Kelly Lissenden, AGNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP035126 Issued in PA

Practice address

3933 Freemansburg Ave
Bethlehem, PA 18020-4567

Phone

(610) 419-9191

NPI assigned

Jan 29, 2026

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

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.

• CDC Bethlehem, P.C.

  • Dermatology Physician
  • Bethlehem, PA
  • NPI 1255153581
  NPD (past)
• Complete Dermatology Center, P.C.

  • Dermatology Physician
  • Quakertown, PA
  • NPI 1871853234
  NPD (past)

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1386594471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 FREEMANSBURG AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180204567",
            "telephone_number": "610-419-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 FREEMANSBURG AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180204567",
            "telephone_number": "610-419-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISSENDEN",
        "first_name": "KELLY",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP035126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan R Linson, CRNA
• James Michael Liott, D.C.
• Elaina Georgine Lioudis, PHARMD
• Lisa M Perez
• Mark I Lischner, DO
• Tiffani Little
• Jetaine Littles, MS
• Jingxuan Liu, M.D.
• Live in Abundance Home Care
• Rashmi Sachindra Liyanage, MD

• Nurse Practitioner in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.