Tprene J Kelly, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

661515-1 Issued in NY

Practice address

29B Bay Shore Ave
Bay Shore, NY 11706-7916

Phone

(631) 316-7293

NPI assigned

Nov 8, 2012

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1669726808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29B BAY SHORE AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067916",
            "telephone_number": "631-316-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29B BAY SHORE AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067916",
            "telephone_number": "631-316-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "TPRENE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "661515-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liam Patrick Kavanagh, MD
• Joseph Abraham Kavian
• Nadine Elizabeth Keefer, M.A., CF-SLP, TSSLD
• Colleen Mary Kelly, LMSW
• Nicholas Kelly
• Kathleen Kelpy, OT
• Darius Kennedy
• Mary M Kenny Corron, LCSW
• Joanne Kent-Palumbo
• Colleen Marie Kerins, DPT

• Registered Nurse in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.