NPIMap

Individual provider Active NPI

Katherine Kelly, NP

  • Acute Care Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1316521032
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
5014493 Issued in NC
Practice address
525 N Tryon St
Charlotte, NC 28202-0202
Phone
(866) 849-0692
NPI assigned
May 9, 2021
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11036143 FL
Acute Care Nurse Practitioner 363LA2100X 0024192751 VA
Acute Care Nurse Practitioner 363LA2100X 5014493 NC Primary

Addresses

Primary practice location

525 N Tryon St
Charlotte, NC 28202-0202

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

3400 Wake Forest Rd
Raleigh, NC 27609-7317
Phone (919) 668-7614

Other practice location 2

7001 Forest Ave Ste 200
Richmond, VA 23230-1726
Phone (804) 288-3123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220324001964 NC Practitioner - Nurse Practitioner 1355736596 Reassigns benefits to 1 organization
I20250624002817 VA Practitioner - Nurse Practitioner 1355736596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13710 St Francis Blvd
Suite 600
Midlothian, VA 23114-3267
Phone (804) 794-6400

7001 Forest Ave
Richmond, VA 23230-1726

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11036143FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Jun 15, 2025 Accepting new patients
Bon Secours St Mary's Hospital of Richmond LLC CurrentSince Jun 15, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 1, 2024 Accepting new patients
Bon Secours St. Mary's Hospital of Richmond LLC Current Accepting new patients

Locations

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

11601 Iron Bridge Rd
Ste 200
Chester, VA 23831
Phone (804) 340-5730

13710 St Francis Blvd
Ste 600
Midlothian, VA 23114
Phone (804) 764-6400

12320 W Broad St
Ste 203
Richmond, VA 23233
Phone (804) 923-7369

7001 Forest Ave
Ste 200
Richmond, VA 23230
Phone (804) 288-3123

Interoperability endpoints

  • Direct secure messaging: kkelly2838027@direct.bsmhealth.org
  • Direct secure messaging: kmccarter451370@direct.medicine.duke.edu

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1316521032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282020202",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Wake Forest Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276097317",
            "country_code": "US",
            "telephone_number": "919-668-7614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7001 Forest Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232301726",
            "country_code": "US",
            "telephone_number": "804-288-3123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-09",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11036143",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024192751",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5014493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.