Lisa Jane Kelly, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

777596 Issued in TX

Practice address

4710 Quiet Canyon Dr
Friendswood, TX 77546-3262

Phone

(832) 768-0986

NPI assigned

Mar 12, 2021

Sex

Female

Sole proprietor

No

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": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1679158406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 QUIET CANYON DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463262",
            "telephone_number": "832-768-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 QUIET CANYON DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463262",
            "telephone_number": "832-768-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LISA",
        "middle_name": "JANE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "777596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azhar Rafiq Kassam, RPH
• KC Home Care, LLC (BrightStar Care of Friendswood)
• Brian Kearns, PH.D
• Jerry May Keepers, M.D.
• Deborah L Keklak, MA LPC
• Jessica Kendrick
• Kenneth Hollis, M.D., P.a.
• Kessinger Counseling Group
• Shelly Ann Kessinger, LPC
• Shahnaz Khan, M.D.

• Registered Nurse in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.