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LESLIE R KELLY APRN NPI 1205946266


NPI Information

NPI: 1205946266
Provider Name: LESLIE R KELLY, APRN
Classification: Nurse Practitioner - 363L00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
30 LOCUST ST
NORTHAMPTON, MA
ZIP 01060
Phone: (413) 582-2441
Get Directions

Leslie R Kelly, APRN is a nurse practitioner in Northampton, MA. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Leslie R Kelly, APRN NPI is 1205946266. 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:

30 LOCUST ST
NORTHAMPTON, MA
ZIP 01060-052
Phone: (413) 582-2441

The NPI 1205946266 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 8/30/2006 and was last updated on 6/21/2016.


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
1363LF0000XNurse PractitionerFamily101-0021171VERMONTNo
2163W00000XRegistered Nurse191800-30WISCONSINNo
3363LF0000XNurse PractitionerFamily238190MASSACHUSETTSNo
4363L00000XNurse Practitioner4902-33WISCONSINYes

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
11205946266MEDICAIDWISCONSIN
21008712MEDICAIDVERMONT
31205946266OTHERWISCONSINBCBSWI
4KELLYLESOTHERWISCONSINMERCYCARE INSURANCE
5110102297AMEDICAIDMASSACHUSETTS
6P66923MEDICARE UPIN
7KE NP 3894MEDICARE ID-TYPE UNSPECIFIEDVERMONT

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: 5/5/2024

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.