Kendra Kellermann, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5007614 Issued in NC

Practice address

1501 Dock St
Wilmington, NC 28401-4936

Phone

(901) 254-9898

Fax

(910) 254-9818

NPI assigned

Apr 30, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kendra.kellermann.1@14072.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Carousel Center, Inc.

  • Medical Specialty Clinic/Center
  • Wilmington, NC
  • NPI 1063696375
  NPD (past)
• Triangle Hearing Services, P.a.

  • Audiologist-Hearing Aid Fitter
  • Cary, NC
  • NPI 1982916367
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043697865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 DOCK ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014936",
            "telephone_number": "910-254-9898",
            "fax_number": "910-254-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 DOCK ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014936",
            "telephone_number": "901-254-9898",
            "fax_number": "910-254-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLERMANN",
        "first_name": "KENDRA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael B Kelleher, M.D.
• Christina Marie Kelleigh, MPT
• Eric James Keller, MD, MA
• James Michael Keller, M.D.
• Megan Keller
• Arian G. Kelley, D.C.
• Caroline Joanna Kelley
• Gail Joslin Kelley, OD
• Jonathan R. Kelley, D.MIN., LPC
• Margaret Anne Kelley, LCSW

• Family Nurse Practitioner in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.