Sean Kelly, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9188756 Issued in FL

Practice address

530 Virginia Dr
Lake Worth, FL 33461-5751

Phone

(561) 577-7925

NPI assigned

May 25, 2020

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590364800000",
    "number": "1811510894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 VIRGINIA DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334615751",
            "telephone_number": "561-577-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 VIRGINIA DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334615751",
            "telephone_number": "561-577-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SEAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-25",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9188756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Lewis Kellar
• Alexis Kelly, DNP
• Claudine Kelly, LMHC
• John Kelly
• Julie Kelly, ARNP
• Kendall Kemp
• Kennedy Health Care, Inc.
• Angela Kennedy
• Lowell Douglas Kennedy, M.D.
• Kenneth S. Jaffe, M.D., P.a.

• Registered Nurse in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; 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.