Kathleen Kelly, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

335834 Issued in NY

Practice address

120 Mace St
Staten Island, NY 10306-1443

Phone

(917) 518-1355

NPI assigned

Feb 3, 2026

Last updated

Feb 3, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1528918042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MACE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MACE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061443",
            "telephone_number": "917-518-1355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 Veterans Hwy Ste 310",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "117882940",
            "country_code": "US",
            "telephone_number": "631-851-9473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KATHLEEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "335834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryanna Colleen Kelly, DNP, AGNP-BC
• Erin Kathleen Kelly, PA-C
• Gilean Kelly, RN
• Helen Kelly, RN
• Kaitlyn Kelly, FNP-BC
• Kerry Kelly, MD
• Kristen Marie Kelly
• Ryan Kelly
• Geri Rebecca Kelsch, PHARMD
• Karen Keltner

• Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.