Kelly Faulkner, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4042938 Issued in KY

Practice address

8133 Leesburg Pike Ste 600
Vienna, VA 22182-2733

Phone

(855) 479-4217

Fax

(888) 557-9724

NPI assigned

Aug 5, 2025

Last updated

Aug 5, 2025By the provider in NPPES

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

Other names 1

• Kelly Melber Former name

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iris Medical GroupGroup PAC ID 0648653360, 82 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Iris Medical Group

  • Primary Care Clinic/Center
  • Brentwood, TN
  • NPI 1851025902

  KY, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• American Wound Care Ky PLLC

  • Wound Care Registered Nurse
  • Lexington, KY
  • NPI 1811727506
  Medicare reassignment NPD
• Priority Labs LLC

  • Clinical Medical Laboratory
  • Vienna, VA
  • NPI 1982381729
  NPD

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1073497632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 TOLLHOUSE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411733",
            "telephone_number": "502-595-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8133 LEESBURG PIKE STE 600",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822733",
            "telephone_number": "855-479-4217",
            "fax_number": "888-557-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "KELLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4042938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MELBER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Duyen T Faria, D.O.
• Michael Vincent Farr, D.D.S.
• Holly Farris
• Syeda Fizza Fatima
• Jennifer Lauren Faulkner, FNP-C
• Jason Farr Favagehi, DDS
• Feeling Great, LLC (Feeling Great Massage)
• Seddigheh A Feisee, MD
• Kavitha Felix - Johnson, RD, CDE
• Joy F Fellman, FNP

• Nurse Practitioner in Vienna, VA
• Providers in Vienna, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.