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GWENDOLYN KELLY
NPI 1629957204
Registered Nurse - School in Shiprock, NM

Active since August 28, 2025
PO BOX 1199, SHIPROCK, NM 87420(505) 368-4984(505) 368-5502 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gwendolyn Kelly NPPES

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

GWENDOLYN KELLY (NPI 1629957204) is an individual school provider in Shiprock, New Mexico, licensed in New Mexico (53213) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1629957204
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameGWENDOLYN KELLY
Location AddressPO BOX 1199Shiprock, NM 87420-1199
Mailing AddressPo Box 1199Shiprock, NM 87420-1199 · (505) 368-4984 · Fax (505) 368-5502
Phone(505) 368-4984
Fax(505) 368-5502
Sole ProprietorYes
Enumeration DateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1629957204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in NM · 53213
PO BOX 1199, Shiprock, NM 87420
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIA BELLE KEITH
Social Worker (School)
PO BOX 1199
SHIPROCK, NM 87420
San Juan County (505) 368-4984
SHAWN SKURKY
Registered Nurse (School)
PO BOX 1199
SHIPROCK, NM 87420
San Juan County (505) 368-4984
MICHAEL HATHCOCK MS CCC-SLP
Speech-Language Pathologist
PO BOX 1199
SHIPROCK, NM 87420
San Juan County (505) 368-4984
JAYME SCURLOCK SLP
Speech-Language Pathologist
PO BOX 1199
SHIPROCK, NM 87420
San Juan County (505) 368-4984
CARLA E GARCIA RN
Registered Nurse (School)
PO BOX 1199
SHIPROCK, NM 87420
San Juan County (505) 368-1563
ARYN AMETHYST TALAMANTE
Social Worker (School)
PO BOX 1199
SHIPROCK, NM 87420
San Juan County (505) 368-4984
MRS. TERESA DEVEREAUX BERTONE REGISTERED NURSE
Registered Nurse (School)
PO BOX 1199
SHIPROCK, NM 87420
San Juan County (505) 368-5163

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 Gwendolyn Kelly's NPI number?

The NPI number for Gwendolyn Kelly is 1629957204. It was assigned to this individual provider in the NPPES registry on August 28, 2025.

Where is Gwendolyn Kelly located?

Gwendolyn Kelly practices at PO Box 1199, Shiprock, NM 87420. The listed phone number is (505) 368-4984.

What is Gwendolyn Kelly's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Gwendolyn Kelly was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.