IndividualActive
Kelly Mccormick
NPI 1336021476 · Registered Nurse · Havertown, PA
Provider details
- NPI number
- 1336021476
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN685046 (PA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
629 Willowbrook Rd
Havertown, PA 19083-4433
Phone: (610) 420-8925
Street-level locationGet directions
Mailing address
629 Willowbrook Rd
Havertown, PA 19083-4433
Registry dates
- Enumerated
- 2025-07-21
- Last updated
- 2025-07-21
- Certified
- 2025-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.