Krista L Kelly, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

22444437 Issued in NY

Practice address

12 Pine Bush Rd
Stone Ridge, NY 12484-5811

Phone

(845) 687-0284

Fax

(845) 687-7691

NPI assigned

Apr 18, 2012

Last updated

Apr 18, 2012By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rondout Valley Central School

  • Local Education Agency (LEA)
  • Accord, NY
  • NPI 1003966201
  NPD (past)

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1720345515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "ACCORD",
            "state": "NY",
            "postal_code": "124040009",
            "telephone_number": "845-687-0284",
            "fax_number": "845-687-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PINE BUSH RD",
            "city": "STONE RIDGE",
            "state": "NY",
            "postal_code": "124845811",
            "telephone_number": "845-687-0284",
            "fax_number": "845-687-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KRISTA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22444437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Hutton
• Susan Karl, LCSW
• Kathleen J. Caproni, PHD, Licensed Psychologist, PLLC
• Christy A. Keegan, PT
• Kaitlyn Keisel-Stagnone, LCSW
• Nancy Lynn Keyasko, MPT
• Robert Klein, PT
• Deirdre Malinske, LMHC
• Patricia G Malone, LCSW
• Alicia Ann Marquis-Serson, SLP

• Registered Nurse in Stone Ridge, NY
• Providers in Stone Ridge, 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 Apr 18, 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.