Kara Kelly, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201604186NP-PP Issued in OR

Legal business name

KARA KELLY, LLC

Practice address

2955 N Hwy 97
Suite 102
Bend, OR 97703-7559

Phone

(949) 274-2881

NPI assigned

Aug 2, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Kara L Kelly, PMHNP

Title

Owner

Phone

(949) 274-2881

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1952854481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 N HWY 97",
            "address_2": "SUITE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037559",
            "telephone_number": "949-274-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 N HWY 97",
            "address_2": "SUITE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037559",
            "telephone_number": "949-274-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARA KELLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-274-2881",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201604186NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Kane, MA, CCC-SLP
• Hyung-Chil Kang, M.D.
• Adam Spencer Kaplan, PA-C
• Beau H Kapp, DMD
• Hannah Kappus, QMHP
• Brock Karben, O.D.
• Emily Marie Karben, O.D.
• Justine Kargol
• Atul Karki, M.D
• Azure Karli, ND

• Psychiatric/Mental Health Nurse Practitioner in Bend, OR
• Providers in Bend, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.