Kelly Koorey

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

2002 Medical Pkwy Ste 250
Annapolis, MD 21401-3279

Phone

(443) 481-4016

NPI assigned

Aug 1, 2023

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Luminis Health Medical Group, LLC

  • Health Educator
  • Greenbelt, MD
  • NPI 1912691890
  NPD
• Luminis Health Medical Group, LLC

  • Internal Medicine Physician
  • Bowie, MD
  • NPI 1720835010
  NPD (past)

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1083396048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 KNOLLWOOD RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462642",
            "telephone_number": "301-633-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY STE 250",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013279",
            "telephone_number": "443-481-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOREY",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kolenda
• Giovanna Marie Kolofer, CRNP
• Krista Lee Konapelsky
• Jennifer Elizabeth Kondracki, RN,IBCLC,LNC
• Brian Konik, PHD
• Joseph Kopasek
• Jennifer Koppels
• Antony Koroulakis, MD
• Laura Elizabeth Korpon, MHS, PA-C
• Shelley Ann Kosisky

• Health Educator in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Health Educator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.