Individual provider Active NPI

Rachel Kelly, FNP

  • Family Nurse Practitioner
  • Palo Alto, CA
National Provider Identifier
1598145138
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32365 Issued in TN
Practice address
195 Page Mill Rd Ste 103
Palo Alto, CA 94306-2073
Phone
(888) 731-8994
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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 1-128853 AL
Family Nurse Practitioner 363LF0000X 32365 TN Primary

Addresses

Primary practice location

195 Page Mill Rd Ste 103
Palo Alto, CA 94306-2073

Mailing address

1204 N Houston Levee Rd Ste 114
Cordova, TN 38018-6687
Phone (901) 421-5000

Other practice location 1

999 18th St Ste 3000
Denver, CO 80202-2449
Phone (888) 731-8994

Other practice location 2

4254 W Orchid Ln
Chandler, AZ 85226-7246
Phone (888) 731-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220114000046 CO Practitioner - Nurse Practitioner 8921311176 Reassigns benefits to 1 organization
I20220928003845 TN Practitioner - Nurse Practitioner 8921311176 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
32365TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Urgent Care, PLLC CurrentSince Sep 12, 2022 Accepting new patients
Mid-South Urgent Care, PLLC CurrentSince Sep 12, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Nov 8, 2021 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Nov 8, 2021 Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 549-0212

9116 W Bowles Ave
Ste 3A
Littleton, CO 80123
Phone (303) 904-2600

5905 Stage Rd
Bartlett, TN 38134
Phone (901) 779-8657

1204 N Houston Levee Rd
Ste 114
Cordova, TN 38018
Phone (901) 355-7197

Interoperability endpoints

  • Direct secure messaging: rachel.kelly.1@27069.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8332/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1598145138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N HOUSTON LEVEE RD STE 114",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186687",
            "telephone_number": "901-421-5000",
            "fax_number": "901-572-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 PAGE MILL RD STE 103",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943062073",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 18th St Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802022449",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4254 W Orchid Ln",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852267246",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "RACHEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-128853",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.