Karen A Kelly, CM, FACNM, LMT

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

01544 Issued in NY

Practice address

7010 Girard St
MC Lean, VA 22101-5013

Phone

(845) 641-0563

NPI assigned

Mar 13, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1902047467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 FAIRFAX DR",
            "address_2": "APT 1201",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222014442",
            "telephone_number": "845-641-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 GIRARD ST",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015013",
            "telephone_number": "845-641-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KAREN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CM, FACNM, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "017741",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "01544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzannah Kawachi, PA-C
• Shannon Marie Kazmerick, BCBA
• Jaidyn Kee
• Brett Keefer, DPT
• Sara Keller
• Katherine Kelly, PSYD
• Katie Sinclair Kelly, PSY.D.
• Daniel R Kendall, DO
• Kensington Pathology Consultants-Inc
• Kensington Pathology Consultants, Inc

• Advanced Practice Midwife in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Advanced Practice Midwife in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.