Kelly Dugan

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

816627 Issued in TX

Practice address

1938 Reserve Way
New Braunfels, TX 78130-0180

Phone

(210) 347-3155

NPI assigned

Aug 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• My Virtual Wellness

  • Clinic/Center
  • New Braunfels, TX
  • NPI 1417785148
  NPD Authorized official

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1376375634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 RESERVE WAY",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300180",
            "telephone_number": "210-347-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 RESERVE WAY",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300180",
            "telephone_number": "210-347-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "816627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Henry a Hull Optometrist, Inc
• Dr. Judith Thompson MD PA
• Korine Drake, RN
• Kristen Drake, LPC
• Lisa Anne Dreyfus, LCDC
• Brittney Conine Duke, PT, DPT
• Cheryl Elizabeth Duke, NCC, LPC
• Madison Dunman, PA-C
• James Durham
• Lavonne Marie Dyste, LPC,NCC

• Registered Nurse in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.