Active NPIIndividual provider

Kellie A Hale, NP

Nurse Practitioner, Adult Health in New Haven, Connecticut

NPI Number1780241596
Practice location
374 Grand Ave, New Haven, CT 06513-3733
Fax
—
Last updated
January 20, 2026

Kellie Ann Hale is a Nurse Practitioner, Adult Health based in New Haven, CT. Kellie Ann Hale practices in New Haven, CT and has the professional credentials of NP. The NPI Number for Kellie Ann Hale is 1780241596 and holds a License No. 309101 (NY). The current practice location address for Kellie Ann Hale is 374 Grand Ave, New Haven, CT 06513-3733 and can be reached out via phone at 203-777-7411.

Provider Profile Details

NPI Number
1780241596
Provider Name
Kellie Ann Hale
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
374 Grand Ave, New Haven, CT 06513-3733
Phone Number
203-777-7411
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Other Names
Kellie Ann Burns (Former Name)
Provider Enumeration Date
May 28, 2019
Last Update Date
January 20, 2026
Certification Date
January 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
374 Grand Ave
New Haven, CT 06513-3733
Zip
06513-3733
Phone Number
203-777-7411
New Haven, CT 06513Get directions →

Provider Business Mailing Address Details

Address
374 Grand Ave
New Haven, CT 06513-3733
City
New Haven
State
CT
Zip
06513-3733
Phone Number
203-777-7411

License Information

License Number (1)
309101
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
309101
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Primary Care · 363LP2300X
License Number (3)
11923
License State (3)
CT
Taxonomy (3)
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kellie A Hale, NP?

The NPI number of Kellie A Hale, NP is 1780241596. It was assigned on May 28, 2019 and is currently active in the NPPES registry.

What is the specialty of Kellie A Hale, NP?

Kellie A Hale, NP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NY under license number 309101.

Where does Kellie A Hale, NP practice?

The practice location is 374 Grand Ave, New Haven, CT 06513-3733. The office can be reached at 203-777-7411 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780241596 directly on the NPPES registry website.

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