LISA L KELLY CRNP NPI 1154752608

NPI Information

NPI: 1154752608
Provider Name: LISA L KELLY, CRNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
694 GOOD DR
SUITE 11
LANCASTER, PA
ZIP 17601
Phone: (717) 544-3737
Get Directions

Lisa L Kelly, CRNP is a women's health nurse practitioner in Lancaster, PA with 12 years of experience. Lisa L Kelly, CRNP NPI is 1154752608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

694 GOOD DR
SUITE 11
LANCASTER, PA
ZIP 17601-433
Phone: (717) 544-3737
Fax: (717) 544-3739

The NPI 1154752608 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/10/2013 and was last updated on 9/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	367A00000X	Advanced Practice Midwife				No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	SP015590	PENNSYLVANIA	No
3	363L00000X	Nurse Practitioner		SP015590	PENNSYLVANIA	No
4	363LW0102X	Nurse Practitioner	Women's Health	SP015590	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	335339	MEDICARE PIN	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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