What is Tim Kelly's NPI number?

Tim Kelly's National Provider Identifier (NPI) is 1003535386, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tim Kelly's specialty?

Tim Kelly is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Tim Kelly located?

Tim Kelly's practice location on file with NPPES is 1221 Nw Highway 101 Ste a, Lincoln City, OR 97367-3351.

What is Tim Kelly's phone number?

The practice phone number listed in the NPPES registry for Tim Kelly is (442) 244-1336.

Is Tim Kelly's NPI active?

Yes — Tim Kelly's NPI (1003535386) is active in the NPPES registry as of the last update on 2022-08-22.

IndividualActive

Tim Kelly

NPI 1003535386 · Peer Specialist · Lincoln City, OR

Tim Kelly is a Peer Specialist provider in Lincoln City, OR (NPI 1003535386).

Provider details

NPI number: 1003535386
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Male
Sole proprietor: Yes
License: THW000106995 (OR)

Specialties & taxonomies

Peer SpecialistPrimary175T00000XLicense THW000106995 (OR)
Other Service Providers

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1221 Nw Highway 101 Ste a

Lincoln City, OR 97367-3351

Phone: (442) 244-1336

Street-level locationGet directions

More OR providers

Mailing address