KELLEY JOANNE DEVLIN-LAKE RN
NPI 1114552452
Registered Nurse in Eureka, CA

Q: What is Kelley Devlin-lake's NPI number?

The NPI number for Kelley Devlin-lake is 1114552452. It was assigned to this individual provider in the NPPES registry on March 6, 2020.

Q: What is Kelley Devlin-lake's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Active since March 06, 2020

2426 BUHNE ST, EUREKA, CA 95501(707) 443-4666(707) 445-4499 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelley Joanne Devlin-lake Rn NPPES

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

KELLEY JOANNE DEVLIN-LAKE RN (NPI 1114552452) is an individual registered nurse in Eureka, California, licensed in California (308172) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1114552452

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameKELLEY JOANNE DEVLIN-LAKECredential: RN

Location Address2426 BUHNE STEureka, CA 95501-3207

Mailing Address1275 8th StArcata, CA 95521-5770 · (707) 826-8633 · Fax (707) 826-8628

Phone(707) 443-4666

Fax(707) 445-4499

Sole ProprietorNo

Enumeration DateMarch 6, 2020

NPPES CertifiedMarch 6, 2020

✔ NPI 1114552452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in CA · 308172

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

2426 BUHNE ST, Eureka, CA 95501

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Other Providers at the Same Location NPPES 18

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

VIVIANA HERNANDEZ RN

Registered Nurse