-02-17 |
| 1598272031 | Kelly Pearson | Behavior Technician | 3075 Citrus Cir Ste 240, Walnut Creek, CA 94598-2667 | 2018-01-05 |
| 1215293782 | Kelly Cathryn Pearson | Dermatology | 20201 N Scottsdale Healthcare Dr, Ste 260, Scottsdale, AZ 85255-4140 | 2012-04-09 |
| 1609025824 | Kelly Pearson | Counselor | 288 Bedford St, Whitman, MA 02382-1820 | 2008-09-11 |
| 1124216882 | Kelly Jesica Pearson | Nurse Practitioner | 974 73rd St, Windsor Heights, IA 50312-1024 | 2007-10-09 |
| 1558577510 | Kelly Elizabeth Pearson | Counselor | 415 Water St, Ellsworth, ME 04605-2116 | 2007-05-15 |
| 1073608790 | Kelly Lynn Pearson | Nurse Practitioner | 257 Biltmore Ave, Asheville, NC 28801-4120 | 2006-10-04 |
| 1326088733 | Kelly J Pearson | Physician Assistant | 8550 W 38th Ave, Suite 205, Wheat Ridge, CO 80033-4300 | 2006-06-07 |
| Street Address |
2945 HAZELWOOD ST |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154497634 | Michelle R. Didio | Nutritionist | 2945 Hazelwood St, Maplewood, MN 55109-1241 | 2006-11-28 |
| 1003327917 | Fairview Pharmacy Services, LLC | Pharmacy | 2945 Hazelwood St, Ste 105, Maplewood, MN 55109 | 2017-10-18 |
| 1740708767 | Fairview Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 2945 Hazelwood St, Suite 105, Maplewood, MN 55109-1241 | 2017-08-30 |
| 1861882029 | Jackline Shinyonya Sutherland | Nurse Practitioner | 2945 Hazelwood St, Maplewood, MN 55109-1241 | 2015-01-27 |
| 1033524160 | Katherine R Brady | Obstetrics & Gynecology | 2945 Hazelwood St, Maplewood, MN 55109 | 2014-06-27 |
| 1750791810 | Healtheast Medical Research Institute | Surgery | 2945 Hazelwood St, Maplewood, MN 55109-1241 | 2014-04-29 |
| 1023352671 | Erin Topitzhofer | Speech-Language Pathologist | 2945 Hazelwood St, Maplewood, MN 55109-1241 | 2012-11-20 |
| 1811256118 | Rebecca Leigh Kaehr | Nurse Practitioner | 2945 Hazelwood St, Maplewood, MN 55109-1241 | 2012-05-08 |
| 1679866099 | Jessica K Whelan | Family Medicine | 2945 Hazelwood St, Maplewood, MN 55109-1241 | 2011-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466675 | Neela Xiong | Nurse Practitioner | 2712 Brand Ave E, Maplewood, MN 55119-3801 | 2020-08-03 |
| 1114496478 | Barbara Ann Chubb | Nurse Practitioner | 626 Prospect St, Maplewood, NJ 07040-2724 | 2018-11-16 |
| 1972788008 | Carla Sue Strater | Nurse Practitioner | 21075 State Route 47, Maplewood, OH 45340-8724 | 2008-01-08 |
| 1215404504 | Rejane Signor | Nurse Practitioner | 1973 Springfield Ave, Maplewood, NJ 07040 | 2018-10-25 |
| 1205311156 | Jessica Anne Lemker | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2018-09-26 |
| 1386151413 | Nasra Thakur | Nurse Practitioner | 1850 Beam Ave, Maplewood, MN 55109 | 2018-01-10 |
| 1326574732 | Laura Donatelle | Nurse Practitioner | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-05-04 |
| 1417493396 | Pilar Boril | Nurse Practitioner | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-01-16 |
| 1487190633 | Hyohyun Jang | Nurse Practitioner | 2010 Springfield Ave, #101, Maplewood, NJ 07040-3437 | 2017-01-12 |
| 1730621467 | Christin Radtke | Nurse Practitioner | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1241 | 2016-11-11 |
| Find all providers in MAPLEWOOD | ||||
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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.