Individual provider Active NPI

Kristi Watson Kelley, PHARMD, BCPS, BCACP

  • Pharmacotherapy Pharmacist
  • Birmingham, AL
National Provider Identifier
1326063470
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
14210 Issued in AL
Practice address
701 Princeton Ave SW Ste 229
Birmingham, AL 35211
Phone
(205) 783-3505
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 14210 AL Primary

Addresses

Primary practice location

701 Princeton Ave SW Ste 229
Birmingham, AL 35211

Mailing address

1141 Lake Colony LN
Vestavia Hills, AL 35242-7424
Phone (205) 967-6140

Other practice location 1

2401 15th Ave N
Carraway Community Care Clinic
Birmingham, AL 35234-2840
Phone (205) 502-4534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
14210ALMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1326063470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 LAKE COLONY LN",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352427424",
            "telephone_number": "205-967-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PRINCETON AVE SW STE 229",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35211",
            "telephone_number": "205-783-3505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 15th Ave N",
            "address_2": "Carraway Community Care Clinic",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352342840",
            "country_code": "US",
            "telephone_number": "205-502-4534",
            "fax_number": "205-502-3075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KRISTI",
        "middle_name": "WATSON",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCPS, BCACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "AL",
            "license": "14210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.