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KELLY ANN WADDILOVE
NPI 1780283374
Case Manager/Care Coordinator in Las Vegas, NV

Active since October 23, 2020
5412 BOULDER HWY, LAS VEGAS, NV 89122(702) 291-7121(702) 507-2534 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Ann Waddilove NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANN WADDILOVE (NPI 1780283374) is an individual case manager/care coordinator provider in Las Vegas, Nevada and active in the NPI registry since October 2020. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1780283374
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKELLY ANN WADDILOVE
Location Address5412 BOULDER HWYLas Vegas, NV 89122-6039
Mailing Address5340 Duralite St Unit 203Las Vegas, NV 89122-7300
Phone(702) 291-7121
Fax(702) 507-2534
Sole ProprietorNo
Enumeration DateOctober 23, 2020
NPPES CertifiedOctober 23, 2020
✔ NPI 1780283374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

5412 BOULDER HWY, Las Vegas, NV 89122
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Other Names 1

Former Name (1)Kelly Ann Bullock

Secondary Practice Locations 3

Location 13312 W Charleston BlvdLas Vegas, NV 89102-1829 · Phone (702) 971-2300 · Fax (702) 903-4447
Location 2850 Mill St Ste 100Reno, NV 89502-1463 · Phone (775) 538-6700 · Fax (775) 688-5878
Location 3315 Record St Ste 100Reno, NV 89512-3327 · Phone (775) 405-4111 · Fax (775) 688-5878

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Albert ***** May 11, 2024

5/5
Kelly's experience and knowledge far exceeds any case manager I have ever had. Her caring and compassionate heart surpasses all others. She only cares for her clients. She make sure that they get what they need.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDTRANS, LLC
Family Medicine
5412 BOULDER HWY
LAS VEGAS, NV 89122
Clark County (702) 291-7121
MARK REGANS
Counselor (Pastoral)
5412 BOULDER HWY, UNIT D
LAS VEGAS, NV 89122
Clark County (702) 324-5506
ARVIN CADAG
Behavior Analyst
5412 BOULDER HWY, UNIT D
LAS VEGAS, NV 89122
Clark County (702) 666-3711
WAYNE YOUNG
Counselor (Mental Health)
5412 BOULDER HWY
LAS VEGAS, NV 89122
Clark County (702) 338-6045
SEMAJ WHITE BSW, MAT, MS
Counselor (Mental Health)
5412 BOULDER HWY
LAS VEGAS, NV 89122
Clark County (702) 300-0589
EBONY HARTWELL
Counselor (Mental Health)
5412 BOULDER HWY
LAS VEGAS, NV 89122
Clark County (702) 291-7121
DAVID GRACE
Counselor (Mental Health)
5412 BOULDER HWY
LAS VEGAS, NV 89122
Clark County (702) 291-7121
PAMELA HOLLIS
Social Worker (Clinical)
5412 BOULDER HWY
LAS VEGAS, NV 89122
Clark County (702) 291-2171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Waddilove's NPI number?

The NPI number for Kelly Waddilove is 1780283374. It was assigned to this individual provider in the NPPES registry on October 23, 2020. The provider is also known as Kelly Ann Bullock.

Where is Kelly Waddilove located?

Kelly Waddilove practices at 5412 Boulder Hwy, Las Vegas, NV 89122. The listed phone number is (702) 291-7121.

What is Kelly Waddilove's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Kelly Waddilove was last updated on October 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.