Active NPI
Patricia Kelley, RN
- Home Health Registered Nurse
- East Sandwich, MA
National Provider Identifier
1891348322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN240814
- Practice address
- 11 Thumpertown LN
East Sandwich, MA 02537-1610 - Phone
- (774) 313-9022
- NPI assigned
- Jul 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN240814 | MA | Primary |
Addresses
Primary practice location
11 Thumpertown LN
East Sandwich, MA 02537-1610
Mailing address
11 Thumpertown LN
East Sandwich, MA 02537-1610
Phone (774) 313-9022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN240814 | MA | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1891348322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 THUMPERTOWN LN",
"city": "EAST SANDWICH",
"state": "MA",
"postal_code": "025371610",
"telephone_number": "774-313-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 THUMPERTOWN LN",
"city": "EAST SANDWICH",
"state": "MA",
"postal_code": "025371610",
"telephone_number": "774-313-9022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "PATRICIA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-23",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "MA",
"license": "RN240814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Sandwich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.