Lonna Beth Kelley, AGNP
Individual provider Active NPI Adult Health Nurse Practitioner · Phoenix, AZ
NPI 1982565693 · NPPES record last updated Nov 28, 2025
Key facts
- NPI
- 1982565693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 237333 (AZ)
- Practice address
- 1908 N 23Rd St
Phoenix, AZ 85006-2428 - Phone
- (602) 309-2847
- NPI assigned
- Nov 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10845 Griffith Peak Dr
Suite 2
Las Vegas, NV 89135-1555
4055 Valley View LN
Suite 400
Dallas, TX 75244-4910
4136 N 75TH Ave
Suite 116
Phoenix, AZ 85033-3100
428 Childers St
Suite 23343
Pensacola, FL 32534-9630
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260109000410 | AZ | Practitioner - Nurse Practitioner | 6507342508 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237333 | AZ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jarvis Tzeng, DO, P.a. | Current |
Accepting new patients |
Locations
350 E La Canada Blvd
Avondale, AZ 85323
Phone (540) 818-5752
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 237333 | AZ | Yes |
| Gerontology Nurse Practitioner | 363LG0600X | 237333 | AZ |
Addresses
Primary practice location
1908 N 23Rd St
Phoenix, AZ 85006-2428
Mailing address
1908 N 23Rd St
Phoenix, AZ 85006-2428
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | wholebodymindPLLC@gmail.com |
Other providers in Phoenix, AZ
- Jasmine D Kelley
- Jonathan Kelley
- Kelly Young Kelley
- Kimberly Kelley
- Lee Ann Kelley
- Patrick L Kelley
- Paul J Kelley
- Suzanne Kelley
- Joshua G Kellison
- Nicole Renee Kellum
All providers in Phoenix, AZ · Adult Health Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.