KELLY KATHLEEN BARRY MS
NPI 1255071601
Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is Kelly Barry's NPI number?

The NPI number for Kelly Barry is 1255071601. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Q: What is Kelly Barry's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Barry was last updated on March 31, 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.

Active since March 31, 2022PECOS Enrolled

136 HARRISON AVE, BOSTON, MA 02111(630) 670-0921 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelly Kathleen Barry Ms NPPES

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

KELLY KATHLEEN BARRY MS (NPI 1255071601) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255071601

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKELLY KATHLEEN BARRYCredential: MS

Location Address136 HARRISON AVEBoston, MA 02111-1800

Mailing Address136 Harrison AveBoston, MA 02111-1800 · (630) 670-0921

Phone(630) 670-0921

Sole ProprietorNo

Enumeration DateMarch 31, 2022

NPPES CertifiedMarch 31, 2022

✔ NPI 1255071601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

136 HARRISON AVE, Boston, MA 02111

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Kathleen Barry Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

KELLY E FARRELL

Physician Assistant