Kelly Care, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

KELLY CARE, LLC

Practice address

6100 Daylong LN Ste 105
Clarksville, MD 21029-1631

Phone

(202) 684-7167

Fax

(240) 483-0441

NPI assigned

Aug 28, 2018

Organization subpart

No

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

Authorized official

Name

Sarah Secrest

Title

Coo

Phone

(202) 684-7167

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kelly Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly A Goodman, NP

  • Adult Health Nurse Practitioner
  • Bethesda, MD
  • NPI 1639396914
  Medicare reassignment NPD
• Terese Sybor

  • Family Nurse Practitioner
  • Clarksville, MD
  • NPI 1225548308
  Medicare reassignment NPD

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1659852580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SANGAMORE RD STE S207",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162529",
            "telephone_number": "202-684-7167",
            "fax_number": "240-483-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 DAYLONG LN STE 105",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291631",
            "telephone_number": "202-684-7167",
            "fax_number": "240-483-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "SECREST",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "202-684-7167"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R156558",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devesh Dhruva Kanjarpane, MD MPH
• Jane Faith Kapustin, CRNP
• Charles T Karpewicz II, P.T.
• Julia Elizabeth Kassman
• Stephanie Kehres
• Lubna N Khan, MD
• Marium Khan
• Sarah M Kim
• Jessie Klein
• Faith Best Kneale

• Primary Care Nurse Practitioner in Clarksville, MD
• Providers in Clarksville, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.