Individual provider Active NPI

Stephanie Albers Kelly, R.N.

  • Technician
  • North Charleston, SC
National Provider Identifier
1154766186
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
License
81452 Issued in SC
Practice address
2685 Leeds Ave
North Charleston, SC 29405-6861
Phone
(843) 529-3150
Fax
(843) 720-3142
NPI assigned
May 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X 81452 SC Primary

Addresses

Primary practice location

2685 Leeds Ave
North Charleston, SC 29405-6861

Mailing address

2685 Leeds Ave
North Charleston, SC 29405-6861
Phone (843) 529-3150

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
81452SCMDTechnician

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1154766186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 LEEDS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294056861",
            "telephone_number": "843-529-3150",
            "fax_number": "843-720-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 LEEDS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294056861",
            "telephone_number": "843-529-3150",
            "fax_number": "843-720-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "STEPHANIE",
        "middle_name": "ALBERS",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "SC",
            "license": "81452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

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

Verify at the official NPI Registry.