Individual provider Active NPI

Kelly Barnes Laham, ANP-BC

  • Nurse Practitioner
  • Bolton, NC
National Provider Identifier
1295970358
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5004173 Issued in NC
Practice address
213 9TH Street
Bolton, NC 28423
Phone
(910) 655-8300
Fax
(910) 655-8848
NPI assigned
Dec 3, 2008
Last updated
Aug 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5004173 NC Primary
Nurse Practitioner 363L00000X 20090302 NC

Addresses

Primary practice location

213 9TH Street
Bolton, NC 28423

Mailing address

213 9TH Street
Bolton, NC 28423
Phone (910) 655-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20090302NCMDNurse Practitioner
5004173NCMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1295970358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 9TH STREET",
            "city": "BOLTON",
            "state": "NC",
            "postal_code": "28423",
            "telephone_number": "910-655-8300",
            "fax_number": "910-655-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 9TH STREET",
            "city": "BOLTON",
            "state": "NC",
            "postal_code": "28423",
            "telephone_number": "910-655-8300",
            "fax_number": "910-655-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHAM",
        "first_name": "KELLY",
        "middle_name": "BARNES",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004173",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "20090302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolton, NC

Sources for this page

Verify at the official NPI Registry.