Mary Lou Kelsey, ANP CNM RN

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

NP47 Issued in AK

Practice address

4136 Bartlett St
Homer Medical Clinic
Homer, AK 99603

Phone

(907) 235-8586

Fax

(907) 235-6639

NPI assigned

Jun 15, 2006

Last updated

Aug 20, 2009By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1184668063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 BARTLETT ST",
            "address_2": "HOMER MEDICAL CLINIC",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "99603",
            "telephone_number": "907-235-8586",
            "fax_number": "907-235-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 BARTLETT ST",
            "address_2": "HOMER MEDICAL CLINIC",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "99603",
            "telephone_number": "907-235-8586",
            "fax_number": "907-235-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "MARY LOU",
        "credential": "ANP CNM RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "RN8404",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AK",
            "license": "NP47",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDA",
            "identifier": "MK0010164",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NM0188",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Waterman Kamara, BSNRN, CLC, LCSW
• Kamuck Incorporated (Alaskare Home Medical Equipment)
• Hope Karnemaat
• Osnat Kaspi, LPC
• Katieostrommd (Katie Ostrom MD, LLC)
• Jackie Kempf, MS, CCC-SLP
• Kenai Physical Therapy, Inc.
• Bronwyn Kennedy, RN
• Shane Kilcher
• Daniel P Kiley, DDS

• Advanced Practice Midwife in Homer, AK
• Providers in Homer, AK by specialty
• Advanced Practice Midwife in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.