IndividualActive
Rhonda Kelly, CRNA
NPI 1124045604 · Certified Registered Nurse Anesthetist · Tupelo, MS
Provider details
- NPI number
- 1124045604
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 4704219321 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
830 South Gloster
Tupelo, MS 38801
Phone: (662) 377-4394
Fax: (662) 377-7045
Street-level locationGet directions
Mailing address
Po Box 3294
Tupelo, MS 38803-3294
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2018-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.