Amy O'Shea Kelsey, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA18096 Issued in CA

Practice address

2221 Stockton Blvd
Suite 2112
Sacramento, CA 95817-1418

Phone

(916) 734-3861

Fax

(916) 734-3066

NPI assigned

Jun 30, 2006

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)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: amy.kelsey@398599422017540.direct.elationemr.com

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437188943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 D ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163004",
            "telephone_number": "916-662-4088",
            "fax_number": "916-734-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 STOCKTON BLVD",
            "address_2": "SUITE 2112",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171418",
            "telephone_number": "916-734-3861",
            "fax_number": "916-734-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "AMY",
        "middle_name": "O'SHEA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA18096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Darlene Kelly
• Yvonne Marie Kelly, MD
• Grecia Jaqueline Kelsaw Palma
• Joel Kelsch, LCSW
• Kelsey Rivkin Marriage and Family Therapy Inc.
• Ivy Kelso
• Steven Ferris Kelso, DPM
• Hannah Hiroko Kelson
• John L. Keltner, M.D.
• Sokkunthair Kem, NP

• Surgical Physician Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.