Linda C. Kelley

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

28 Crosswinds Cir
Fairport, NY 14450-9421

Phone

(585) 747-5169

NPI assigned

Sep 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Bright Start Pediatric Services

  • Early Intervention Provider Agency
  • Fairport, NY
  • NPI 1467618231
  NPD (past)

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407405046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 N MAIN ST",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501434",
            "telephone_number": "585-377-2230",
            "fax_number": "585-377-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CROSSWINDS CIR",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144509421",
            "telephone_number": "585-747-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "LINDA C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiley Keeler
• Jennifer Keenan, SLP
• Alexandra Kehrig
• Mary Jane Kelemen, RN
• Ashlyn Daryl Kelley, RN
• Diane Kelly
• Stacie B Kem
• Lisa Kennedy, M.S.
• Christine L. Kershner, OTR/L
• Karlee Kesselring

• Specialist in Fairport, NY
• Providers in Fairport, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.