Kelli Ann Zore, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN280649 Issued in PA

Practice address

1100 Million Dollar Hwy FL 3
Saint Marys, PA 15857-2728

Phone

(814) 781-6758

Fax

(814) 834-1038

NPI assigned

Oct 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1780227579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MILLION DOLLAR HWY",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158572728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MILLION DOLLAR HWY FL 3",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158572728",
            "telephone_number": "814-781-6758",
            "fax_number": "814-834-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORE",
        "first_name": "KELLI",
        "middle_name": "ANN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN280649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unknown",
            "affiliation": "Y",
            "affiliationName": "DuBois Regional Medical Center",
            "address_1": "1100 Million Dollar Hwy Fl 3",
            "city": "Saint Marys",
            "state": "PA",
            "country_code": "US",
            "postal_code": "158572728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alicia M Wurm, PA-C
• Jamie Yetzer
• Shannon Lynn Young, COTA/L
• Sharon Zaffarese-Dippold, PHD, LCSW-R, LCSW, L
• Keith L. Zeliger, DO
• Muhammad Habib Zubair, MD

• Licensed Practical Nurse in Saint Marys, PA
• Providers in Saint Marys, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.