Beaulah Prioleau Kelly, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

74202 Issued in SC

Practice address

2000 Hampton St
Columbia, SC 29204-1002

Phone

(803) 576-2796

Fax

(803) 576-2985

NPI assigned

Jul 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1285307801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HAMPTON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041002",
            "telephone_number": "803-576-2796",
            "fax_number": "803-576-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HAMPTON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041002",
            "telephone_number": "803-576-2796",
            "fax_number": "803-576-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BEAULAH",
        "middle_name": "PRIOLEAU",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "SC",
            "license": "74202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kellybp@dhec.sc.gov",
            "affiliation": "N",
            "address_1": "2000 Hampton St",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292041002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Columbia",
            "affiliation": "N",
            "address_1": "2000 Hampton St",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292041002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alayna Ann Kelley, AGACNP-BC, CCRN
• Rebecca Lanell Kelley, RD
• Amy E Kelly, RD
• Andrew Kelly
• Barbara Frances Kelly, LMSW
• Charles Christopher Kelly, L.M.T
• Jalissa C Kelly, PMHNP
• Jennifer Amy Kelly
• Jocelyn Kelly
• Katherine Kelly

• General Practice Registered Nurse in Columbia, SC
• Providers in Columbia, SC by specialty
• General Practice Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.