Kelly Lynne Lonis, RN, ANP,

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F302392 Issued in NY

Practice address

800 Irving Ave
Team Blue
Syracuse, NY 13210-2716

Phone

(315) 425-4000

NPI assigned

Oct 9, 2007

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: klonis@hiemail.healtheconnections.org

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1073701736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N MCBRIDE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031736",
            "telephone_number": "315-422-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 IRVING AVE",
            "address_2": "TEAM BLUE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102716",
            "telephone_number": "315-425-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONIS",
        "first_name": "KELLY",
        "middle_name": "LYNNE",
        "credential": "RN, ANP,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F302392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle R Longo, PHARMD
• Heather Lynn Longo, LPN
• James A Longo, M.D.
• Deanna L Longyear
• Dana Alberico Lonis, FNP, CCRN
• Jennifer Lonnen, DDS
• Taylor Kiana Loon, MBBCHBAO
• Carol Nicole Lopes, M.D.
• Christine Ann Lopez-Dwyer, NP
• Ramona Lopez-Moreno

• Adult Health Nurse Practitioner in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.