Individual provider Active NPI

Mary Joe Kell

  • Family Nurse Practitioner
  • Salinas, CA
National Provider Identifier
1659007078
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021770 Issued in CA
Practice address
1336 Natividad Rd
Salinas, CA 93906-3138
Phone
(831) 755-4444
NPI assigned
Jul 27, 2022
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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 95021770 CA Primary

Addresses

Primary practice location

1336 Natividad Rd
Salinas, CA 93906-3138

Mailing address

590 Sutter St
Salinas, CA 93906-2544
Phone (831) 214-1995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129001126 CA Order and Referring Only - Nurse Practitioner 5294188082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Lucia Medical Group, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mmartinez18751@direct.svmh.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1659007078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 SUTTER ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939062544",
            "telephone_number": "831-214-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 NATIVIDAD RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063138",
            "telephone_number": "831-755-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELL",
        "first_name": "MARY JOE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.