KELLEY IBARRA FNP
NPI 1629695440
Nurse Practitioner - Adult Health in Modesto, CA

Q: What is Kelley Ibarra's NPI number?

The NPI number for Kelley Ibarra is 1629695440. It was assigned to this individual provider in the NPPES registry on June 26, 2020.

Q: What is Kelley Ibarra's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelley Ibarra was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 26, 2020

1613 CELESTE DR, MODESTO, CA 95355(209) 497-3514 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Kelley Ibarra Fnp NPPES

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

KELLEY IBARRA FNP (NPI 1629695440) is an individual adult health provider in Modesto, California, licensed in California (95014395) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1629695440

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKELLEY IBARRACredential: FNP

Location Address1613 CELESTE DRModesto, CA 95355-5039

Mailing Address1613 Celeste DrModesto, CA 95355-5039 · (209) 497-3514

Phone(209) 497-3514

Sole ProprietorNo

Enumeration DateJune 26, 2020

NPPES CertifiedJune 26, 2020

✔ NPI 1629695440 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 CA · 95014395

1613 CELESTE DR, Modesto, CA 95355

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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 Kelley Ibarra's NPI number?

The NPI number for Kelley Ibarra is 1629695440. It was assigned to this individual provider in the NPPES registry on June 26, 2020.

Where is Kelley Ibarra located?

Kelley Ibarra practices at 1613 Celeste Dr, Modesto, CA 95355. The listed phone number is (209) 497-3514.

What is Kelley Ibarra'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 Ibarra was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.