Rebecca Ann Kelley, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

151395 Issued in MO

Practice address

220 E Broad St
Naylor, MO 63953

Phone

(573) 399-2311

Fax

(573) 399-2646

NPI assigned

Sep 8, 2006

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114021417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 BIG BEND RD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012916",
            "telephone_number": "573-778-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E BROAD ST",
            "city": "NAYLOR",
            "state": "MO",
            "postal_code": "63953",
            "telephone_number": "573-399-2311",
            "fax_number": "573-399-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "151395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Big Springs Medical Association
• Big Springs Medical Association
• Dynamic Behavioral Services, LLC
• Shantel Miles, FNP
• Naylor Ambulance Association
• Naylor R-II School District
• Naylor-Neelyville Ambulance District
• Stacey Roach, SLP

• Registered Nurse in Naylor, MO
• Providers in Naylor, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.