Kelly Herrera, MD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

221985 Issued in NY

Practice address

Orange Regional Medical Center - Horton Campus
60 Prospect St
Middletown, NY 10940

Phone

(845) 294-4339

Fax

(845) 294-4333

NPI assigned

Jun 16, 2006

Last updated

May 24, 2011By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1285678425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109240511",
            "telephone_number": "845-294-4339",
            "fax_number": "845-294-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ORANGE REGIONAL MEDICAL CENTER - HORTON CAMPUS",
            "address_2": "60 PROSPECT ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "845-294-4339",
            "fax_number": "845-294-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "KELLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NY",
            "license": "221985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02371644",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Henderson, R.N
• Lisa Hendrickson
• Lernice L. Henry, D.O.
• Luz Divina Hernandez, LMSW
• Ryan Herp
• Venus Herrera
• Vernika Hess-Curry, LCSW
• Jonathan Scott Hess, CPO-LPO
• Tyler W Hey, CRNA
• Raylynn Jennifer Hicks, COTA/L

• Anatomic Pathology Physician in Middletown, NY
• Providers in Middletown, NY by specialty
• Anatomic Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.