What is Shannon Kelly's NPI number?

Shannon Kelly's National Provider Identifier (NPI) is 1124781299, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shannon Kelly's specialty?

Shannon Kelly is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Shannon Kelly located?

Shannon Kelly's practice location on file with NPPES is 23 Rybar Ln, Palm Coast, FL 32164-6445.

What is Shannon Kelly's phone number?

The practice phone number listed in the NPPES registry for Shannon Kelly is (386) 316-3004.

Is Shannon Kelly's NPI active?

Yes — Shannon Kelly's NPI (1124781299) is active in the NPPES registry as of the last update on 2021-10-15.

IndividualActive

Shannon Kelly

NPI 1124781299 · Behavior Technician · Palm Coast, FL

Shannon Kelly is a Behavior Technician provider in Palm Coast, FL (NPI 1124781299).

Provider details

NPI number: 1124781299
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(55/100 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
83% 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

23 Rybar Ln

Palm Coast, FL 32164-6445

Phone: (386) 316-3004

Street-level locationGet directions

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Mailing address