Jacquelyn Michelle Kelly Hall

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

517 S 64TH St
Broken Arrow, OK 74014-2664

Phone

(714) 430-0157

NPI assigned

Apr 27, 2023

Last updated

Apr 27, 2023By 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

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1356039390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 S 64TH ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740142664",
            "telephone_number": "714-430-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 S 64TH ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740142664",
            "telephone_number": "714-430-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY HALL",
        "first_name": "JACQUELYN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Keepper, APRN-CNS
• Marcia Labooth Keesee, LPC-S
• Daniel Keesh, DDS
• Kristin Kelley, RN IBCLC
• Lee Ann Kelley
• Brooklyn Danielle Kelly, COTA/L
• Rustyn Kelly
• Shelly Marie Kennedy-Gonzalez, LPC
• Karissa Brooke Kennedy
• Lauren Kennison

• Case Manager/Care Coordinator in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.