KELLI ANNE JENNINGS
NPI 1669851093
Specialist in Ronkonkoma, NY

Active since May 18, 2015
90 AIR PARK DR, RONKONKOMA, NY 11779(631) 580-4001 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelli Anne Jennings NPPES

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

KELLI ANNE JENNINGS (NPI 1669851093) is an individual specialist in Ronkonkoma, New York, licensed in New York (497254041) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1669851093
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKELLI ANNE JENNINGS
Location Address90 AIR PARK DRRonkonkoma, NY 11779-7360
Mailing Address83 Tremont AveMedford, NY 11763-3861 · (631) 714-4025
Sole ProprietorNo
Enumeration DateMay 18, 2015
NPI 1669851093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 497254041
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
90 AIR PARK DR, Ronkonkoma, NY 11779

Other Names 1

Former Name (1)Kelli Anne Barry

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.

Specialist
90 AIR PARK DR
RONKONKOMA, NY 11779
Occupational Therapist (Pediatrics)
90 AIR PARK DR
RONKONKOMA, NY 11779
Specialist
90 AIR PARK DR
RONKONKOMA, NY 11779
Specialist
90 AIR PARK DR
RONKONKOMA, NY 11779
Local Education Agency (LEA)
90 AIR PARK DR
RONKONKOMA, NY 11779
Specialist
90 AIR PARK DR
RONKONKOMA, NY 11779
Speech-Language Pathologist
90 AIR PARK DR
RONKONKOMA, NY 11779
Psychologist (Clinical)
90 AIR PARK DR
RONKONKOMA, NY 11779

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 Kelli Jennings's NPI number?

The NPI number for Kelli Jennings is 1669851093. It was assigned to this individual provider in the NPPES registry on May 18, 2015. The provider is also known as Kelli Anne Barry.

Where is Kelli Jennings located?

Kelli Jennings practices at 90 Air Park Dr, Ronkonkoma, NY 11779. The listed phone number is (631) 580-4001.

What is Kelli Jennings's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelli Jennings was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.