Julia Kellom

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1414 S Green Rd Ste 307
South Euclid, OH 44121-3976

Phone

(216) 304-7484

NPI assigned

Nov 4, 2021

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

Practice roles

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

• First and Twenty Five LLC

  • Community/Behavioral Health Agency
  • Cleveland, OH
  • NPI 1164068540
  NPD (past)

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1730844630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 MAYFIELD RD APT 11",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181869",
            "telephone_number": "216-440-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S GREEN RD STE 307",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213976",
            "telephone_number": "216-304-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOM",
        "first_name": "JULIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Kahler
• Heeba Kaleem, PA-C
• Tiara Kaseda, LPN
• Amy Hehr Kassouf, M.D.
• Georgianna Perara Kates, M.D.
• Kelly M Kelmes, CNP
• Anthony Tyrell Kennedy
• Molly Marie Kennedy, CPNP
• Lawrence Tambling Kent, M.D.
• Michael W Kessinger, D.P.M.

• Case Manager/Care Coordinator in South Euclid, OH
• Providers in South Euclid, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.