Karen Kelly, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

481691 Issued in NY

Practice address

29 Buchanan St
Pearl River, NY 10965-1509

Phone

(845) 548-2773

NPI assigned

Jan 21, 2016

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": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1740647726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BUCHANAN ST",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651509",
            "telephone_number": "845-548-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BUCHANAN ST",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651509",
            "telephone_number": "845-548-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KAREN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "481691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Joyce, OT
• Monica Juneja, DDS
• Kelly-Anne Kahn, MASTERS IN EDUCATION
• Stephen Kaplan, L.AC.
• Jolene Keegan
• Marie K Kelly, MS.ED
• Margaret Rose Kenney, OTR/L
• Deanna Elisabeth Kerins
• Amy Kern
• Savannah Jiyoung Kim, DDS

• Registered Nurse in Pearl River, NY
• Providers in Pearl River, 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 Jan 21, 2016; 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.