Sarah Kelley (NPI# 1982208609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1982208609 |
| Entity Type | Individual |
| Full Name | Sarah Kelley |
| Credential | PA |
| Gender | Female |
| Practice Address |
1111 W Diversey Pkwy Chicago IL 60614-1318 |
| Practice Telephone | 7732705600 |
| Practice Fax Number | 7733607378 |
| Mailing Address |
730 S Clark St Apt 505 Chicago IL 60605-1746 |
| Mailing Telephone | 5136092850 |
| Sole Proprietor | No, this individual is not a Sole Proprietor |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-23 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | 085008056 | IL |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2400 N Ashland Ave, Chicago, IL 606142021 | 7732705600 | 7733607378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1457601726 | Sarah Anne Kelley | Counselor | 14 Scrabble Rd, Brentwood, NH 03833-6024 | 2012-09-14 |
| 1679762454 | Sarah Casey Kelley | Audiologist | 885 South Parsons Ave, All Children's Outpatient Care, Brandon, FL 33511 | 2007-10-17 |
| 1477163749 | Sarah Louise Kelley | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-08-03 |
| 1265040331 | Sarah C Kelley | Counselor | 10 Bridge St, Lowell, MA 01852-1268 | 2020-07-15 |
| 1831695436 | Sarah Joy Kelley | Student in an Organized Health Care Education/Training Program | 2000 Sw Archer Rd, Gainesville, FL 32608-1136 | 2018-04-03 |
| 1821486671 | Sarah Kelley | Marriage & Family Therapist | 1330 Quail Lake Loop, Suite 120, Colorado Springs, CO 80906 | 2015-01-02 |
| 1710395769 | Sarah Leigh Kelley | Optometrist | 115 W Laurel St, Independence, KS 67301-3311 | 2014-07-22 |
| 1700214749 | Sarah Kelley | Nurse Practitioner | 221 Ne Glen Oak Ave, Emergency Dept, Peoria, IL 61636-0001 | 2013-10-30 |
| 1467770081 | Sarah Nicole Kelley | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2010-05-06 |
| Find all providers with the same name | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215533989 | Emily Stuart Evans | Physician Assistant | 1433 N Dearborn St Apt 4, Chicago, IL 60610-1500 | 2020-12-08 |
| 1720684699 | Alexandra T Fry | Physician Assistant | 1237 W Wellington Ave Apt 1, Chicago, IL 60657-6759 | 2020-12-07 |
| 1902401375 | Patricia Maloney | Physician Assistant | 4534 N Kenneth Ave Apt 2, Chicago, IL 60630-4563 | 2020-12-02 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1245858117 | Emily Victoria Headley | Physician Assistant | 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 | 2020-07-08 |
| 1548884547 | Crystal Afua Amoah | Physician Assistant | 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 | 2020-06-04 |
| 1841814274 | Zubair Aslam Khan | Physician Assistant | 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 | 2020-06-01 |
| 1659991818 | Taylor Nicole Anderson | Physician Assistant | 25 W Randolph St Apt 603, Chicago, IL 60601-3514 | 2020-04-17 |
| 1720616444 | Melanie Doretti | Physician Assistant | 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 | 2020-03-29 |
| 1154958544 | Joerissa Gearlds | Physician Assistant | 5645 W Addison St Rm 353, Chicago, IL 60634-4403 | 2020-03-25 |
| Find all providers in CHICAGO | ||||
| Street Address |
1111 W DIVERSEY PKWY |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124623749 | Lindsey Landgraf | Nurse Practitioner | 1111 W Diversey Pkwy, Chicago, IL 60614-1318 | 2020-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
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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.