Lazeric Kelly

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

281 Barberry Dr
Jackson, MI 49203-3252

Phone

(517) 358-0098

NPI assigned

May 3, 2024

Sex

Male

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

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1801643242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 BARBERRY DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033252",
            "telephone_number": "517-358-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 BARBERRY DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033252",
            "telephone_number": "517-358-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LAZERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Lee Kellogg, D.C.
• Marissa Kells, M.M., MT-BC
• Eric G Kelly, LLMSW
• Gwenda J Kelly, L.L.P.C
• Kathryn A Kelly, CRNA
• Natalie Ann Kember, LMSW
• Julianna Kemler
• Kathy Kemler, LLPC
• Ben Kemp
• Kendra Seagraves Nutrition, LLC

• All providers in Jackson, MI
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.