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Deactivated NPI 1396298386 Deactivated / Inactive NPI Female Practitioner

Lisa Laraine Kelly , LPN

Licensed Practical Nurse • Bellingham, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lisa Kelly has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 26, 2016
NPI Deactivation Date July 22, 2022
Total Practice Duration ~6 Years of Practice (2016 – 2022)

Professional Overview & Biography Verified Profile Summary

Lisa Kelly, LPN was a registered Licensed Practical Nurse practicing in Bellingham, WA. Throughout an active medical career spanning 6 years, Lisa Kelly provided care at the practice location at 2030 DIVISION ST until profile deactivation on 2022-07-22.

Practice Location & Contact Primary Location

Practice Address

2030 Division St

Bellingham, WA 982268014

Telephone 3606762020
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Bellingham, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
48 Specialists

Practicing in Bellingham, WA (1730 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LP60053027

An individual 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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Katherine Hoffmeyer

Registered Nurse

NPI 1043764228
Haley-Jo Syth

Behavior Technician

NPI 1063979821
Kathryn Davis

Social Worker

NPI 1093164030
Jessica Blades

Peer Specialist

NPI 1093556003
Kelly Stenson

Counselor - Addiction (Substance Use Disorder)

NPI 1114464336
Stacey Sasyniuk , RN

Registered Nurse

NPI 1134611924

Registered Nurse

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 22, 2022

Record deactivated on July 22, 2022

NPI Profile Active July 26, 2016

NPI status registered as active in NPPES database

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Updated Practice Location July 26, 2016

Registered at 2030 DIVISION ST, BELLINGHAM, WA 982268014 (Tel: 3606762020)

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Updated Business Mailing Address July 26, 2016

Registered at PO BOX 3810, EVERETT, WA 982138810 (Tel: 3606762020)

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Provider Name / Credentials Updated July 26, 2016

Recorded as LISA KELLY, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2016

Licensed Practical Nurse (License #LP60053027 in WA)

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Initial NPI Registration & Enumeration July 26, 2016

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: 1396298386
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2016
Last Update: July 26, 2016
Deactivation Date: July 22, 2022

Mailing Address

Po Box 3810

Everett, WA 982138810

Phone: 3606762020

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.