Kimberly Kelley, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

041334849 Issued in IL

Practice address

109 E 47TH St
Chicago, IL 60653-3806

Phone

(773) 759-3516

NPI assigned

Feb 27, 2021

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Open Arms Medical Supply Company, LLC

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1598469280
  NPD Authorized official

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1487248688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 S CREGIER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173537",
            "telephone_number": "773-759-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533806",
            "telephone_number": "773-759-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KIMBERLY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": "041334849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordane Kelley
• Joseph Kelley
• Kathleen M. Kelley, M.D.
• Katrina Kelley
• Kent R Kelley, M.D.
• Kristin Sue Kelley, PT, DPT
• Mary Kate Kelley, PT
• Michael Kelley, PT
• Regan Kelley, M.S.
• Rosemary Kelley, LCPC

• Home Health Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Home Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.