Anita Louise Kellon, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

106682 Issued in OH

Practice address

10000 Brecksville Rd
Brecksville, OH 44141-3204

Phone

(440) 526-3030

Fax

(440) 838-6085

NPI assigned

Aug 10, 2006

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063423960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4379 BROOKS RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441056009",
            "telephone_number": "216-429-1761",
            "fax_number": "216-429-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BRECKSVILLE RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413204",
            "telephone_number": "440-526-3030",
            "fax_number": "440-838-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLON",
        "first_name": "ANITA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "106682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlynn Karthan, OTR/L
• George Iouannis Kasidonis Jr., MSW
• Makenzie Marie Katsap, APRN
• Therese Anne Keary, PH.D.
• Laurie Kelley, OTR/L
• Sue E Keyse, CNP
• Appril Michell Kingery, CPHT
• Suzanne Kirk, MD
• Rose Kleinmann
• Mary J. Knowles, PA-C

• Adult Psychiatric/Mental Health Registered Nurse in Brecksville, OH
• Providers in Brecksville, OH by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.