Judith Beitel Kelley, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP009612 Issued in PA

Practice address

250 W Lancaster Ave
Suite 200
Paoli, PA 19301-1743

Phone

(610) 889-7530

Fax

(610) 889-7531

NPI assigned

Dec 3, 2007

Last updated

Jun 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Advocare , LLC

  • Internal Medicine Physician
  • Paoli, PA
  • NPI 1407492127
  NPD

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1659553428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W LINCOLN HWY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412547",
            "telephone_number": "610-363-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W LANCASTER AVE",
            "address_2": "SUITE 200",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011743",
            "telephone_number": "610-889-7530",
            "fax_number": "610-889-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JUDITH",
        "middle_name": "BEITEL",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Kautz, PAC
• Johnna Keen, MSW
• Keith Silverstein Oral & Maxillofacial Surgery, PC
• Catharine Gilfillan Keith, LCSW
• Claire Keithly, MS
• Lauren Kelly, NURSE PRACTITIONER
• Mary-Therese Kelly, BA, CAC
• Louise Kennedy, MS
• Debra Lynn Kenney, OD
• Rachel Lauren Kerr, PA-C

• Family Nurse Practitioner in Paoli, PA
• Providers in Paoli, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.