Kelly Jean Jarrell

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

58927 Issued in WV

Practice address

69 Avenue B
Madison, WV 25130-1162

Phone

(304) 369-3131

NPI assigned

Apr 23, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boone County Schools

  • Local Education Agency (LEA)
  • Madison, WV
  • NPI 1497925622
  NPD (past)
• Boone County Schools

  • Local Education Agency (LEA)
  • Madison, WV
  • NPI 1528267648
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1003133588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 22ND ST",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250641711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 AVENUE B",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301162",
            "telephone_number": "304-369-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRELL",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WV",
            "license": "58927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Health Care Providers, Inc.
• Integrated Health Care Providers, Inc.
• Ashley Jackson
• Felicia Jackson
• Stephanie Michelle Janney
• Rachel Ellen Jarrell
• Natalee Jarvis
• Savannah Denise Jarvis, MS, FNP-C
• Ann Jeffery Toler
• Tammie Lavone Jenkins

• All providers in Madison, WV
• School Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.