Jasmine Kelly, SWA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

W.2100289 Issued in OH

Practice address

3094 W Market St Ste 105
Fairlawn, OH 44333-3617

Phone

(800) 639-4974

NPI assigned

Mar 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777680000000",
    "number": "1265133516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 LORWOOD DR",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242733",
            "telephone_number": "216-376-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3094 W MARKET ST STE 105",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333617",
            "telephone_number": "800-639-4974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4280 Lorwood Dr",
            "address_purpose": "LOCATION",
            "city": "Stow",
            "state": "OH",
            "postal_code": "442242733",
            "country_code": "US",
            "telephone_number": "216-376-4330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5198 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Bedford Heights",
            "state": "OH",
            "postal_code": "441461331",
            "country_code": "US",
            "telephone_number": "216-378-9101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JASMINE",
        "credential": "SWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "W.2100289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Keim
• Samantha Kelland, OTR/L
• Louis Keller
• Frank Kelley, M.D.
• Karen Sue Kellogg, DPM
• Kristen Kemp, PHD
• Calleiah Kennedy
• Catherine E Kenny, RPH
• Danielle Kern, QMHS BA CMS
• Michael Kesselring, NP

• Case Manager/Care Coordinator in Fairlawn, OH
• Providers in Fairlawn, 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 May 2, 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.