Active NPI
Pamela Kelly
- Home Health Aide
- Gallipolis Ferry, WV
National Provider Identifier
1619864634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 316 Eternity LN
Gallipolis Ferry, WV 25515-6616 - Phone
- (304) 675-0367
- NPI assigned
- Jun 23, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
316 Eternity LN
Gallipolis Ferry, WV 25515-6616
Mailing address
316 Eternity LN
Gallipolis Ferry, WV 25515-6616
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1619864634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 ETERNITY LN",
"city": "GALLIPOLIS FERRY",
"state": "WV",
"postal_code": "255156616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 ETERNITY LN",
"city": "GALLIPOLIS FERRY",
"state": "WV",
"postal_code": "255156616",
"telephone_number": "304-675-0367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "PAMELA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-06-23",
"last_updated": "2025-06-23",
"certification_date": "2025-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gallipolis Ferry, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.