Susan Jean Kelly, R.N.
Individual provider Active NPI Community Health Registered Nurse · Hugo, CO
NPI 1326313446 · NPPES record last updated Aug 1, 2013
Key facts
- NPI
- 1326313446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 63693 (CO)
- Practice address
- 326 8TH Street
Hugo, CO 80821 - Phone
- (719) 743-2526
- NPI assigned
- Mar 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63693 | CO | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln County Public Health | Past | Accepting new patients | |
| County of Lincoln | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 63693 | CO | Yes |
Addresses
Primary practice location
326 8TH Street
Hugo, CO 80821
Mailing address
P.O. Box 125
326 8TH Street
Hugo, CO 80821
Phone (719) 743-2526
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013048495 | Other | CO | NPPES |
Other providers in Hugo, CO
- Hugo Fire Protection District
- Hugo Volunteer Fire Department
- Kaeli Humphrey
- Richard Michael Johnson
- Jennie Renee Jolliffe
- Rolf Edward Kirby
- Limon Doctors Committee
- Lincoln Community Hospital
- Lincoln Community Hospital
- Lincoln Community Hospital
All providers in Hugo, CO · Community Health Registered Nurse in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.