Active NPI
Laura Herring Kelly, MD
- Pediatrics Physician
- Raleigh, NC
National Provider Identifier
1154373579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9701433
- Practice address
- 4414 Lake Boone Trail
Suite 103
Raleigh, NC 27607 - Phone
- (919) 787-0266
- Fax
- (919) 571-9314
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9701433 | NC | Primary |
Addresses
Primary practice location
4414 Lake Boone Trail
Suite 103
Raleigh, NC 27607
Mailing address
4414 Lake Boone Trail
Suite 103
Raleigh, NC 27607
Phone (919) 787-0266
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012U3 | Other | NC | BCBS |
| 79012U3 | Medicaid | NC |
Other names 1
- Ms. Laura Lee Herring
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9701433 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Oak Pediatric Associates PA | Past | Accepting new patients | |
| White Oak Pediatric Associates | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HICECA
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Raleigh, NC
- NPI 1891939286
-
- Specialist
- Raleigh, NC
- NPI 1902953045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154373579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4414 LAKE BOONE TRAIL",
"address_2": "SUITE 103",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27607",
"telephone_number": "919-787-0266",
"fax_number": "919-571-9314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4414 LAKE BOONE TRAIL",
"address_2": "SUITE 103",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27607",
"telephone_number": "919-787-0266",
"fax_number": "919-571-9314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "LAURA",
"middle_name": "HERRING",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "9701433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "012U3",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79012U3",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "HERRING",
"middle_name": "LEE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.