Active NPI
Paticia Annette Kelley, RN
- Registered Nurse
- Apex, NC
National Provider Identifier
1659520930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 180625
- Practice address
- 1905 Green Ford LN
Apex, NC 27502-6219 - Phone
- (336) 251-2019
- NPI assigned
- Sep 11, 2008
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 180625 | NC | Primary |
Addresses
Primary practice location
1905 Green Ford LN
Apex, NC 27502-6219
Mailing address
1905 Green Ford LN
Apex, NC 27502-6219
Phone (336) 251-2019
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 |
|---|---|---|---|
| 180625 | NC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221091200000",
"number": "1659520930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 GREEN FORD LN",
"city": "APEX",
"state": "NC",
"postal_code": "275026219",
"telephone_number": "336-251-2019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 GREEN FORD LN",
"city": "APEX",
"state": "NC",
"postal_code": "275026219",
"telephone_number": "336-251-2019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "PATICIA",
"middle_name": "ANNETTE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2008-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "180625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apex, NC
- Anna Evans Keene, DDS
- Keene, DDS and Walters, DMD, PLLC (Apex Family Dentistry)
- Stacey Ann Keith, M.S., CCC-SLP
- Kelley Counseling
- Elizabeth Anne Kelley
- Elizabeth M. Kellner
- Kelly F. Viau, D.D.S., P.a. (Peak City Family Dentistry)
- Caroline Conn Kelly, BCBA
- Joel Daniel Kelly, DPM
- Meredith Kelly, DPT, CERT. DN, BFR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.