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SAMANTHA NICOLE KELLY LVN
NPI 1639708191
Licensed Vocational Nurse in El Cajon, CA

Active since April 06, 2020
1664 BROADWAY, EL CAJON, CA 92021(619) 579-8685 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Nicole Kelly Lvn NPPES

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

SAMANTHA NICOLE KELLY LVN (NPI 1639708191) is an individual licensed vocational nurse in El Cajon, California, licensed in California (684587) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1639708191
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameSAMANTHA NICOLE KELLYCredential: LVN
Location Address1664 BROADWAYEl Cajon, CA 92021-5201
Mailing Address27129 Oakmont RdValley Center, CA 92082-7730 · (760) 474-4903
Phone(619) 579-8685
Sole ProprietorYes
Enumeration DateApril 6, 2020
NPPES CertifiedApril 6, 2020
✔ NPI 1639708191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 684587
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1664 BROADWAY, El Cajon, CA 92021
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Other Names 1

Former Name (1)Samantha Nicole Balona

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.

NICOLE ANDREA BRADNI
Counselor (Mental Health)
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
CLAUDINE GUIBERT ROSA IMFT
Counselor (Mental Health)
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
JACQUELINE VIDRIO
Rehabilitation Practitioner
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
M'LYNN MONET MARTIN
Rehabilitation Practitioner
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
SILONETH MELLISSA ARMAS
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
MONE ROGERS
Recreation Therapist
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
JOEL ANCHETA
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
JAMEKA RENEE ROMEY
Student in an Organized Health Care Education/Training Program
1664 BROADWAY, 142
EL CAJON, CA 92021
San Diego County (619) 579-8685

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 Samantha Kelly's NPI number?

The NPI number for Samantha Kelly is 1639708191. It was assigned to this individual provider in the NPPES registry on April 6, 2020. The provider is also known as Samantha Nicole Balona.

Where is Samantha Kelly located?

Samantha Kelly practices at 1664 Broadway, El Cajon, CA 92021. The listed phone number is (619) 579-8685.

What is Samantha Kelly's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Samantha Kelly was last updated on April 6, 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.