Brian Kelley

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

5635 Raby Rd Ste D
Norfolk, VA 23502-2465

Phone

(757) 956-5257

Fax

(757) 956-5283

NPI assigned

May 19, 2021

Last updated

May 19, 2021By the provider in NPPES

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

Practice roles

Locations

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.

• Dedicated Hearts LLC

  • Home Health Agency
  • Norfolk, VA
  • NPI 1467125849

  Personal Care Attendant

  NPD Authorized official

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1740854009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 RABY RD STE D",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022465",
            "telephone_number": "757-956-5257",
            "fax_number": "757-956-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 RABY RD STE D",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022465",
            "telephone_number": "757-956-5257",
            "fax_number": "757-956-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Kegley
• Tyler Anderson Keith, MD
• Jessica Joy Kell, M.D.
• Anthony Kellam Jr.
• Marilyn S Kellam, MD
• Katrina L. Kelley, RDH
• Nathaniel Kelley, LPC
• Alison M. Kelly, CRNA
• Caitlin Kelly, LPC
• Cynthia S Kelly, M.D.

• Personal Care Attendant in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Personal Care Attendant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.