Individual provider Active NPI

Kelley Louise Lardy, FNP

  • Family Nurse Practitioner
  • Missouri City, TX
National Provider Identifier
1124269899
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
714766 Issued in TX
Practice address
8787 Sienna Springs Blvd Apt 118
Missouri City, TX 77459-6065
Phone
(281) 813-6137
NPI assigned
Mar 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 714766 TX Primary
Family Nurse Practitioner 363LF0000X 469271 CA

Addresses

Primary practice location

8787 Sienna Springs Blvd Apt 118
Missouri City, TX 77459-6065

Mailing address

8787 Sienna Springs Blvd Apt 118
Missouri City, TX 77459-6065
Phone (281) 813-6137

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

State licenses

LicenseStateTypeSpecialty
469271CAMDFamily Nurse Practitioner
714766TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1124269899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 SIENNA SPRINGS BLVD APT 118",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774596065",
            "telephone_number": "281-813-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 SIENNA SPRINGS BLVD APT 118",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774596065",
            "telephone_number": "281-813-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARDY",
        "first_name": "KELLEY",
        "middle_name": "LOUISE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "714766",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "469271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.