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DR. JENNIFER LYNN KELLY MD NPI 1164607149


NPI Information

NPI: 1164607149
Provider Name: DR. JENNIFER LYNN KELLY, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: DIGNITY HEALTH MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
2018 MISSION STREET
SANTA CRUZ, CA
ZIP 95060
Phone: (831) 475-8834
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DR. Jennifer Lynn Kelly, MD is a general practice in Santa Cruz, CA with 19 years of experience. DR. Jennifer Lynn Kelly, MD NPI is 1164607149. 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:

2018 MISSION STREET
SANTA CRUZ, CA
ZIP 95060
Phone: (831) 475-8834

The NPI 1164607149 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Urinalysis, manual test (HCPCS:81002)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 1/8/2008 and was last updated on 12/4/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeA101523CALIFORNIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.