Individual provider Active NPI

Kelley Confer, RN

  • Registered Nurse
  • Lake Forest Park, WA
National Provider Identifier
1780322610
Registry record updated May 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
00155255 Issued in WA
Practice address
19736 40TH CT NE
Lake Forest Park, WA 98155-1604
Phone
(206) 715-1677
NPI assigned
May 20, 2022
Last updated
May 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 00155255 WA Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

19736 40TH CT NE
Lake Forest Park, WA 98155-1604

Mailing address

19736 40TH CT NE
Lake Forest Park, WA 98155-1604
Phone (206) 715-1677

Other names 1

  • Kelley Shinabarger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
00155255WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kelley Cares LLC CurrentSince Jun 5, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653696000000",
    "number": "1780322610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19736 40TH CT NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981551604",
            "telephone_number": "206-715-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19736 40TH CT NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981551604",
            "telephone_number": "206-715-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONFER",
        "first_name": "KELLEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-28",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "00155255",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "SHINABARGER",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Forest Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2022; 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.