Janet R Kelly, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD14315 Issued in OR

Practice address

525 N Columbia River Hwy
St Helens, OR 97051-1226

Phone

(503) 366-6244

Fax

(503) 366-6246

NPI assigned

May 3, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Saint Helens Internal Medicine

  • Internal Medicine Physician
  • Saint Helens, OR
  • NPI 1316293921
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1639137912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 976",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970510976",
            "telephone_number": "503-366-6244",
            "fax_number": "503-366-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N COLUMBIA RIVER HWY",
            "city": "ST HELENS",
            "state": "OR",
            "postal_code": "970511226",
            "telephone_number": "503-366-6244",
            "fax_number": "503-366-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JANET",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD14315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125757",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Kalugendo
• Clayton Charles Kammer, QMHA-CADC1
• Carmen Kauffman, QMHA
• Jovimarae Keech
• Jennifer Carroll Kehoe
• Nick Kelly
• Angeleic Kennemer
• Sabrina Kent
• Miranda Clare Kepler
• Shylo Sophia Ketterling

• Family Medicine Physician in St Helens, OR
• Providers in St Helens, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.