Kelly Liddell, MSN, RN, SANE-P

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN672978 Issued in PA

Practice address

126 Spring St
Media, PA 19063-4944

Phone

(814) 863-7374

NPI assigned

Jun 11, 2026

Last updated

Jun 11, 2026By 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

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1285568493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 SPRING ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 SPRING ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634944",
            "telephone_number": "814-863-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDDELL",
        "first_name": "KELLY",
        "credential": "MSN, RN, SANE-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN672978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George M. Leute III
• Elizabeth Leveire, RBT
• Scott Eric Levy, D.D.S.
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• Walter E. Lewis, M.D.
• George Lieb, MD
• Andrew L Lieberman, D.M.D.
• Douglas B Lieberman, MD
• Jordan Frederick Lief, PSY.D.
• Lighthouse Counseling Services LLC

• Registered Nurse in Media, PA
• Providers in Media, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.