Individual provider Active NPI

Kelly H Tate, FNP

  • Family Nurse Practitioner
  • Burlington, NC
National Provider Identifier
1447212378
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201324 Issued in NC
Practice address
3866 Rural Retreat Rd Ste 104
Burlington, NC 27215-8462
Phone
(336) 890-4160
Fax
(336) 890-4164
NPI assigned
Apr 5, 2006
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201324 NC
Family Nurse Practitioner 363LF0000X 201324 NC Primary

Addresses

Primary practice location

3866 Rural Retreat Rd Ste 104
Burlington, NC 27215-8462

Mailing address

199 Eb Tate Rd
Burlington, NC 27217-9597
Phone (336) 504-0538

Other practice location 1

199 E.B. Tate Road
Burlington, NC 27217
Phone (336) 504-0538

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ktate563479@direct.conehealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050222000909 NC Practitioner - Nurse Practitioner 9537112248 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3940 Arrowhead Blvd
Suite 110
Mebane, NC 27302-7637
Phone (919) 568-7300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Jun 22, 2020 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jan 6, 2025 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Jun 22, 2020 Accepting new patients
North Carolina Em I Medical Services P C Past Accepting new patients
Person Emergency Physicans PA Past Accepting new patients
Person Emergency Services PLLC Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

3866 Rural Retreat Rd
Ste 104
Burlington, NC 27215
Phone (336) 890-4160

1123 N Church St
Greensboro, NC 27401
Phone (336) 832-4400

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

3711 Elmsley St
Ste 102
Greensboro, NC 27406
Phone (336) 890-2200

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

3940 Arrowhead Blvd
Ste 110
Mebane, NC 27302
Phone (919) 568-7300

Interoperability endpoints

  • Direct secure messaging: ktate563479@direct.conehealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1447212378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 EB TATE RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272179597",
            "telephone_number": "336-504-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3866 RURAL RETREAT RD STE 104",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158462",
            "telephone_number": "336-890-4160",
            "fax_number": "336-890-4164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 E.B. Tate Road",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "27217",
            "country_code": "US",
            "telephone_number": "336-504-0538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "KELLY",
        "middle_name": "H",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201324",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktate563479@direct.conehealth.com",
            "affiliation": "N",
            "address_1": "3866 Rural Retreat Rd Ste 104",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272158462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.