Kelley J Harnett, APRN.CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0034016 Issued in OH

Practice address

7623 Market St
Youngstown, OH 44512-6054

Phone

(330) 965-5100

Fax

(330) 965-5119

NPI assigned

Jun 8, 2023

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Triad Health Services, LLC

  dba Southwoods Physician Services

  • Plastic Surgery Physician
  • Youngstown, OH
  • NPI 1588925457

  Family

  NPD
• The Surgery Center at Southwoods, LLC

  dba The Surgical Hospital at Southwoods

  • Special Hospital
  • Youngstown, OH
  • NPI 1740398890
  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1922792118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEBARTOLO PL STE 200",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126095",
            "telephone_number": "330-965-5100",
            "fax_number": "330-965-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7623 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126054",
            "telephone_number": "330-965-5100",
            "fax_number": "330-965-5119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 E Market St",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444836608",
            "country_code": "US",
            "telephone_number": "330-841-9011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9371 E Market St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444845551",
            "country_code": "US",
            "telephone_number": "330-965-5100",
            "fax_number": "330-965-5119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARNETT",
        "first_name": "KELLEY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "APRN.CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0034016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197598",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Hargest, LPCC
• Irene Mary Hargrave
• Sundaram Harikrishnan, MD
• Charles A Harmon
• Shacorey Tyante' Harmon
• Barbara Elaine Harper
• Amber Harrington
• Alysha S Harris
• Ashley J Harris, LPN
• Charles Stephon Harris

• Family Nurse Practitioner in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.