Vivienne M. Kelley (NPI# 1306309117, PAC ID# 9436487600) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1306309117 |
| PAC ID by PECOS | 9436487600 |
| Professional Enrollment ID | I20190826003077 |
| Full Name | Vivienne M. Kelley |
| Organization Legal Name | SILVER HEALTH CARE PC |
| Address |
608 Winifred St Bayard NM 88023-9782 |
| Phone Number | 5755382981 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5698668333 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320016 | GILA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 608 Winifred St, Bayard, NM 88023-9782 | 5755382981 | SILVER HEALTH CARE PC |
| 1600 E 32nd St, Silver City, NM 88061-7287 | 5755382981 | SILVER HEALTH CARE PC |
| Organization Legal Name | SILVER HEALTH CARE PC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alphonse Aversa | Internal Medicine | Silver Health Care PC | 1511 S Lime St, Deming, NM 88030-6207 |
| Meredith A Moss | Physician Assistant | Silver Health Care PC | 1600 E 32nd St, Silver City, NM 88061-7287 |
| Michelle Christine Hancox | Nurse Practitioner | Silver Health Care PC | 1511 S Lime St, Deming, NM 88030-6207 |
| Muskula P Kumar | Internal Medicine | Silver Health Care PC | 1511 S Lime St, Deming, NM 88030-6207 |
| Shawna Leann Wallace Dominguez | Nurse Practitioner | Silver Health Care PC | 1511 S Lime St, Deming, NM 88030-6207 |
| Colicia M Meyerowitz | Internal Medicine | Silver Health Care PC | 1511 S Lime St, Deming, NM 88030-6207 |
| Patricia A Mcintire | Nurse Practitioner | Silver Health Care PC | 1511 S Lime St, Deming, NM 88030-6207 |
| Christopher Ryan Engdahl | Emergency Medicine | Silver Health Care PC | 1511 S Lime St, Deming, NM 88030-6207 |
| Richard J Barendsen | Psychiatry | Silver Health Care PC | 1511 S Lime St, Deming, NM 88030-6207 |
| Christine A Fila | Clinical Social Worker | Silver Health Care PC | 1600 E 32nd St, Silver City, NM 88061-7287 |
| Street Address |
608 WINIFRED ST |
| City | BAYARD |
| State | NM |
| Zip | 88023-9782 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randi Marae Murphy | Nurse Practitioner | Silver Health Care PC | 608 Winifred St, Bayard, NM 88023-9782 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dara Ann Foster | Nurse Practitioner | Hidalgo Medical Services | 805 Tom Foy Blvd, Bayard, NM 88023-9767 |
| Brandon I Ferguson | Family Medicine | Hidalgo Medical Services | 805 Tom Foy Blvd, Bayard, NM 88023-9767 |
| City | BAYARD |
| Zip Code | 88023 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BAYARD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Vivienne M. Kelley.
| 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.