Organization Active NPI

Kelly Conley

  • Nursing Care Agency
  • Wheelersburg, OH
National Provider Identifier
1851695100
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
123463 Issued in OH
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

Updated by the provider on Dec 30, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7402504235MedicaidOH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.