Miranda L Kelly

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

217 South St
Ripley, WV 25271-1421

Phone

(304) 372-2406

NPI assigned

Mar 31, 2025

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

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.

• Jackson County Commission on Aging, Inc

  • Home Health Agency
  • Ripley, WV
  • NPI 1295952513
  NPD (past)
• Jackson County Commission on Aging, Inc.

  • Home Health Agency
  • Ripley, WV
  • NPI 1487872594
  NPD (past)

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1104629484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252710617",
            "telephone_number": "304-372-2406",
            "fax_number": "304-372-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SOUTH ST",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252711421",
            "telephone_number": "304-372-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MIRANDA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Judge
• Katie Moore LLC
• Heather J Kay, CFNP
• Lindsey A. Keeney, PA-C
• Ruth Kelley, RN
• Rebecca Kerns, LSW
• Misti Shae Kimble
• Donald G King, O.D.
• Joyce King
• R Keith King, OD

• Homemaker in Ripley, WV
• Providers in Ripley, WV by specialty
• Homemaker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.