Kelli L Albert
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Berea, KY
NPI 1134041999 · NPPES record last updated Jul 27, 2026
Key facts
- NPI
- 1134041999
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 390 Forest Trail Dr
Berea, KY 40403-9690 - Phone
- (816) 838-5190
- NPI assigned
- Jul 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | KY | Yes |
Addresses
Primary practice location
390 Forest Trail Dr
Berea, KY 40403-9690
Mailing address
390 Forest Trail Dr
Berea, KY 40403-9690
Phone (816) 838-5190
NPI Registry JSON
{
"created_epoch": "1785110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1134041999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 FOREST TRAIL DR",
"city": "BEREA",
"state": "KY",
"postal_code": "404039690",
"telephone_number": "816-838-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 FOREST TRAIL DR",
"city": "BEREA",
"state": "KY",
"postal_code": "404039690",
"telephone_number": "816-838-5190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERT",
"first_name": "KELLI",
"middle_name": "L",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-27",
"last_updated": "2026-07-27",
"certification_date": "2026-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berea, KY
- Amber-Elizabeth Abner
- Peter M Abraham
- Mahmoud A. Abualayem
- Michelle L Adams
- Dicky Lhaden Aikat
- Janaina Alexander
- Colleen E Ambrose
- Karissa L Anderson
- Loni Michelle Anderson
- Arc Clinical Solutions
All providers in Berea, KY · Student in an Organized Health Care Education/Training Program in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.