Active NPI
Kelly Conley
- Nursing Care Agency
- Wheelersburg, OH
National Provider Identifier
1851695100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 123463
- Legal business name
- KELLY CONLEY
- Practice address
- 46 Andrea Dr
Wheelersburg, OH 45694-8789 - Phone
- (740) 250-4235
- Fax
- (740) 250-4235
- NPI assigned
- Dec 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kelly Lee Conley, LPN
- Title
- Licensed Practical Nurse
- Phone
- (740) 250-4235
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 123463 | OH | |
| Nursing Care Agency | 251J00000X | 123463 | OH | Primary |
Addresses
Primary practice location
46 Andrea Dr
Wheelersburg, OH 45694-8789
Mailing address
46 Andrea Dr
Wheelersburg, OH 45694-8789
Phone (740) 250-4235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7402504235 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293667200000",
"number": "1851695100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 ANDREA DR",
"city": "WHEELERSBURG",
"state": "OH",
"postal_code": "456948789",
"telephone_number": "740-250-4235",
"fax_number": "740-250-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 ANDREA DR",
"city": "WHEELERSBURG",
"state": "OH",
"postal_code": "456948789",
"telephone_number": "740-250-4235",
"fax_number": "740-250-4235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELLY CONLEY",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-30",
"last_updated": "2010-12-30",
"status": "A",
"authorized_official_last_name": "CONLEY",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
"authorized_official_telephone_number": "740-250-4235",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "123463",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "OH",
"license": "123463",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7402504235",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheelersburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.