Korrin Taylor Kelly

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

11500 S Eastern Ave Ste 150
Henderson, NV 89052-5576

Phone

(702) 624-0499

NPI assigned

May 24, 2013

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

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1124465554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "LOGANDALE",
            "state": "NV",
            "postal_code": "890210458",
            "telephone_number": "702-624-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 S EASTERN AVE STE 150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525576",
            "telephone_number": "702-624-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KORRIN",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheri Ann Kelley, LCSW INTERN
• Chrstine Brooke Kelley
• William David Kelley, PA
• Angela Dawn Kelly, PHARMD
• Faye Kelly, A.S.
• Ronald Kelly
• Shanita Kelly
• Geraldine D Kelm
• Carlos Aaron Kelsey, PA-C
• Michael Sheldon Kelsey, D.C.

• Behavior Technician in Henderson, NV
• Providers in Henderson, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.