NIOLE KELLY LPN
NPI 1972911584
Licensed Practical Nurse in Port Jefferson, NY

Active since July 28, 2014
3 RANGER LN, PORT JEFFERSON, NY 11777(631) 873-7422 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Niole Kelly Lpn NPPES

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

NIOLE KELLY LPN (NPI 1972911584) is an individual licensed practical nurse in Port Jefferson, New York, licensed in New York (289476-1) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1972911584
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameNIOLE KELLYCredential: LPN
Location Address3 RANGER LNPort Jefferson, NY 11777-2081
Mailing Address3 Ranger LnPort Jefferson, NY 11777-2081 · (631) 873-7422
Sole ProprietorYes
Enumeration DateJuly 28, 2014
NPI 1972911584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 289476-1
Definition
A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
3 RANGER LN, Port Jefferson, NY 11777

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 Niole Kelly's NPI number?

The NPI number for Niole Kelly is 1972911584. It was assigned to this individual provider in the NPPES registry on July 28, 2014.

Where is Niole Kelly located?

Niole Kelly practices at 3 Ranger Ln, Port Jefferson, NY 11777. The listed phone number is (631) 873-7422.

What is Niole Kelly's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Niole Kelly was last updated on July 28, 2014. 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.