Individual provider Active NPI

Keren Ashie Whaley, NP

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1194166728
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5006385 Issued in NC
Practice address
3123 N Davidson St Ste 103
Charlotte, NC 28205-1054
Phone
(252) 470-6825
NPI assigned
Jul 11, 2013
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5006385 NC Primary
Family Nurse Practitioner 363LF0000X RN274795 GA
Family Nurse Practitioner 363LF0000X 26NJ00578900 NJ
Family Nurse Practitioner 363LF0000X 263822 NC

Addresses

Primary practice location

3123 N Davidson St Ste 103
Charlotte, NC 28205-1054

Mailing address

3123 N Davidson St Ste 103
Charlotte, NC 28205-1054
Phone (980) 621-6891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191113000809 GA Practitioner - Nurse Practitioner 6305070723 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
263822NCMDFamily Nurse Practitioner
26NJ00578900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reddy Urgent Care-Monroe LLC CurrentSince Sep 1, 2019 Accepting new patients
Queens Empire Health CurrentSince Dec 1, 2024 Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

500 Great Oaks Dr
Ste 9
Monroe, GA 30655
Phone (678) 905-9121

3123 N Davidson St
Ste 103
Charlotte, NC 28205
Phone (252) 470-6825

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1194166728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 N DAVIDSON ST STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051054",
            "telephone_number": "980-621-6891",
            "fax_number": "910-939-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 N DAVIDSON ST STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051054",
            "telephone_number": "252-470-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "KEREN",
        "middle_name": "ASHIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006385",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN274795",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00578900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "263822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.