Lynn Roxas Kelly, CNM, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

209014909 Issued in IL

Practice address

17850 Kedzie Ave
Hazel Crest, IL 60429-2058

Phone

(312) 550-3254

Fax

(708) 799-4805

NPI assigned

Sep 26, 2016

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

Certified Nurse Midwife, Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: lynn.roxas.kelly.1@13826.direct.athenahealth.com

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1528517059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11019 SHENANDOAH DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679414",
            "telephone_number": "708-307-5594",
            "fax_number": "773-646-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17850 KEDZIE AVE",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292058",
            "telephone_number": "312-550-3254",
            "fax_number": "708-799-4805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11019 Shenandoah Dr",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604679414",
            "country_code": "US",
            "telephone_number": "708-307-5594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROXAS KELLY",
        "first_name": "LYNN",
        "credential": "CNM, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IL",
            "license": "209014909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica W Robinson, MD
• Margo Roethlisberger
• Cheryl D Rogers, AGPCNP-BC
• Roll Safe Transit LLC
• Bryon A Rosner, MD
• Allan Ruby, M.D.
• Corinne Sadecki-Lund, APRN
• Sharyl L Sadowski, NNP-BC
• Olivia Rose Safranek, PA-C
• Rita Pamela Saldanha, M.D.

• Obstetrics & Gynecology Nurse Practitioner in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Obstetrics & Gynecology Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.