Audrey Leah Kelly, EDD, APNC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

26NC05718500 Issued in NJ

Practice address

1691 Highway 9
CN 2025
Toms River, NJ 08754

Phone

(732) 914-3843

Fax

(732) 914-3854

NPI assigned

Aug 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NJ

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, 1980

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Beaware CorpGroup PAC ID 9931597796, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

Practice roles

Locations

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.

• Beaware Corp

  • Community/Behavioral Health Agency
  • Lakewood, NJ
  • NPI 1720641004
  Medicare reassignment Care Compare group NPD
• Lakewood Resource and Referral Center Inc

  dba Center for Health Education, Medicine and Dentistry

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1083748297
  Medicare reassignment NPD
• Lakewood Resource and Referral Center, Inc.

  dba Center for Health Education, Medicine and Dentistry

  • Federally Qualified Health Center (FQHC)
  • Jackson, NJ
  • NPI 1124844816
  NPD
• Biobehavioral Health

  • Specialist
  • Toms River, NJ
  • NPI 1932247228
  NPD (past)
• Jersey Shore Psychiatric Services LLC

  • Clinic/Center
  • Avenel, NJ
  • NPI 1417499260
  NPD (past)
• Ocean Orthopedic Associates, P.a.

  • Orthopaedic Surgery Physician
  • Toms River, NJ
  • NPI 1952732638
  NPD (past)
• Saint Barnabas Behavioral Health Center Inc

  • Psychiatric Hospital
  • Toms River, NJ
  • NPI 1033229158
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851308522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 HIGHWAY 9",
            "address_2": "CN 2025",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08754",
            "telephone_number": "732-914-3843",
            "fax_number": "732-914-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 HIGHWAY 9",
            "address_2": "CN 2025",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08754",
            "telephone_number": "732-914-3843",
            "fax_number": "732-914-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "AUDREY",
        "middle_name": "LEAH",
        "credential": "EDD, APNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NC05718500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Mackenzie Keehn, LAC,NCC
• Emily Keenan, LCSW
• Tabetha Tapiwa-Rose Keita
• Tyler E Keller
• Melanie Rose Kellner, LCSW, LCADC
• Riva Kelly, DO
• Shannon Cathleen Kelly, APN
• Tara Kelly, MSW, LSW
• Alyssa Kelman
• Avigail Kemmoun

• Psychiatric/Mental Health Clinical Nurse Specialist in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.