MR. RUSSELL ALDOUS KELLEY (NPI# 1992783849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992783849 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL ALDOUS KELLEY |
| Credential | ARNP |
| Practice Address |
331 Se 2nd St Pendleton OR 97801-2224 |
| Practice Telephone | 5412766207 |
| Practice Fax Number | 5412764628 |
| Mailing Telephone | 5412766207 |
| Mailing Fax Number | 5412764628 |
| Enumeration Date | 2006-01-01 |
| Last Update Date | 2009-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
200743615RN | OR | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN00077263 | WA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
200750150NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP30006960 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235205311 | Russell Randolph Kelley | Obstetrics & Gynecology | 2259 Del Cristal, Bullhead City, AZ 86442-8671 | 2006-11-28 |
| 1215375373 | Russell Phelps Kelley Iv | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2013-06-11 |
| 1881665727 | Russell Kelley | Dermatology | 2101 N Waldron St, Hutchinson, KS 67502-1131 | 2006-01-30 |
| 1275511339 | Russell Kelley | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-01-08 |
| Street Address |
331 SE 2ND ST |
| City | PENDLETON |
| State | OR |
| Zip Code | 97801-2224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881475 | Emily Katherine Arnold | Social Worker | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2020-08-14 |
| 1285256669 | Savannah Kaye Hannaford | Counselor | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2020-05-08 |
| 1811520323 | Tera Lynn Kulhanek | Counselor | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2020-02-13 |
| 1700418803 | Alyssa Elizabeth Jenquin | Counselor | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2020-02-06 |
| 1225676075 | Janelle Allyn Taylor | Counselor | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2019-12-11 |
| 1962044909 | Elizabeth Coleman | Counselor | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2019-10-10 |
| 1518511088 | Laurie Galindo | Peer Specialist | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2019-08-01 |
| 1306490214 | Dana K Campbell | Counselor | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2019-07-29 |
| 1912566670 | Tina M Beyer | Counselor | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2019-06-06 |
| 1679031108 | John J Cupp | Counselor | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2019-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
| 1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
| 1255826012 | Cosmas Chukwuemeka Nwerem Jr. | Pharmacist | 1900 Sw Court Place, Pendleton, OR 97801 | 2018-06-25 |
| 1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
| 1801302849 | Shawna L. All | Massage Therapist | 24 Se Emigrant Ave., Pendleton, OR 97801 | 2017-12-27 |
| 1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
| 1073974796 | Channon M Baker | Peer Specialist | 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 | 2016-03-08 |
| 1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
| 1073995429 | Jessica Suzanne Pedersen | Massage Therapist | 812 Nw 12th St, Pendleton, OR 97801 | 2015-06-22 |
| 1861736373 | Christina Northern Northerhn | Social Worker | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-11-21 |
| Find all providers in zip 97801 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316210248 | 3-d Healthcare Services P.C. | Nurse Practitioner | 135 Se 1st Street, Pendleton, OR 97801 | 2012-02-23 |
| 1154538676 | Theodore Phillip Chase | Nurse Practitioner | 2500 Westgate, Pendleton, OR 97801-9606 | 2007-05-16 |
| 1326110404 | Kathy Lea Mcneilly | Nurse Practitioner | 202 Se Dorion Ave Ste 103, Pendleton, OR 97801-2580 | 2006-11-14 |
| 1902450042 | Leslie Neal Scott | Nurse Practitioner | 44882 Mission Rd, Pendleton, OR 97801-9293 | 2019-07-26 |
| 1386988939 | Haulek Tawmging | Nurse Practitioner | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2012-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920148 | Hardcore Happy LLC | Nurse Practitioner | 740 Ne 116th Ct, Portland, OR 97220-2223 | 2020-10-20 |
| 1457967325 | Megan L Langworthy | Nurse Practitioner | 1914 Se 46th Ave, Portland, OR 97215-3148 | 2020-09-16 |
| 1629687892 | Robin Sue Finney | Nurse Practitioner | 1957 Thompson Rd Ste I, Coos Bay, OR 97420-2040 | 2020-07-23 |
| 1518584457 | Akhena Health & Wellness LLC | Nurse Practitioner | 8855 Sw Holly Ln Ste 129, Wilsonville, OR 97070-8793 | 2020-06-26 |
| 1447871678 | Monarch Mental Health LLC | Nurse Practitioner | 1927 Channel St, North Bend, OR 97459-1826 | 2020-04-28 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1366071607 | Med Rx Partners, P.C. | Nurse Practitioner | 12115 Sw 70th Ave Ste 202, Tigard, OR 97223-9648 | 2020-04-08 |
| 1417583170 | Brittany Joy Monson | Nurse Practitioner | 12115 Sw 70th Ave, Tigard, OR 97223-9647 | 2020-03-13 |
| 1073147716 | Paradigm Mental Health and Wellness LLC | Nurse Practitioner | 724 S Central Ave Ste 101d, Medford, OR 97501-7808 | 2020-03-02 |
| 1730712290 | Lucy Anne Bloedon | Nurse Practitioner | 4020 Sw Iowa St, Portland, OR 97221-3423 | 2020-02-12 |
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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.