Robin Kelly, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

216806-1 Issued in NY

Practice address

4452 W Sciota St
Scio, NY 14880-9771

Phone

(585) 593-5446

NPI assigned

Jun 4, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Robin A Kelly Other name

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1356833487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 W SCIOTA ST",
            "city": "SCIO",
            "state": "NY",
            "postal_code": "148809771",
            "telephone_number": "585-593-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 W SCIOTA ST",
            "city": "SCIO",
            "state": "NY",
            "postal_code": "148809771",
            "telephone_number": "585-593-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ROBIN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "216806-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "KELLY",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "ROBIN BEDOW LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karin L Chase
• Melissa Childs, MS, OTR/L
• Deborah Jean Fuller, R.N.
• Amber R Hardy, LMHC
• Leone Angie-Della Jenison, RN
• Debra Miller, LMHC
• Renee Eileen Piechota
• Stacy Lee Schmidt, LMHC-P
• Scio Central School District 1
• Jessica Tesson

• Licensed Practical Nurse in Scio, NY
• Providers in Scio, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.