Sean Kelley

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN566630 Issued in PA

Practice address

416 Tudor Dr Apt B5
Cape Coral, FL 33904-9478

Phone

(610) 406-2516

NPI assigned

Nov 27, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1689005753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 TUDOR DR APT B5",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049478",
            "telephone_number": "610-406-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 TUDOR DR APT B5",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049478",
            "telephone_number": "610-406-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "SEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN566630",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9372714",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Elaine Keenan, MS SLP-CCC
• Rebecca Keeton
• Keith a. Baker, D.O., P.a.
• William R. Keith Jr., MD
• Brooke Leanne Kelley, PHARMD
• Lidysvet Kelly Ortega
• Jordan Lacey Kelly, CRNA
• Rita A. Kelly, APRN
• Kenneth W. Backstrand & Associates, MD,PA
• Alisha L Kennison, COTA/L

• Registered Nurse in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.