Kellie Sheehy, APRN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3010776 Issued in KY

Practice address

9503 Norton Commons Blvd
Prospect, KY 40059-7522

Phone

(502) 767-8224

NPI assigned

Oct 18, 2016

Sex

Female

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

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: clearearspllc.kelliesheehy@138620.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clear Ears

  • Specialist
  • Prospect, KY
  • NPI 1679074215
  Medicare reassignment NPD Authorized official
• Horizon Recovery

  • Multi-Specialty Clinic/Center
  • Warfield, KY
  • NPI 1235703596

  Family

  Medicare reassignment NPD Authorized official
• Horizon Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Warfield, KY
  • NPI 1447187075
  NPD Authorized official
• Clear Ears

  • Specialist
  • Prospect, KY
  • NPI 1538645676
  NPD (past) Authorized official

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588464000000",
    "number": "1821549585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9503 NORTON COMMONS BLVD",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597522",
            "telephone_number": "502-767-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9503 NORTON COMMONS BLVD",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597522",
            "telephone_number": "502-767-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHY",
        "first_name": "KELLIE",
        "credential": "APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2020-05-03",
        "certification_date": "2020-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth B Schneider, SPEECH PATHOLOGIST
• Christine M Schupp, PMHNP
• David William Schwytzer, C.R.N.A.
• Vedad Seremet, M.D.
• Mitra Shams, MD
• Rachel Simms, OTR/L
• Smith Medical and Palliative Care Services, PLLC
• Christopher Matthew Smith, M.D.
• Shannon Nichole Smith
• Eva Maria Snadon, TARGET CASE MANAGEME

• Family Nurse Practitioner in Prospect, KY
• Providers in Prospect, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.