KELLY JOCELYN KREIS RN LMT NPI 1356615504

NPI Information

NPI: 1356615504
Provider Name: KELLY JOCELYN KREIS, RN, LMT
Classification: Registered Nurse - 163WM1400X
Entity Type: Individual

Specialization: Nurse Massage Therapist (NMT)

Address:
2500 ROUTE 347
SUITE 8D
STONY BROOK, NY
ZIP 11790
Phone: (516) 381-0276
Get Directions

Kelly Jocelyn Kreis, RN, LMT is a nurse massage therapist (nmt) registered nurse in Stony Brook, NY. Kelly Jocelyn Kreis, RN, LMT NPI is 1356615504. 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:

2500 ROUTE 347
SUITE 8D
STONY BROOK, NY
ZIP 11790-555
Phone: (516) 381-0276

The enumeration date for this NPI number is 3/6/2012 and was last updated on 3/6/2012.

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	163WM1400X	Registered Nurse	Nurse Massage Therapist (NMT)	020418-1	NEW YORK	No
2	163WM1400X	Registered Nurse	Nurse Massage Therapist (NMT)	640956-1	NEW YORK	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	020418-1	OTHER	NEW YORK	NYS LICENSED MASSAGE THERAPIST
2	6409561	OTHER	NEW YORK	NY REGISTERED PROFESSIONAL NURSE
3	527755-07	OTHER		NATIONALLY CERTIFIED FOR THERAPEUTIC MASSAGE AND BODYWORK

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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