Jermaine Kelley

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

108 Wilma Ave
Steubenville, OH 43952-1129

Phone

(740) 804-0889

NPI assigned

Jul 1, 2024

Sex

Male

Sole proprietor

Yes

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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1255176152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTRAL PLZ N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021404",
            "telephone_number": "740-804-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WILMA AVE",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521129",
            "telephone_number": "740-804-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JERMAINE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Keene
• Ryan Patrick Kehoe
• Winifred G Keirsey, LPCC
• Alexander Keister
• Tracy Kellar, CDCA
• Timothy Kelly
• Erika Anne Keshishian, DO
• Garrett Kettle, DO
• Muhammad Faisal Khalid, MD
• Ameer Hamza Khan, MD

• Case Manager/Care Coordinator in Steubenville, OH
• Providers in Steubenville, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.