Jan Kelsey, RN

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN00114259 Issued in WA

Practice address

1130 Eagle Rock Rd
Colorado Springs, CO 80918-3906

Phone

(719) 238-0117

Fax

(719) 268-1711

NPI assigned

Jan 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Surgical Services Incorporated

  • Specialist
  • Colorado Springs, CO
  • NPI 1740351816
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1629048897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 EAGLE ROCK RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183906",
            "telephone_number": "719-238-0117",
            "fax_number": "719-268-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 EAGLE ROCK RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183906",
            "telephone_number": "719-238-0117",
            "fax_number": "719-268-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "JAN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "RN00114259",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "WA",
            "license": "RN00114259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Kelly
• Shannon Elizabeth Kelly, LPC
• Sheila Kelly
• Stacy R Kelly
• Kelly'S Park-Hill Optical Company
• Katherine Kelto, NP
• Aidan Kemp
• Aneke Kemp
• Cherie Kemp
• Jason Kemp

• Registered Nurse First Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Registered Nurse First Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.