Vicki Glaeser Kelly

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

990742 Issued in TX

Practice address

23822 Stately Oaks
San Antonio, TX 78260-3513

Phone

(210) 865-5092

NPI assigned

Nov 20, 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": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1518782887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23822 STATELY OAKS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782603513",
            "telephone_number": "210-865-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23822 STATELY OAKS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782603513",
            "telephone_number": "210-865-5092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 Merton Minter St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294404",
            "country_code": "US",
            "telephone_number": "210-671-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "VICKI",
        "middle_name": "GLAESER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "990742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert James Kelly Jr., PHARM D
• Sean M Kelly
• Tamara Lynn Kelly, RN, MSN
• Theresa J. Kelly, OTR
• Timothy Michael Kelly, ATC
• William James Kelly, MD
• Zarrian Travell Kelly, LPCA
• Danna Kelm, M.A., L.P.C.
• Leiland Morgan Kelsey
• Priyanka Kelshikar, PHARMD

• Registered Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.