KELLY A HALLAHAN
NPI 1023986916
Nurse Practitioner - Family in Lindenhurst, NY

Q: What is Kelly Hallahan's NPI number?

The NPI number for Kelly Hallahan is 1023986916. It was assigned to this individual provider in the NPPES registry on October 23, 2025.

Q: What is Kelly Hallahan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Hallahan was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 23, 2025

330 GRANADA PKWY, LINDENHURST, NY 11757(631) 609-7102 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly A Hallahan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY A HALLAHAN (NPI 1023986916) is an individual family provider in Lindenhurst, New York, licensed in New York (357795) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1023986916

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY A HALLAHAN

Location Address330 GRANADA PKWYLindenhurst, NY 11757-6303

Mailing Address330 Granada PkwyLindenhurst, NY 11757-6303 · (631) 609-7102

Phone(631) 609-7102

Sole ProprietorYes

Enumeration DateOctober 23, 2025

NPPES CertifiedOctober 23, 2025

✔ NPI 1023986916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 357795

330 GRANADA PKWY, Lindenhurst, NY 11757

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Hallahan's NPI number?

The NPI number for Kelly Hallahan is 1023986916. It was assigned to this individual provider in the NPPES registry on October 23, 2025.

Where is Kelly Hallahan located?

Kelly Hallahan practices at 330 Granada Pkwy, Lindenhurst, NY 11757. The listed phone number is (631) 609-7102.

What is Kelly Hallahan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelly Hallahan was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.