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MS. NICOLE SHAVON KELLY PHD
NPI 1053849166
Case Manager/Care Coordinator in Timonium, MD

Active since June 02, 2017
11 MISTY WOOD CIR APT H, TIMONIUM, MD 21093(443) 949-2008 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 22, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Ms. Nicole Shavon Kelly Phd NPPES

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

MS. NICOLE SHAVON KELLY PHD (NPI 1053849166) is an individual case manager/care coordinator provider in Timonium, Maryland and active in the NPI registry since June 2017. She maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1053849166
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMS. NICOLE SHAVON KELLYCredential: PHD
Location Address11 MISTY WOOD CIR APT HTimonium, MD 21093-1338
Mailing AddressPo Box 20093Towson, MD 21284-0093 · (443) 949-2008
Phone(443) 949-2008
Sole ProprietorYes
Enumeration DateJune 2, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1053849166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedAssistant Behavior AnalystTaxonomy 106E00000X
Also ListedContractorTaxonomy 171W00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedRehabilitation PractitionerTaxonomy 225400000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedAdult CompanionTaxonomy 372600000X
Also ListedHome Health AideTaxonomy 374U00000X
11 MISTY WOOD CIR APT H, Timonium, MD 21093
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Secondary Practice Location 1

Location 12327 Maple AvePittsburgh, PA 15214-3318 · Phone (301) 312-4379

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 Nicole Kelly's NPI number?

The NPI number for Nicole Kelly is 1053849166. It was assigned to this individual provider in the NPPES registry on June 2, 2017.

Where is Nicole Kelly located?

Nicole Kelly practices at 11 Misty Wood Cir Apt H, Timonium, MD 21093. The listed phone number is (443) 949-2008.

What is Nicole Kelly's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Nicole Kelly was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.