Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053430702 Individual Practitioner Female Practitioner

Kelley Anne Nelligan , RN, MSN, CPNP

Nurse Practitioner - Pediatrics • Riverside, RI

Professional Overview & Biography Verified Profile Summary

Kelley Nelligan, RN, MSN, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Riverside, RI. Practice services are available at 1011 VETERANS MEMORIAL PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1011 Veterans Memorial Pkwy

Riverside, RI 029155061

Telephone 4014321325
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Riverside, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Riverside, RI (73 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License RI APRN01484

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License MA 262959

Definition to come...

Secondary Practice Locations

60 Hodges Ave, Goss 1

Taunton, MA 027803034

Phone: 5088283857

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Justyna Piasecka , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1003106360

Doctor of Medicine (M.D.)

Dr. Vamsi Tummalachetty , PsyD

Psychologist - Clinical

NPI 1003472200

Doctor of Psychology (Psy.D.)

Mollie Burns , LCSW

Social Worker - Clinical

NPI 1003692641

Licensed Clinical Social Worker

Dr. Ornella Potter , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1023212792

Doctor of Medicine (M.D.)

Dr. Andrea Gold , PhD

Psychologist - Clinical

NPI 1023342011

Doctor of Philosophy (Ph.D.)

Dr. Tanuja Gandhi , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1023365707

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Business Mailing Address December 05, 2018

Registered at 117 ELLENFIELD ST STE 101, PROVIDENCE, RI 029054513 (Tel: 4014446779)

👤
Provider Name / Credentials Updated December 05, 2018

Recorded as KELLEY NELLIGAN, RN, MSN, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Nurse Practitioner (License #262959 in MA)

NPI Profile Active August 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2017

Registered at 1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 029155061 (Tel: 4014321325)

📍
Updated Business Mailing Address August 24, 2017

Registered at 24 MOUNT VIEW AVE UNIT 8, NORTH KINGSTOWN, RI 028521126 (Tel: (508) 904-6213)

👤
Provider Name / Credentials Updated August 24, 2017

Recorded as KELLEY LEMOVITZ, RN, MSN, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2017

Nurse Practitioner (License #APRN01484 in RI)

NPI Profile Active December 13, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2007

Registered at 60 HODGES AVE, GOSS 1, TAUNTON, MA 027803034 (Tel: 5088283857)

📍
Updated Business Mailing Address December 13, 2007

Registered at 141 PLEASANT ST, UNIT 8, ATTLEBORO, MA 027032310 (Tel: 5084552579)

👤
Provider Name / Credentials Updated December 13, 2007

Recorded as KELLEY LEMOVITZ, RN, MSN, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2007

Nurse Practitioner (License #262959 in MA)

🟢
Initial NPI Registration & Enumeration March 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053430702
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2007
Last Update: December 05, 2018
Sole Proprietor: No

Mailing Address

117 Ellenfield St Ste 101

Providence, RI 029054513

Phone: 4014446779

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.