Kellie Lyn Drake, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

688839 Issued in NY

Practice address

100 Robinwood Ave
Elmira Heights, NY 14903-1549

Phone

(607) 734-7132

NPI assigned

Jun 28, 2022

Sex

Female

Sole proprietor

No

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": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1629700760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SCOTTWOOD AVE APT B",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149031322",
            "telephone_number": "607-857-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROBINWOOD AVE",
            "city": "ELMIRA HEIGHTS",
            "state": "NY",
            "postal_code": "149031549",
            "telephone_number": "607-734-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "KELLIE",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "688839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Marie Bush, M.S./C.C.C.-SLP
• Carrie a Welty Dba Journey Through Speech
• Scott Christopher Cronin, PT
• Allan Danziger, M.D
• Theodora M. Drabinski, RN
• Elmira Heights Central School District
• Eric L Peterson DDS PC
• Erway Ambulance Service, Inc.
• Alissa Faber, LPN
• James Christian Ferretti, D.O.

• School Registered Nurse in Elmira Heights, NY
• Providers in Elmira Heights, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.