Individual provider Active NPI

Kelly Elizabeth Fleming

  • Sports Medicine (Preventive Medicine) Physician
  • Chapel Hill, NC
National Provider Identifier
1336797331
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X
License
LAT-4010 Issued in NC
Practice address
Stallings-Evans Sports Medicine Center
91 Stadium Drive
Chapel Hill, NC 27215
Phone
(919) 966-2281
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Preventive Medicine) Physician 2083S0010X LAT-4010 NC Primary

Addresses

Primary practice location

Stallings-Evans Sports Medicine Center
91 Stadium Drive
Chapel Hill, NC 27215

Mailing address

Stallings-Evans Sports Medicine Center
91 Stadium Drive
Chapel Hill, NC 27215

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

State licenses

LicenseStateTypeSpecialty
LAT-4010NCMDSports Medicine (Preventive Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1336797331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STALLINGS-EVANS SPORTS MEDICINE CENTER",
            "address_2": "91 STADIUM DRIVE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STALLINGS-EVANS SPORTS MEDICINE CENTER",
            "address_2": "91 STADIUM DRIVE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27215",
            "telephone_number": "919-966-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "NC",
            "license": "LAT-4010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.