Luann M Kelly, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

MK1366764 Issued in RI

Practice address

1681 Cranston St Ste D
Cranston, RI 02920-5000

Phone

(401) 946-8446

Fax

(401) 946-8340

NPI assigned

Dec 29, 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

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Frank P. Maggiacomo, D.O. IncGroup PAC ID 4587609664, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005
• The Miriam Hospital Hospital, Providence, RI, CCN 410012

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IJHEAA/Endpoint/IJHEAA

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.

• Frank P. Maggiacomo, D.O. Inc

  dba Knightsville Internal Medicine

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1124217674
  Medicare reassignment Care Compare group NPD
• Gregory G Allen Jr, D.O. Inc

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1609005958
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prospect Chartercare Sjhsri, LLC

  dba Our Lady of Fatima Hospital

  • General Acute Care Hospital
  • North Providence, RI
  • NPI 1871918870
  Care Compare affiliation
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1497811707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883660",
            "telephone_number": "401-467-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 CRANSTON ST STE D",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205000",
            "telephone_number": "401-946-8446",
            "fax_number": "401-946-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LUANN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "RI",
            "license": "MK1366764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keenan Spine Center Inc
• John T Keenan, DC
• Stephen Joseph Keenan, D.C.
• Keenly Advised LLC
• Jessica Keith, MA
• Shayna B Kennedy, OTR/L
• Kent County Counseling Services LLC
• Jennifer Kertyzak, MS, OTR/L
• Mary Beth Kilinski, PSY.D.
• Kelly Kilmartin, MASTERS

• Primary Care Nurse Practitioner in Cranston, RI
• Providers in Cranston, RI by specialty
• Primary Care Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.