Kelli Nicole Rich (NPI# 1366930174, PAC ID# 1254686124) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1366930174 |
| PAC ID by PECOS | 1254686124 |
| Professional Enrollment ID | I20180618000649 |
| Full Name | Kelli Nicole Rich |
| Organization Legal Name | ST JOSEPH REGIONAL HEALTH CENTER |
| Address |
4401 State Hwy 6 S Chi St Joseph Health Express Care College Station TX 77845-4428 |
| Phone Number | 9797315200 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5294727921 |
| Number of Group Practice Members | 148 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450011 | CHI ST JOSEPH HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 4401 State Hwy 6 S, Chi St Joseph Health Express Care, College Station, TX 77845-4428 | 9797315200 | ST JOSEPH REGIONAL HEALTH CENTER |
| Organization Legal Name | ST JOSEPH REGIONAL HEALTH CENTER |
| Physicians | 124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darryl Wayne Peterson | Orthopedic Surgery | St Joseph Regional Health Center | 2803 Earl Rudder Fwy S 103, Chi St Joseph Health Orthopedic Associates, College Station, TX 77845-6099 |
| Leena Kodali | Internal Medicine | St Joseph Regional Health Center | 1612 W Villa Maria Rd, 130 Chi St Joseph Health Primary Care, Bryan, TX 77807-2310 |
| Kelly Mcdonald | Family Medicine | St Joseph Regional Health Center | 110 Hwy 290 W, Chi St Joseph Health Express Care, Brenham, TX 77833-9165 |
| Anne L Moser | Family Medicine | St Joseph Regional Health Center | 4421 State Hwy 6 S, Suite 100, College Station, TX 77845-6176 |
| Kai Wang | Qualified Audiologist | St Joseph Regional Health Center | 2805 Earl Rudder Fwy S, Chi St Joseph Hlth Ent Assoc, College Station, TX 77845-6080 |
| Jason Hoover | Neurosurgery | St Joseph Regional Health Center | 8441 State Hwy 47, Suite 4300, Bryan, TX 77807-3235 |
| Ali Daftarian | Pain Management | St Joseph Regional Health Center | 3841 Sagebriar Dr, Bryan, TX 77802-6107 |
| Ume Haney Kakwan | Family Medicine | St Joseph Regional Health Center | 3989 N Shore Dr, Chi St Joseph Health Maturewell, Bryan, TX 77807-1491 |
| Martha L Hare | Nurse Practitioner | St Joseph Regional Health Center | 711 Church Ave, Suite 101, College Station, TX 77840-3829 |
| Elizabeth Varley | Nurse Practitioner | St Joseph Regional Health Center | 8465 N Hwy 77, Chi St Joseph Health Primary Care, Lexington, TX 78947-5354 |
| Street Address |
4401 STATE HWY 6 S CHI ST JOSEPH HEALTH EXPRESS CARE |
| City | COLLEGE STATION |
| State | TX |
| Zip | 77845-4428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janet A Krueger | Family Medicine | St Joseph Regional Health Center | 4401 State Hwy 6 S, Chi St Joseph Health Express Care, College Station, TX 77845-4428 |
| Jana Lawrence Kimberlin | Nurse Practitioner | St Joseph Regional Health Center | 4401 State Hwy 6 S, Chi St Joseph Health Express Care, College Station, TX 77845-4428 |
| Sara Beth Williamson | Nurse Practitioner | St Joseph Regional Health Center | 4401 State Hwy 6 S, Chi St Joseph Health Express Care, College Station, TX 77845-4428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Williams | General Surgery | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, Suite 1100, College Station, TX 77845-0001 |
| Joseph J Roman | Internal Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Conde N Anderson | Family Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Sidney C. Ontai | General Practice | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Arun K Jain | Internal Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Jill Linsey Holcomb | Nurse Practitioner | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Sandra Md Nweke | Family Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Catherine Manga | Nurse Practitioner | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Jasvinder S Sidhu | Cardiovascular Disease (cardiology) | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Aderemi Jaiyeola | Gastroenterology | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Find all physicians in zip 77845 | |||
| City | COLLEGE STATION |
| Zip Code | 77845 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COLLEGE STATION + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.