KATHLEEN KELLY RN
NPI 1528918042
Registered Nurse in Staten Island, NY

Active since February 03, 2026
120 MACE ST, STATEN ISLAND, NY 10306(917) 518-1355 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen Kelly Rn NPPES

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

KATHLEEN KELLY RN (NPI 1528918042) is an individual registered nurse in Staten Island, New York, licensed in New York (335834) and active in the NPI registry since February 2026. She maintains a secondary practice location in Hauppauge.

NPPES Registry Identity

NPI1528918042
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameKATHLEEN KELLYCredential: RN
Location Address120 MACE STStaten Island, NY 10306-1443
Mailing Address120 Mace StStaten Island, NY 10306-1443
Sole ProprietorYes
Enumeration DateFebruary 3, 2026
NPPES CertifiedFebruary 3, 2026
NPI 1528918042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in NY · 335834
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.
120 MACE ST, Staten Island, NY 10306

Secondary Practice Location 1

Location 1888 Veterans Hwy Ste 310Hauppauge, NY 11788-2940 · Phone (631) 851-9473

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 Kathleen Kelly's NPI number?

The NPI number for Kathleen Kelly is 1528918042. It was assigned to this individual provider in the NPPES registry on February 3, 2026.

Where is Kathleen Kelly located?

Kathleen Kelly practices at 120 Mace St, Staten Island, NY 10306. The listed phone number is (917) 518-1355.

What is Kathleen Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Kathleen Kelly was last updated on February 3, 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.