Active NPI
Kelly Lyn Westbrooks Joyce, M.D.
- Pediatrics Physician
- South Euclid, OH
National Provider Identifier
1093795916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35-07-1794-J
- Practice address
- 1611 S Green Rd
Suite 035
South Euclid, OH 44121-4128 - Phone
- (216) 382-3800
- Fax
- (216) 381-5198
- NPI assigned
- Jan 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35-07-1794-J | OH | Primary |
Addresses
Primary practice location
1611 S Green Rd
Suite 035
South Euclid, OH 44121-4128
Mailing address
1032 Elmwood Dr
Macedonia, OH 44056-2070
Phone (330) 468-1467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2055994 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kellyjoyce@uhps.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Road Pediatrics, Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- kjoyce35942@ehrdirect.uhhospitals.org
Organizations & group practices 1
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.
-
- Pediatrics Physician
- South Euclid, OH
- NPI 1396822847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1093795916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 ELMWOOD DR",
"city": "MACEDONIA",
"state": "OH",
"postal_code": "440562070",
"telephone_number": "330-468-1467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 S GREEN RD",
"address_2": "SUITE 035",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441214128",
"telephone_number": "216-382-3800",
"fax_number": "216-381-5198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOYCE",
"first_name": "KELLY",
"middle_name": "LYN WESTBROOKS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35-07-1794-J",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2055994",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kellyjoyce@uhps.allscriptsdirect.net",
"affiliation": "N",
"address_1": "1611 S Green Rd",
"address_2": "Suite 035",
"city": "South Euclid",
"state": "OH",
"country_code": "US",
"postal_code": "441214128",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.