Mary Kelly, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

581847 Issued in NY

Practice address

1 West St Apt 2918
New York, NY 10004-1033

Phone

(914) 439-4627

NPI assigned

May 20, 2021

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1417522715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEST ST APT 2918",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041033",
            "telephone_number": "914-439-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEST ST APT 2918",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041033",
            "telephone_number": "914-439-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MARY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "581847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Watkins Kelly, M.S., CCC-SLP
• Lindsey Helen Kelly
• Lori H Kelly, MD
• Luke Kelly, MD
• Margaret Kelly, CNM
• Mary Beth Elizabeth Kelly, ACSW
• Mary Elizabeth Kelly, PSY.D.
• Mary Kris Kelly, FNP
• Maureen Rose Kelly, MD
• Megan Courtney Kelly, PA-C

• Case Management Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Case Management Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.