Brentnie Laurie Kelly, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

594962 Issued in NY

Practice address

232 Loring Ave
Buffalo, NY 14214-2710

Phone

(716) 335-2975

NPI assigned

Aug 24, 2010

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": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1104132547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 LORING AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142710",
            "telephone_number": "716-335-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 LORING AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142710",
            "telephone_number": "716-335-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BRENTNIE",
        "middle_name": "LAURIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "594962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Kelley, RN
• Kenneth A Kellick, PHARM.D.
• Thomas Matthew Kellner, MD
• Kelly Dumas, LCSW, PLLC
• Hattie Kelly-Moody, RN
• Cheryl E. Kelly, ANP
• Christina Kelly, DPT
• Gloria R. Kelly, SLP,TSHH,MA-CCC-SLP
• Gregory Daren Kelly
• Kara Maureen Kelly, MD

• Home Health Registered Nurse in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.