SERENA LACHELLE KELLY
NPI 1356212898
Nurse Practitioner in Antioch, CA

Q: What is Serena Kelly's NPI number?

The NPI number for Serena Kelly is 1356212898. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Q: What is Serena Kelly'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 Serena Kelly was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 17, 2025

1960 MOKELUMNE DR, ANTIOCH, CA 94531(925) 354-2402 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Serena Lachelle Kelly NPPES

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

SERENA LACHELLE KELLY (NPI 1356212898) is an individual nurse practitioner in Antioch, California, licensed in California (95026231) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1356212898

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSERENA LACHELLE KELLY

Location Address1960 MOKELUMNE DRAntioch, CA 94531-9139

Mailing Address1960 Mokelumne DrAntioch, CA 94531-9139 · (925) 354-2402

Phone(925) 354-2402

Sole ProprietorNo

Enumeration DateSeptember 17, 2025

Last NPPES UpdateOctober 24, 2025

NPPES CertifiedSeptember 17, 2025

✔ NPI 1356212898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95026231

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.

1960 MOKELUMNE DR, Antioch, CA 94531

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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 Serena Kelly's NPI number?

The NPI number for Serena Kelly is 1356212898. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Where is Serena Kelly located?

Serena Kelly practices at 1960 Mokelumne Dr, Antioch, CA 94531. The listed phone number is (925) 354-2402.

What is Serena Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Serena Kelly was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.