Kelly Jeanette Conner, LAC, LMBT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

709 Issued in NC

Practice address

7116C Six Forks Rd
Raleigh, NC 27615-6157

Phone

(919) 891-9991

Fax

(919) 847-3148

NPI assigned

Dec 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Jeanette Conner Professional name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1154917854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116C SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156157",
            "telephone_number": "919-891-9991",
            "fax_number": "919-847-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116C SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156157",
            "telephone_number": "919-891-9991",
            "fax_number": "919-847-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "KELLY",
        "middle_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "credential": "LAC, LMBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sagehealthgroup.com",
            "affiliation": "N",
            "endpointDescription": "secure website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Scheduling appointments",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Sending email securely to Sage",
            "address_1": "7116C Six Forks Rd",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276156157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sagehealthgroup.com",
            "affiliation": "N",
            "endpointDescription": "Secure website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Scheduling & sending emails",
            "address_1": "7116C Six Forks Rd",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276156157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "CONNER",
            "middle_name": "JEANETTE",
            "credential": "LAC, LMBT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kathleen Connell
• Ava Connelly-Hersey
• Kathy Caudle Connelly, NNP
• Scott Vincent Connelly, MD
• Jennifer Louise Conner, NP
• Debra Connolly, MSW, LCSWA
• Christina Connors
• Douglas Michael Conrad, MD
• Elizabeth Anne Conrad, RDN
• Consortia Laboratories, Inc.

• Acupuncturist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Acupuncturist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.