Kelly Renee' Kerrigan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001168810 Issued in VA

Practice address

13313 Shore Lake Turn
Chesterfield, VA 23838-3252

Phone

(804) 426-9028

NPI assigned

Jun 23, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1265058499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13313 SHORE LAKE TURN",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238383252",
            "telephone_number": "804-426-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13313 SHORE LAKE TURN",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238383252",
            "telephone_number": "804-426-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERRIGAN",
        "first_name": "KELLY",
        "middle_name": "RENEE'",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001168810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Other",
            "affiliation": "N",
            "endpointDescription": "Healthcare",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13313 Shore Lake Turn",
            "city": "Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238383252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lily Arianna Kase
• Anisa Kasiri, DDS
• Heather Keister, LCSW
• Germaine Kelley-Pope, MSN APRN PMHNP-BC
• Sandra Ferguson Kent, M.ED., CCC/SLP
• Kery Ann Rosette
• Kayla Ketron, M.S., CCC-SLP
• Kelsey Lynn Ketterman
• KF Professional Service LLC
• Veda King Blanchard, NJLMT, VALMT, BCTMB

• Registered Nurse in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.