Kelly L Thomas, LICENSED PRACTICAL N

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

317256-1 Issued in NY

Practice address

19 Glenridge Rd Ste E
Glenville, NY 12302

Phone

(518) 370-1515

NPI assigned

Aug 10, 2017

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 names 1

• Kelly L Howley Former name

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": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1972028991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GLENRIDGE RD STE E",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "12302",
            "telephone_number": "518-370-1515",
            "fax_number": "518-370-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 GLENRIDGE RD STE E",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "12302",
            "telephone_number": "518-370-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KELLY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LICENSED PRACTICAL N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "317256-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "HOWLEY",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Ann Spellman, PHARMD
• Stacy Stanley, RN
• Daniel John Stedman, R.PH.
• Erika Straight
• Mina Sun, MD
• Thrive Chiropractic, PC
• Kelly Ann Torres, MS TSHH
• Cherie Mai Turner, C.O.T.A.
• Kevin Daniel Valade, RPH
• Teri Lynn Vanepps, OTR/L

• Licensed Practical Nurse in Glenville, NY
• Providers in Glenville, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.