Individual provider Active NPI

Byron Kelly, RN, LNFA

  • Case Management Registered Nurse
  • Houston, TX
National Provider Identifier
1043803703
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
9630542 Issued in FL
Practice address
5144 E Sam Houston Pkwy N Ste 601
Houston, TX 77015-3225
Phone
(832) 428-5542
NPI assigned
Feb 14, 2021
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9630542 FL
Case Management Registered Nurse 163WC0400X 9630542 FL Primary
Community Health Registered Nurse 163WC1500X 9630542 FL
Lactation Consultant (Registered Nurse) 163WL0100X 9630542 FL
Nutrition Support Registered Nurse 163WN1003X 9630542 FL
Wound Care Registered Nurse 163WW0000X 9630542 FL
Ambulatory Women's Health Care Registered Nurse 163WW0101X 9630542 FL

Addresses

Primary practice location

5144 E Sam Houston Pkwy N Ste 601
Houston, TX 77015-3225

Mailing address

8604 Brandon St
Houston, TX 77051-2348
Phone (832) 428-5542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
9630542FLMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1613260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1043803703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 BRANDON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770512348",
            "telephone_number": "832-428-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5144 E SAM HOUSTON PKWY N STE 601",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153225",
            "telephone_number": "832-428-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BYRON",
        "name_prefix": "Mr.",
        "credential": "RN, LNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-14",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9630542",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "9630542",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "9630542",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "9630542",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "FL",
            "license": "9630542",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "FL",
            "license": "9630542",
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "FL",
            "license": "9630542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.