Kelly Jae Straley, CNP

Primary specialty

Occupational Health Nurse PractitionerTaxonomy code 363LX0106X

License

COA14689-NP Issued in OH

Practice address

140 Fox Rd
Van Wert, OH 45891-2475

Phone

(419) 232-5279

NPI assigned

Jun 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Mercy Health-St Ritas Medical Center LLC

  • Oxygen Equipment & Supplies (DME)
  • Lima, OH
  • NPI 1629094115
  NPD (past)

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1386082923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FOX RD",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 FOX RD",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912475",
            "telephone_number": "419-232-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRALEY",
        "first_name": "KELLY",
        "middle_name": "JAE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA14689NP",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.334650",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "OH",
            "license": "COA14689-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0090042",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Stevens
• Lois Marie Steyer, RN
• Valerie Steyer
• Cassidy McKenzie Stoller
• Jeremy Lynn Stoller, M.D.
• Thomas L. Stricker Sr., LPCC, LICDC
• Jennifer Swick, DDS
• Darrin Michael Taylor, D.C.
• Nicole M Taylor
• Terrence L Johnson & Robert C Adams PTR

• Occupational Health Nurse Practitioner in Van Wert, OH
• Providers in Van Wert, OH by specialty
• Occupational Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.