Leah Kelly, PNP-BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R200411 Issued in MD

Practice address

200 Forbes St Ste 200
Annapolis, MD 21401-1599

Phone

(401) 580-4247

NPI assigned

Aug 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Leah Ottinger Former name

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kapiolani Medical SpecialistsGroup PAC ID 0648183988, 103 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Kapiolani Medical Specialists

  dba Hawaii Pacific Health Medical Group

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
  • NPI 1124071014
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1659705077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 DULANY PL",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214096220",
            "telephone_number": "401-580-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FORBES ST STE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011599",
            "telephone_number": "401-580-4247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Regents Park Row",
            "address_2": "Suite 355",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920379124",
            "country_code": "US",
            "telephone_number": "858-457-2043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LEAH",
        "credential": "PNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95003321",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R200411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "OTTINGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Kelley, NP
• David J Kellner, LCPC
• Lindsey Kellner, MS, OTR/L
• Kelly Sullivan,M.D.,P.C. (Plastic & Reconstructive Surgery of Annapolis)
• Kristin Kelly
• Rachel Romano Kelly, PT
• Mary Stuart Kempton
• Jennifer Kendall
• Krystal Kenes, OTR/L
• Kennedy R Dele, DMD PC (Annapolis Dental Center)

• Pediatric Nurse Practitioner in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.