Active NPI
Jordan Grace Kelly, LICENSED PARAMEDIC
- Land Ambulance
- Galveston, TX
National Provider Identifier
1669313185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 780125
- Practice address
- 1600 Biovu Dr
Galveston, TX 77551-1417 - Phone
- (409) 974-1500
- NPI assigned
- Apr 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 780125 | TX | Primary |
Addresses
Primary practice location
1600 Biovu Dr
Galveston, TX 77551-1417
Mailing address
1600 Biovu Dr
Galveston, TX 77551-1417
Phone (409) 974-1500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 780125 | TX | MD | Land Ambulance |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1669313185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 BIOVU DR",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775511417",
"telephone_number": "409-974-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 BIOVU DR",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775511417",
"telephone_number": "409-974-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "JORDAN",
"middle_name": "GRACE",
"credential": "LICENSED PARAMEDIC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-01",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "780125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.