MRS. SUSAN R KELLY APRN NPI 1659368595

NPI Information

NPI: 1659368595
Provider Name: MRS. SUSAN R KELLY, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: THE COUNSELING CENTER OF NASHUA INC

PECOS Registration: Yes

Address:
1 MAIN ST
NASHUA, NH
ZIP 03064
Phone: (603) 883-0005
Get Directions

MRS. Susan R Kelly, APRN is a psychiatric/mental health nurse practitioner in Nashua, NH with 10 years of experience. MRS. Susan R Kelly, APRN NPI is 1659368595. 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:

1 MAIN ST
NASHUA, NH
ZIP 03064
Phone: (603) 883-0005
Fax: (603) 883-0007

The NPI 1659368595 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 10/5/2005 and was last updated on 6/5/2019.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN048-042-21	NEW HAMPSHIRE	No
2	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	048042-23	NEW HAMPSHIRE	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN048042-23	NEW HAMPSHIRE	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	40V001351NH01	OTHER	NEW HAMPSHIRE	ANTHEM

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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