SHANTELL KELLY
NPI 1326904202
Prosthetic/Orthotic Supplier in Flushing, NY

Active since January 05, 2026
13320 ROOSEVELT AVE APT 8D, FLUSHING, NY 11354(347) 663-0048 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 23, 2026, Jan 5, 2026 (2 updates tracked since 2026).

About Shantell Kelly NPPES

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

SHANTELL KELLY (NPI 1326904202) is an individual prosthetic/orthotic supplier provider in Flushing, New York and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1326904202
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameSHANTELL KELLY
Location Address13320 ROOSEVELT AVE APT 8DFlushing, NY 11354-5203
Mailing Address13320 Roosevelt AveFlushing, NY 11354-5262 · (347) 663-0048
Sole ProprietorNo
Enumeration DateJanuary 5, 2026
Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
NPI 1326904202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
13320 ROOSEVELT AVE APT 8D, Flushing, NY 11354

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 Shantell Kelly's NPI number?

The NPI number for Shantell Kelly is 1326904202. It was assigned to this individual provider in the NPPES registry on January 5, 2026.

Where is Shantell Kelly located?

Shantell Kelly practices at 13320 Roosevelt Ave Apt 8D, Flushing, NY 11354. The listed phone number is (347) 663-0048.

What is Shantell Kelly's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Shantell Kelly was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.