Iesha Theresa Kelly, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.185135 Issued in OH

Practice address

5711 Harrison Ave
Maple Heights, OH 44137-3332

Phone

(216) 415-2150

NPI assigned

Mar 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1316522337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22501 LAKEMONT AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441231623",
            "telephone_number": "216-704-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 HARRISON AVE",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373332",
            "telephone_number": "216-415-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15212 Maple Park Dr Apt 16",
            "address_purpose": "LOCATION",
            "city": "Maple Heights",
            "state": "OH",
            "postal_code": "441374234",
            "country_code": "US",
            "telephone_number": "216-858-6998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "IESHA",
        "middle_name": "THERESA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": "6724",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "6724",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.185135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Jones
• Taisanna Jones
• Tashay Jones
• Marva M Jordan
• Rachel Kelley
• Alayna Patrece Kennedy, LPN M-IV
• Emily Kerensky
• Key Independent Living Home
• Danyell M Kilgore, INDEPENDENT PROVIDER
• Christopher Kilmer, RN

• Licensed Practical Nurse in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; 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.