Shirley Gail Kelley, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R74450 Issued in AR

Practice address

3000 W Scenic Dr
North Little Rock, AR 72118-3347

Phone

(501) 812-2768

NPI assigned

Nov 12, 2007

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)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Pulaski Technical College

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1073791174
  NPD (past)

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1083894653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 W SCENIC DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721183347",
            "telephone_number": "501-812-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W SCENIC DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721183347",
            "telephone_number": "501-812-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "SHIRLEY",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R74450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Keeney
• Stan L. Kellar, M.D.
• Christy Michelle Kellensworth
• Alfred William Keller III, MD
• Morris Eugene Kelley, M.D.
• Teri Kelley, MHPP
• Kelli Keene Sanders, MD Inc
• Christie Kelly, LMSW
• Kaitlyn Kelsay
• Kencur Inc Statco Hearing Labs

• Registered Nurse in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.