Active NPI
Barbara M Kelly, FNP
- Community Health Nurse Practitioner
- Corning, NY
National Provider Identifier
1447511100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- License
- F320052-1
- Practice address
- 135 Walnut St
Corning, NY 14830-2545 - Phone
- (607) 962-4686
- Fax
- (607) 962-7520
- NPI assigned
- May 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | F320052-1 | NY | Primary |
Addresses
Primary practice location
135 Walnut St
Corning, NY 14830-2545
Mailing address
620 W Seneca St
Ithaca, NY 14850-3326
Phone (607) 273-1513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F320052-1 | NY | MD | Community Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of the Southern Finger Lakes Inc. | Past | Accepting new patients | |
| Planned Parenthood of Greater New York Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ambulatory Family Planning Facility
- Brooklyn, NY
- NPI 1417959701
-
- Ambulatory Family Planning Facility
- Ithaca, NY
- NPI 1881761484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1447511100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 W SENECA ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503326",
"telephone_number": "607-273-1513",
"fax_number": "607-273-8776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 WALNUT ST",
"city": "CORNING",
"state": "NY",
"postal_code": "148302545",
"telephone_number": "607-962-4686",
"fax_number": "607-962-7520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "BARBARA",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "NY",
"license": "F320052-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corning, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.