Individual provider Active NPI

Kellye O Jones-Ho, CRNP

  • Pediatric Nurse Practitioner
  • Woolwich Township, NJ
National Provider Identifier
1518157221
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP009571 Issued in PA
Practice address
4 Annamarie CT
Woolwich Township, NJ 08085-3095
Phone
(856) 467-2344
NPI assigned
Jul 30, 2007
Last updated
Feb 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP009571 PA Primary
Pediatric Nurse Practitioner 363LP0200X 26NJ00172900 NJ
Pediatric Registered Nurse 163WP0200X RN354634L PA
Pediatric Registered Nurse 163WP0200X 26NR10373800 NJ

Addresses

Primary practice location

4 Annamarie CT
Woolwich Township, NJ 08085-3095

Mailing address

4 Annamarie CT
Woolwich Township, NJ 08085-3095
Phone (856) 467-2344

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR10373800NJMDPediatric Registered Nurse
RN354634LPAMDPediatric Registered Nurse
26NJ00172900NJMDPediatric Nurse Practitioner
SP009571PAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Surgical Associates LTD Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1518157221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ANNAMARIE CT",
            "city": "WOOLWICH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080853095",
            "telephone_number": "856-467-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ANNAMARIE CT",
            "city": "WOOLWICH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080853095",
            "telephone_number": "856-467-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-HO",
        "first_name": "KELLYE",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP009571",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00172900",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "PA",
            "license": "RN354634L",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NJ",
            "license": "26NR10373800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woolwich Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.