Kelly Lee Drake, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

473716-01 Issued in NY

Practice address

5467 Upper Mountain Rd Ste 100
Lockport, NY 14094-1894

Phone

(716) 804-3613

NPI assigned

Jun 2, 2023

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1033803184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5467 UPPER MOUNTAIN RD STE 100",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941894",
            "telephone_number": "716-804-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5467 UPPER MOUNTAIN RD STE 100",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941894",
            "telephone_number": "716-804-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "KELLY",
        "middle_name": "LEE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "473716-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Donohue, PHD
• Susan L Donohue, RD, CDN
• Carolann Donorovich, RN
• Dr Juan de Rosas Physician PC
• Natalie Anne Drabinski
• Rachel Duewiger, PHARMD
• Kelly Ann Duffy, RN
• Samantha Ashley Dugan, BA
• Courtney Elizabeth Dunn, PA
• Madison D Durham, PA

• Addiction (Substance Use Disorder) Registered Nurse in Lockport, NY
• Providers in Lockport, NY by specialty
• Addiction (Substance Use Disorder) Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.