Kelly Nelson LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

199901318 Issued in KY

Legal business name

KELLY NELSON LLC

Practice address

10606 Sycamore GRN
Louisville, KY 40223-2945

Phone

(502) 724-4960

NPI assigned

Jun 17, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly D NelsonNPI 1164682845

Title

Developmental Interventionist

Phone

(502) 724-4960

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Dyan Nelson

  • Developmental Therapist
  • Louisville, KY
  • NPI 1164682845
  NPD (past) Authorized official

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1407206683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10606 SYCAMORE GRN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232945",
            "telephone_number": "502-724-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10606 SYCAMORE GRN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232945",
            "telephone_number": "502-724-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY NELSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DEVELOPMENTAL INTERVENTIONIST",
        "authorized_official_telephone_number": "502-724-4960",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "199901318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Anne Ramos Kellie
• Scott P Kellie, M.D.
• Michael Jesse Kellihan, PHARM.D.
• Thomas Carl Kellogg, CRNA
• Briana Kellum-Gosnell
• Kelly Sullivan, Otr
• Amber Christine Kelly
• Ashley Ann Kelly, CRNA
• Brittany Kelly
• Caroline E Kelly, LPCC-S

• Early Intervention Provider Agency in Louisville, KY
• Providers in Louisville, KY by specialty
• Early Intervention Provider Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.