Kelly Ann Yale-Suda, RN, GRADUATENP
Kelly Ann Yale-Suda, RN, GRADUATENP is a Nurse Practitioner in Johnson City, New York. Qualified in 2020, 6 years ago. Practices with Our Lady of Lourdes Memorial Hospital Inc, a 249-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 6
- Licensed in
- NY
- In the registry since
- 2020
- Specialties on file
- 3
What do these letters mean?
- RN — Registered Nurse
- A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
Practice location Address checks out
30 Harrison St Ste 355Johnson City, NY 13790-2162
Phone: (607) 763-8102
Fax: (607) 763-8018
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 169 Riverside Dr, Binghamton, NY 13905-4246 — (607) 352-3550
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 309912 (NY) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 309912 (NY) |
| Registered Nurse | Taxonomy 163W00000X · Licence 587887 (NY) |
Record details
| NPI number | 1447872817 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RN , GRADUATENP |
| Sole proprietor | No |
| NPI enumerated | May 8, 2020 |
| Last updated in NPPES | November 18, 2025 |
| Certification date | November 18, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Our Lady Of Lourdes Memorial Hospital Inc — 249 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Johnson City
-
Tamara Macinski, NP
30 Harrison St Ste 250, Johnson City, NY 13790-2176 · (607) 763-6580
-
Kimberly Hageman Merrill, NP-C
30 Harrison St Ste 100, Johnson City, NY 13790-2161 · (607) 763-6850
-
Fatima Muhovic, AGNP
507 Main St, Johnson City, NY 13790-1810 · (607) 763-6075
-
Mrs. Debra Anne Schaffer, NP
30 Harrison St Ste 100, Johnson City, NY 13790-3100 · (607) 763-6850