Active NPI
Patricia S Kelly, CRNA
- Religious Nonmedical Nursing Personnel
- Richmond, VA
National Provider Identifier
1497848386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Religious Nonmedical Nursing Personnel
- License
- 0024133177
- Practice address
- 1201 Brock Roack Blvd.
Richmond, VA 23249 - Phone
- (804) 675-5110
- NPI assigned
- Oct 2, 2006
- 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 |
|---|---|---|---|---|
| Religious Nonmedical Nursing Personnel | 374T00000X | 0024133177 | VA | Primary |
Addresses
Primary practice location
1201 Brock Roack Blvd.
Richmond, VA 23249
Mailing address
4000 Harcourt Court
Richmond, VA 23233
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 |
|---|---|---|---|
| 0024133177 | VA | MD | Religious Nonmedical Nursing Personnel |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497848386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 HARCOURT COURT",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 BROCK ROACK BLVD.",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23249",
"telephone_number": "804-675-5110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "PATRICIA",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374T00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Nursing Personnel",
"state": "VA",
"license": "0024133177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- 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.