KELLY PAINTER NP NPI 1699219469

NPI Information

NPI: 1699219469
Provider Name: KELLY PAINTER, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
100 JACKSON PIKE
GALLIPOLIS, OH
ZIP 45631
Phone: (304) 429-1088
Get Directions

Kelly Painter, NP is a family nurse practitioner in Gallipolis, OH with 8 years of experience. Kelly Painter, NP NPI is 1699219469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 JACKSON PIKE
GALLIPOLIS, OH
ZIP 45631-560
Phone: (304) 429-1088

The NPI 1699219469 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 12/13/2016 and was last updated on 7/13/2020.

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	208M00000X	Hospitalist		CNP020324	OHIO	No
2	363LF0000X	Nurse Practitioner	Family	APRN.CNP.020324	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	1699219469	MEDICAID	WEST VIRGINIA
2	0203490	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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