Individual provider Active NPI

Louise Ann Dean-Kelly, DNS FNP

  • Family Nurse Practitioner
  • Utica, NY
National Provider Identifier
1609031277
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F330446 1 Issued in NY
Practice address
12 N Horatio Street
Sunyit Health and Wellness Center
Utica, NY 13504-3050
Phone
(315) 792-7172
NPI assigned
Jul 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F330446 1 NY Primary

Addresses

Primary practice location

12 N Horatio Street
Sunyit Health and Wellness Center
Utica, NY 13504-3050

Mailing address

PO Box 3050
Sunyit Health and Wellness Center
Utica, NY 13504-3050
Phone (315) 792-7172

Other names 1

  • Ms. Louise Ann Dean Former name

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

LicenseStateTypeSpecialty
F330446 1NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1609031277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3050",
            "address_2": "SUNYIT HEALTH AND WELLNESS CENTER",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135043050",
            "telephone_number": "315-792-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N HORATIO STREET",
            "address_2": "SUNYIT HEALTH AND WELLNESS CENTER",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135043050",
            "telephone_number": "315-792-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN-KELLY",
        "first_name": "LOUISE",
        "middle_name": "ANN",
        "name_prefix": "Prof.",
        "credential": "DNS FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330446 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUISE",
            "last_name": "DEAN",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.