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LISA ANNE KELLEY
NPI 1700691961
Nurse Practitioner in Santa Monica, CA

Active since February 12, 2025
2811 WILSHIRE BLVD STE 610, SANTA MONICA, CA 90403(310) 453-2335 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lisa Anne Kelley NPPES

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

LISA ANNE KELLEY (NPI 1700691961) is an individual nurse practitioner in Santa Monica, California, licensed in California (95033922) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1700691961
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA ANNE KELLEY
Location Address2811 WILSHIRE BLVD STE 610Santa Monica, CA 90403-4814
Mailing Address2005 Perry AveRedondo Beach, CA 90278-1824 · (310) 415-4148
Phone(310) 453-2335
Sole ProprietorNo
Enumeration DateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
✔ NPI 1700691961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95033922
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2811 WILSHIRE BLVD STE 610, Santa Monica, CA 90403
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Other Providers at the Same Location NPPES 3

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

RACHEL E SWANSON R.D.N.
Dietitian, Registered
2811 WILSHIRE BLVD STE 610
SANTA MONICA, CA 90403
Los Angeles County (310) 453-2335
NICOLE KUHL VISNIC CCN
Nutritionist
2811 WILSHIRE BLVD STE 610
SANTA MONICA, CA 90403
Los Angeles County (310) 453-2335
LIFESPAN MEDICINE
Point of Service
2811 WILSHIRE BLVD STE 610
SANTA MONICA, CA 90403
Los Angeles County (310) 453-2335

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 Lisa Kelley's NPI number?

The NPI number for Lisa Kelley is 1700691961. It was assigned to this individual provider in the NPPES registry on February 12, 2025.

Where is Lisa Kelley located?

Lisa Kelley practices at 2811 Wilshire Blvd Ste 610, Santa Monica, CA 90403. The listed phone number is (310) 453-2335.

What is Lisa Kelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Lisa Kelley was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.