Raquell Kelley

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5577 Airport Hwy Ste 102
Toledo, OH 43615-7364

Phone

(419) 214-1770

Fax

(419) 214-0922

NPI assigned

Dec 12, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1003527987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5577 AIRPORT HWY STE 102",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157364",
            "telephone_number": "419-214-1770",
            "fax_number": "419-214-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5577 AIRPORT HWY STE 102",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157364",
            "telephone_number": "419-214-1770",
            "fax_number": "419-214-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "RAQUELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Kelley
• Andrea Kelley, MSW, LISW-S
• Bruce Allen Kelley, MA, LSW, CDCA
• Cassius Kelley
• Rachale Kelley
• Kellie Hopkins, Licdc, LLC
• Billi Jo Kellison
• Mackenzie Kellner
• Alysse Brianne Kelly, CRNA
• Claire Kelly

• Case Manager/Care Coordinator in Toledo, OH
• Providers in Toledo, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.