TRACIE LEE KELLY N.P.
NPI 1942639760
Nurse Practitioner in Santa Ana, CA

Q: What is Tracie Kelly's NPI number?

The NPI number for Tracie Kelly is 1942639760. It was assigned to this individual provider in the NPPES registry on November 2, 2013.

Q: What is Tracie Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tracie Kelly was last updated on November 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 November 02, 2013

517 N MAIN ST, SANTA ANA, CA 92701(714) 647-0401 Get Directions Write a Review

NPPES record last updated: November 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tracie Lee Kelly N.p. NPPES

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

TRACIE LEE KELLY N.P. (NPI 1942639760) is an individual nurse practitioner in Santa Ana, California, licensed in California (22948) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1942639760

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTRACIE LEE KELLYCredential: N.P.

Location Address517 N MAIN STSanta Ana, CA 92701-4686

Mailing Address517 N Main StSanta Ana, CA 92701-4686

Phone(714) 647-0401

Sole ProprietorNo

Enumeration DateNovember 2, 2013

✔ NPI 1942639760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 22948

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 793605 (CA)

517 N MAIN ST, Santa Ana, CA 92701

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Other Providers at the Same Location NPPES 12

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

DR. LOUISE JONES DNP, APRN, FNP, CCRN

Nurse Practitioner (Family)