Organization Active NPI

Kellys Family Healthcare NP in Family Health PLLC

  • Family Nurse Practitioner
  • Halfmoon, NY
National Provider Identifier
1134066632
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
KELLYS FAMILY HEALTHCARE NP IN FAMILY HEALTH PLLC
Practice address
5 Breski LN
Halfmoon, NY 12065-6202
Phone
(321) 946-6552
NPI assigned
May 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Luz M Kelly, FNPNPI 1164154803
Title
Family Nurse Practitioner
Phone
(321) 946-6552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

5 Breski LN
Halfmoon, NY 12065-6202

Mailing address

5 Breski LN
Halfmoon, NY 12065-6202
Phone (321) 946-6552

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1134066632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BRESKI LN",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120656202",
            "telephone_number": "321-946-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BRESKI LN",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120656202",
            "telephone_number": "321-946-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLYS FAMILY HEALTHCARE NP IN FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "321-946-6552",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halfmoon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.