Active NPI
Kelly Jo Ely, RN
- Cardiovascular Disease Physician
- Richmond, VA
National Provider Identifier
1619650108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0001292795
- Practice address
- 7101 Jahnke Rd
Richmond, VA 23225-4017 - Phone
- (804) 483-2380
- Fax
- (804) 483-2381
- NPI assigned
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0001292795 | VA | Primary |
Addresses
Primary practice location
7101 Jahnke Rd
Richmond, VA 23225-4017
Mailing address
17343 Burchett LN
Beaverdam, VA 23015-1779
Phone (804) 878-4651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001292795 | VA | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1619650108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17343 BURCHETT LN",
"city": "BEAVERDAM",
"state": "VA",
"postal_code": "230151779",
"telephone_number": "804-878-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 JAHNKE RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232254017",
"telephone_number": "804-483-2380",
"fax_number": "804-483-2381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELY",
"first_name": "KELLY",
"middle_name": "JO",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0001292795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.