Jessica Ellen Kelly, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

61185982 Issued in WA

Practice address

2420 S State St
Tacoma, WA 98405-2845

Phone

(253) 573-6113

NPI assigned

Jun 4, 2021

Last updated

Jun 4, 2021By the provider in NPPES

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

State licenses

Interoperability endpoints

• Direct secure messaging: jessica.kelly@811393367080964.direct.elationemr.com

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1144897596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7918 SE YOSEMITE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98367",
            "telephone_number": "253-720-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 S STATE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052845",
            "telephone_number": "253-573-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JESSICA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "61185982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Allan Kelly, PH.D.
• Hannah Rose Kelly
• Heidi Ann Kelly
• Ian Patrick Kelly, MD
• Jessica Kelly, MSW, LMSW
• Katherine Jane Kelly, PH.D.
• Kendra Dane Kelly
• Khadine Kelly
• Michael John Kelly, M.D.
• Michael Joseph Kelly, M.D.

• Family Nurse Practitioner in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.