Carissa M Kelly, CNP
Nurse Practitioner, Adult Health in Canton, Massachusetts
1821307646- Practice location
- 45 Dan RD, Canton, MA 02021-2852
- Phone
- 914-525-8692
- Fax
- 630-376-7615
- Last updated
- June 27, 2025
Carissa M Kelly is a Nurse Practitioner, Adult Health based in Canton, MA. Carissa M Kelly practices in Canton, MA and has the professional credentials of CNP. The NPI Number for Carissa M Kelly is 1821307646 and holds a License No. CNP211393 (ME). The current practice location address for Carissa M Kelly is 45 Dan RD, Canton, MA 02021-2852 and can be reached out via phone at 914-525-8692 and via fax at 630-376-7615.
Provider Profile Details
- NPI Number
- 1821307646
- Provider Name
- Carissa M Kelly
- Credential
- CNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 45 Dan RD, Canton, MA 02021-2852
- Phone Number
- 914-525-8692
- Fax Number
- 630-376-7615
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 28, 2010
- Last Update Date
- June 27, 2025
- Certification Date
- June 27, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 45 Dan RD
Canton, MA 02021-2852 - City
- Canton
- State
- Massachusetts
- Zip
- 02021-2852
- Phone Number
- 914-525-8692
- Fax Number
- 630-376-7615
Provider Business Mailing Address Details
- Address
- 22 Fales RD
Sharon, MA 02067-1086 - City
- Sharon
- State
- MA
- Zip
- 02067-1086
- Phone Number
- 914-525-8692
- Fax Number
- 630-376-7615
License Information
- License Number (1)
- CNP211393
- License State (1)
- ME
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- RN276785
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Adult Health · 363LA2200X
- License Number (3)
- APRN02561
- License State (3)
- RI
- Taxonomy (3)
- Nurse Practitioner, Adult Health · 363LA2200X
- License Number (4)
- 084141-23
- License State (4)
- NH
- Taxonomy (4)
- Nurse Practitioner, Adult Health · 363LA2200X
- License Number (5)
- 4704397659
- License State (5)
- MI
- Taxonomy (5)
- Nurse Practitioner, Adult Health · 363LA2200X
- License Number (6)
- APRN11021654
- License State (6)
- FL
- Taxonomy (6)
- Nurse Practitioner, Adult Health · 363LA2200X
- License Number (7)
- 7947
- License State (7)
- CT
- Taxonomy (7)
- Nurse Practitioner, Adult Health · 363LA2200X
- License Number (8)
- F311018-01
- License State (8)
- NY
- Taxonomy (8)
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Carissa M Kelly, CNP?
The NPI number of Carissa M Kelly, CNP is 1821307646. It was assigned on September 28, 2010 and is currently active in the NPPES registry.
What is the specialty of Carissa M Kelly, CNP?
Carissa M Kelly, CNP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in ME under license number CNP211393.
Where does Carissa M Kelly, CNP practice?
The practice location is 45 Dan RD, Canton, MA 02021-2852. The office can be reached at 914-525-8692 (phone) or 630-376-7615 (fax).
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 1821307646 directly on the NPPES registry website.