Kellie Harney O'Hara, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5002520 Issued in NC

Practice address

275 N NC 16 Business Hwy Ste 104
Denver, NC 28037-3002

Phone

(704) 489-3440

Fax

(888) 815-0892

NPI assigned

Mar 27, 2007

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

University of North Carolina at Chapel Hill School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Equity Health Services, PLLCGroup PAC ID 5395160436, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JBIFCD/Endpoint/JBIFCD

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.

• Equity Health Services, PLLC

  • Adult Health Nurse Practitioner
  • Denver, NC
  • NPI 1649890450
  Medicare reassignment Care Compare group NPD
• Minuteclinic Diagnostic of North Carolina PC

  • Family Nurse Practitioner
  • Raleigh, NC
  • NPI 1699748608
  Medicare reassignment NPD

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1316066079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N NC 16 BUSINESS HWY STE 104",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280373002",
            "telephone_number": "704-489-3440",
            "fax_number": "888-815-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N NC 16 BUSINESS HWY STE 104",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280373002",
            "telephone_number": "704-489-3440",
            "fax_number": "888-815-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "KELLIE",
        "middle_name": "HARNEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5002520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316066079",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kellie.ohara@equityhealthcares.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Equity Health, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "275 N Nc 16 Business Hwy Ste 104",
            "city": "Denver",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280373002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Novant Medical Group, Inc.
• Nutrition Therapy Services, Inc
• Kristin Sarah O'Brien, OD
• Orthocarolina, PA
• Elisabeth Danielle Ortiz
• Carolyn Ortner
• Lisa Rae Otoude, DMD
• Sabryna Kelsey Davis Owens, OD

• Nurse Practitioner in Denver, NC
• Providers in Denver, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.