Stefanie Kelly, LCCE

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

185 Spring View CT
Dallas, GA 30157-3015

Phone

(845) 453-7372

NPI assigned

Oct 2, 2017

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

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1568972719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SPRING VIEW CT",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301575224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 SPRING VIEW CT",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301573015",
            "telephone_number": "845-453-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "STEFANIE",
        "credential": "LCCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Kattner, PTA
• Amy Lynn Kay, MS, LPC
• Terry S Kaye, DC
• Keesha K Hampton OD PC
• Sarah Kell
• Gloria Kemp
• Scheene Kendrick, RDN,LD
• Diana Keys
• Erica Carmen Killen, RPH
• Linda Hudson Kimbrough, MS, LPC

• Doula in Dallas, GA
• Providers in Dallas, GA by specialty
• Doula in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.