Active NPI
Patrick J Kelley, L.AC.
- Acupuncturist
- Raleigh, NC
National Provider Identifier
1356776967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 679
- Practice address
- 1011 Dresser CT
Raleigh, NC 27609-7323 - Phone
- (919) 792-3940
- NPI assigned
- Sep 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 679 | NC | Primary |
Addresses
Primary practice location
1011 Dresser CT
Raleigh, NC 27609-7323
Mailing address
607 Churchill Dr
Chapel Hill, NC 27517-2506
Phone (919) 698-9431
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
| License | State | Type | Specialty |
|---|---|---|---|
| 679 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379030400000",
"number": "1356776967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 CHURCHILL DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275172506",
"telephone_number": "919-698-9431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 DRESSER CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097323",
"telephone_number": "919-792-3940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "PATRICK",
"middle_name": "J",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-13",
"last_updated": "2013-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NC",
"license": "679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.