MRS. KELLY ANN CALLIS ARNP FNP-C
NPI 1033610100
Nurse Practitioner in Minnetonka, MN

Q: What is Kelly Callis's NPI number?

The NPI number for Kelly Callis is 1033610100. It was assigned to this individual provider in the NPPES registry on February 23, 2018.

Q: What is Kelly Callis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Callis was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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 February 23, 2018

9900 BREN RD E, MINNETONKA, MN 55343(941) 725-2171 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 26, 2020, Mar 12, 2018, Feb 23, 2018 (3 updates tracked since 2018).

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About Mrs. Kelly Ann Callis Arnp Fnp-c NPPES

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

MRS. KELLY ANN CALLIS ARNP FNP-C (NPI 1033610100) is an individual nurse practitioner in Minnetonka, Minnesota, licensed in Florida (ARNP9311654) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1033610100

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. KELLY ANN CALLISCredential: ARNP FNP-C

Location Address9900 BREN RD EMinnetonka, MN 55343-9664

Mailing Address812 60th St NwBradenton, FL 34209-1407 · (941) 725-2171

Phone(941) 725-2171

Sole ProprietorNo

Enumeration DateFebruary 23, 2018

Last NPPES UpdateJune 26, 20203 updates tracked since enumeration

NPPES CertifiedJune 26, 2020

✔ NPI 1033610100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · ARNP9311654

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9311654 (FL)

9900 BREN RD E, Minnetonka, MN 55343

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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