Individual provider Active NPI

Julie Marie Kelly, MSN, APRN, NP-C

  • Family Nurse Practitioner
  • Mountain View, CA
National Provider Identifier
1104435999
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R01127657 Issued in OK
Practice address
2525 Charleston Rd Ste 104
Mountain View, CA 94043-1636
Phone
(918) 607-4135
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R01127657 OK Primary

Addresses

Primary practice location

2525 Charleston Rd Ste 104
Mountain View, CA 94043-1636

Mailing address

2525 Charleston Rd Ste 104
Mountain View, CA 94043-1636
Phone (786) 234-7345

Other identifiers 1

IdentifierTypeStateIssuer
114460100MedicaidFL

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R01127657OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Health Medical Group PA CurrentSince Aug 3, 2025 Accepting new patients
Twin Health Medical Group California PC CurrentSince Aug 3, 2025 Accepting new patients
Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics Pediatrics PastSince Aug 1, 2022 Accepting new patients
Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics PastSince Aug 1, 2022 Accepting new patients

Locations

2525 Charleston Rd
Ste 104
Mountain View, CA 94043
Phone (408) 675-3255

Interoperability endpoints

  • Direct secure messaging: julie.kelly@552337174953988.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1104435999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 CHARLESTON RD STE 104",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431636",
            "telephone_number": "786-234-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CHARLESTON RD STE 104",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431636",
            "telephone_number": "918-607-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R01127657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114460100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.