Individual provider Active NPI

Kelly L Storrs, NP

  • Family Nurse Practitioner
  • Whitney Point, NY
National Provider Identifier
1932187374
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
320055 Issued in NY
Practice address
2660 West Main St
Whitney Point, NY 13862
Phone
(607) 692-3600
Fax
(607) 692-3499
NPI assigned
Jan 5, 2006
Last updated
Mar 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 320055 NY Primary

Addresses

Primary practice location

2660 West Main St
Whitney Point, NY 13862

Mailing address

2660 West Main St
Whitney Point, NY 13862
Phone (607) 692-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20080306000445 NY Practitioner - Nurse Practitioner 8325123920 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
320055NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Statline Medical PC CurrentSince Jun 1, 2021 Accepting new patients

Locations

451 Broad St
Salamanca, NY 14779
Phone (716) 945-1800

Interoperability endpoints

  • Direct secure messaging: kellystorrs@hiemail.healtheconnections.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1932187374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 WEST MAIN ST",
            "city": "WHITNEY POINT",
            "state": "NY",
            "postal_code": "13862",
            "telephone_number": "607-692-3600",
            "fax_number": "607-692-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 WEST MAIN ST",
            "city": "WHITNEY POINT",
            "state": "NY",
            "postal_code": "13862",
            "telephone_number": "607-692-3600",
            "fax_number": "607-692-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORRS",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "320055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitney Point, NY

Sources for this page

Verify at the official NPI Registry.