Valerie J Kelly

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

210878 Issued in NY

Practice address

469 South Ave
Elmira, NY 14904-2250

Phone

(607) 331-6558

NPI assigned

Oct 22, 2019

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1033752118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 SOUTH AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149042250",
            "telephone_number": "607-331-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 SOUTH AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149042250",
            "telephone_number": "607-331-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "VALERIE",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "210878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tresa Kelley, MHC MA
• Daniel Benjamin Kellner, MD
• Dylan Sean Kellogg, MD
• April A Kelly
• Donald Kelly, RPH
• Calvin Kennedy
• Lionel Joseph Kennedy, LPN
• Seamus Dean Kennedy, LAC., LMT
• Tifanie Jeanne Keough, MSPT
• Kristen Kepner

• Licensed Practical Nurse in Elmira, NY
• Providers in Elmira, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.