KEELAN SHAW CONNELLY (NPI# 1891384525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891384525 |
| Entity Type | Individual |
| Full Name | KEELAN SHAW CONNELLY |
| Gender | Female |
| Practice Address | 650 S Town Center Dr Apt 1018 Las Vegas NV 89144-4421 |
| Practice Telephone | 9163356236 |
| Mailing Address | 650 S Town Center Dr Apt 1018 Las Vegas NV 89144-4421 |
| Mailing Telephone | 9163356236 |
| Certification Date | 2021-01-17 |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2021-01-17 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address | 650 S TOWN CENTER DR APT 1018 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89144-4421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609599 | Anila Naz | Technician · Personal Care Attendant | 1529 Waterton Drive, Las Vegas, NV 89144 | 2018-05-10 |
| 1467987487 | Judith L. Tan | Nurse Practitioner · Gerontology | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1619324662 | Sydney Spoon | Dietitian, Registered | 624 Canyon Greens Dr, Las Vegas, NV 89144 | 2016-05-19 |
| 1629455985 | Md24 Nv, Inc. | Nurse Practitioner | 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 | 2015-05-06 |
| 1053652628 | Melvin Lackey Jr. | Behavior Analyst | 10708 Esk Dr, Las Vegas, NV 89144 | 2013-03-07 |
| 1740445667 | Jaydee R. Lumbad | Family Medicine | 1111 N Town Center Drive, Las Vegas, NV 89144 | 2008-07-21 |
| 1700053824 | Samim Enayat | Internal Medicine · Endocrinology, Diabetes & Metabolism | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
| 1629252457 | Edmund Reyes Goroza | Pediatrics | 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 | 2007-12-28 |
| 1730375262 | H.l.greenberg M.d., Ltd. · Las Vegas Dermatology | Clinic/Center · Medical Specialty | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
| Find all providers in zip 89144 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346832110 | Judith Cherotich Leitich | 2954 Majestic Heights Ct, Las Vegas, NV 89117-2582 | 2021-02-03 | |
| 1578153706 | Marisela Perez | 6424 Moonglow Dr, Las Vegas, NV 89156-7018 | 2021-01-21 | |
| 1710591110 | Jessica Celestino | 6167 Allen Cove Ct, Las Vegas, NV 89148-1799 | 2020-09-02 | |
| 1972127314 | Toyokazu Endo | 2040 W Charleston Blvd Fl 3, Las Vegas, NV 89102-2227 | 2020-06-01 | |
| 1962025775 | William Taylor Gravley | 1510 Ruby Cliffs Ln Unit 204, Las Vegas, NV 89144-7015 | 2020-05-27 | |
| 1477174449 | Vishnu Halthore | 2152 Turquoise Ridge St Unit 205, Las Vegas, NV 89117-5972 | 2020-05-01 | |
| 1417576869 | Jesus Mendez Jr. · Jesus Mendez | 10962 Pentland Downs St, Las Vegas, NV 89141-3997 | 2020-04-15 | |
| 1124657333 | Daniel Gerardo Arias | 700 Shadow Ln Ste 400, Las Vegas, NV 89106-4159 | 2020-04-08 | |
| 1659900959 | Connor Wayman | 6655 S Cimarron Rd, Las Vegas, NV 89113-2180 | 2020-04-07 | |
| 1457988537 | Wesley Washington Yim | 657 N Town Center Dr Ofc, Las Vegas, NV 89144-6367 | 2020-03-26 | |
| Find all providers in LAS VEGAS | ||||
| City | LAS VEGAS |
| Zip Code | 89144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811037906 | Patrick Joseph Keelan | Optometrist | 149 Van Zile Rd, Keelan Eyecare, Brick, NJ 08724-3158 | 2007-02-07 |
| 1043359896 | Martha Nguyen-Keelan | Optometrist | 149 Van Zile Rd, Keelan Eyecare, Brick, NJ 08724-3158 | 2007-02-06 |
| 1225088719 | Karlin Keelan · Karlin Keelan Smith | Nurse Practitioner · Adult Health | 316 Calhoun St, Charleston, SC 29401-1113 | 2006-05-12 |
| 1336335199 | William Keelan Collins · William Keelan Collins I | Dentist · General Practice | 101 49th St Ne, Washington, DC 20019-5232 | 2007-09-14 |
| 1447362959 | Steven R Connelly Dmd PC · Connelly Family Dentistry | Dentist · General Practice | 220 W Argonne Drive, St Louis, MO 63122 | 2006-08-31 |
| 1477532851 | Elizabeth Connelly · Beth Connelly | Nurse Practitioner | 5008 Brittonfield Pkwy, Suite 700, East Syracuse, NY 13057 | 2006-01-12 |
| 1699016097 | Sky Lillian Sarah Connelly · Sky Connelly | Midwife | 484 Hoala Dr, Kihei, HI 96753 | 2013-03-09 |
| 1558557371 | Jon Connelly · Jon Connelly | Social Worker · Clinical | 4286 W Main St, Jupiter, FL 33458-5315 | 2007-09-16 |
| 1215036983 | Eisenhower Army Medical Center · Gordon Connelly Phcy | Military/U.S. Coast Guard Pharmacy | Avenue B Bldg 29709, Mark Connelly Health Clinic, Ft Gordon, GA 30905 | 2006-09-21 |
| 1427124346 | Lorna Jean Davidson-Connelly · Lorna J.d. Connelly | Counselor · Addiction (Substance Use Disorder) | 27 Congress St, Suite 105, Salem, MA 01970-7309 | 2006-11-24 |
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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.