MRS. KELLEY SHANNON MISTRETTA MS, RN, ANP, C-EFM
NPI 1467874263
Nurse Practitioner - Adult Health in Buffalo, NY

Active since January 13, 2014
2157 MAIN ST, BUFFALO, NY 14214(716) 862-1984 Get Directions Write a Review

NPPES record last updated: January 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelley Shannon Mistretta Ms, Rn, Anp, C-efm NPPES

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

MRS. KELLEY SHANNON MISTRETTA MS, RN, ANP, C-EFM (NPI 1467874263) is an individual adult health provider in Buffalo, New York, licensed in New York (F306653-1) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1467874263
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. KELLEY SHANNON MISTRETTACredential: MS, RN, ANP, C-EFM
Location Address2157 MAIN STBuffalo, NY 14214-2648
Mailing Address2157 Main StBuffalo, NY 14214-2648 · (716) 862-1984
Sole ProprietorNo
Enumeration DateJanuary 13, 2014
NPI 1467874263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F306653-1
2157 MAIN ST, Buffalo, NY 14214

Other Names 1

Former Name (1)Kelley Shannon Ward Ms, Rn, Anp, C-efm

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.

Physical Therapist
2157 MAIN ST
BUFFALO, NY 14214
Emergency Medicine
2157 MAIN ST
BUFFALO, NY 14214
Student in an Organized Health Care Education/Training Program
2157 MAIN ST
BUFFALO, NY 14214
Nurse Practitioner
2157 MAIN ST
BUFFALO, NY 14214
Nurse Anesthetist, Certified Registered
2157 MAIN ST
BUFFALO, NY 14214
Pediatrics (Neonatal-Perinatal Medicine)
2157 MAIN ST
BUFFALO, NY 14214
Nurse Anesthetist, Certified Registered
2157 MAIN ST
BUFFALO, NY 14214
Skilled Nursing Facility
2157 MAIN ST
BUFFALO, NY 14214

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 Kelley Mistretta's NPI number?

The NPI number for Kelley Mistretta is 1467874263. It was assigned to this individual provider in the NPPES registry on January 13, 2014. The provider is also known as Kelley Shannon Ward Ms, Rn, Anp, C-Efm.

Where is Kelley Mistretta located?

Kelley Mistretta practices at 2157 Main St, Buffalo, NY 14214. The listed phone number is (716) 862-1984.

What is Kelley Mistretta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Kelley Mistretta was last updated on January 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.