Kelsey Amelia Yarber

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1-189194 Issued in AL

Practice address

204 Mountain Ave
Mountain BRK, AL 35213-2919

Phone

(508) 963-4405

NPI assigned

Jan 17, 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

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1508627407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MOUNTAIN AVE",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132919",
            "telephone_number": "508-963-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MOUNTAIN AVE",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132919",
            "telephone_number": "508-963-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBER",
        "first_name": "KELSEY",
        "middle_name": "AMELIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-189194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.