KELLY JAE STRALEY CNP NPI 1386082923

NPI Information

NPI: 1386082923
Provider Name: KELLY JAE STRALEY, CNP
Classification: Nurse Practitioner - 363LX0106X
Entity Type: Individual

Specialization: Occupational Health

PECOS Registration: Yes

Address:
140 FOX RD
VAN WERT, OH
ZIP 45891
Phone: (419) 232-5279
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Kelly Jae Straley, CNP is an occupational health nurse practitioner in Van Wert, OH. Kelly Jae Straley, CNP NPI is 1386082923. 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:

140 FOX RD
VAN WERT, OH
ZIP 45891-475
Phone: (419) 232-5279

The NPI 1386082923 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 6/5/2013 and was last updated on 3/14/2017.

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	363LF0000X	Nurse Practitioner	Family	COA14689NP	OHIO	No
2	163W00000X	Registered Nurse		RN.334650	OHIO	No
3	363LX0106X	Nurse Practitioner	Occupational Health	COA14689-NP	OHIO	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	0090042	MEDICAID	OHIO
2	H249490	MEDICARE PIN	OHIO

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

NPI Synchronization or Removal

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