Active NPI
Lauren Keller, NP
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5010997
- Practice address
- 1001 Blythe Blvd
Medical Center Plaza Suite 200
Charlotte, NC 28203-5866 - Phone
- (704) 381-8840
- NPI assigned
- Jul 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP142789 | TX | |
| Nurse Practitioner | 363L00000X | 5010997 | NC | Primary |
Addresses
Primary practice location
1001 Blythe Blvd
Medical Center Plaza Suite 200
Charlotte, NC 28203-5866
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1653 Campus Park Dr
Suite A
Monroe, NC 28112-4005
Phone (704) 283-2000
Other practice location 2
920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3664
Other practice location 3
14214 Ballantyne Lake Rd
Charlotte, NC 28277-3372
Phone (704) 381-8840
Other practice location 4
800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-5956
Other practice location 5
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 446-1422
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5010997 | NC | MD | Nurse Practitioner |
| AP142789 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Clinic | Past | Accepting new patients | |
| Texas Children's Physician Group | Past | Accepting new patients |
Interoperability endpoints
- lkeller638929@christushealth.direct-ci.net
- lkeller356141@prddirect.texaschildrens.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
dba Trinity Clinic Family Practice
- Family Medicine Physician
- Tyler, TX
- NPI 1922058304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1366929010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BLYTHE BLVD",
"address_2": "MEDICAL CENTER PLAZA SUITE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035866",
"telephone_number": "704-381-8840"
}
],
"practiceLocations": [
{
"address_1": "1653 Campus Park Dr",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "NC",
"postal_code": "281124005",
"country_code": "US",
"telephone_number": "704-283-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "920 Church St N",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252927",
"country_code": "US",
"telephone_number": "704-403-3664",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14214 Ballantyne Lake Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282773372",
"country_code": "US",
"telephone_number": "704-381-8840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 E Dawson St",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012036",
"country_code": "US",
"telephone_number": "903-606-5956",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 S Kings Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282072134",
"country_code": "US",
"telephone_number": "704-446-1422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLER",
"first_name": "LAUREN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-25",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP142789",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5010997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.