Individual provider Active NPI

Lonna Beth Kelley, AGNP

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1982565693
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
237333 Issued in AZ
Practice address
1908 N 23Rd St
Phoenix, AZ 85006-2428
Phone
(602) 309-2847
NPI assigned
Nov 21, 2025
Last updated
Nov 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 237333 AZ Primary
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 1

TypeEndpointUseAffiliation
Other URL wholebodymindPLLC@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260109000410 AZ Practitioner - Nurse Practitioner 6507342508 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237333AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jarvis Tzeng DO P a CurrentSince Dec 1, 2025 Accepting new patients

Locations

350 E La Canada Blvd
Avondale, AZ 85323
Phone (540) 818-5752

Organizations & group practices 3

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": "1763683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1982565693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N 23RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N 23RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062428",
            "telephone_number": "602-309-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "LONNA",
        "middle_name": "BETH",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "237333",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "237333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wholebodymindPLLC@gmail.com",
            "affiliation": "N",
            "address_1": "1908 N 23rd St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850062428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.