Nina Cecelia Kelly, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

263364 Issued in NY

Practice address

29 Drexel Rd
Buffalo, NY 14214-2801

Phone

(716) 804-1027

NPI assigned

Feb 5, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Nina C McCreary Professional 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": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1972961886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 DREXEL RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142801",
            "telephone_number": "716-804-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 DREXEL RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142801",
            "telephone_number": "716-804-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "NINA",
        "middle_name": "CECELIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "263364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "MCCREARY",
            "middle_name": "C",
            "prefix": "MRS.",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kara Maureen Kelly, MD
• Kathleen Kelly
• Kevin M Kelly, LCSW
• Kristen Marie Kelly, MD
• Margaret Ellen Crotty Kelly, RN, PNP
• Opal Kelly, MS
• Raymond Kelly, MD
• William Hugh Kelly II, MD
• Louisa Fuoco Kelsey
• Alexis Kelson

• Licensed Practical Nurse in Buffalo, NY
• Providers in Buffalo, 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 Feb 5, 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.