Active NPI
Emily Parker Kelker, NP
- Nurse Practitioner
- Salisbury, NC
National Provider Identifier
1710528328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5012371
- Practice address
- 1904 Jake Alexander Blvd W Ste 301
Salisbury, NC 28147-1177 - Phone
- (704) 638-1551
- Fax
- (704) 638-1553
- NPI assigned
- Oct 4, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 5012371 | NC | |
| Nurse Practitioner | 363L00000X | 5012371 | NC | Primary |
Addresses
Primary practice location
1904 Jake Alexander Blvd W Ste 301
Salisbury, NC 28147-1177
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Other practice location 1
6331 Carmel Rd Ste 102
Charlotte, NC 28226-8286
Phone (704) 316-2557
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ekelker141720@direct.novanthealth.org |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5012371 | NC | MD | Nurse Practitioner |
Interoperability endpoints
- ekelker141720@direct.novanthealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640217600000",
"number": "1710528328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 JAKE ALEXANDER BLVD W STE 301",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281471177",
"telephone_number": "704-638-1551",
"fax_number": "704-638-1553"
}
],
"practiceLocations": [
{
"address_1": "6331 Carmel Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282268286",
"country_code": "US",
"telephone_number": "704-316-2557",
"fax_number": "704-316-2558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELKER",
"first_name": "EMILY",
"middle_name": "PARKER",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2021-12-23",
"certification_date": "2021-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NC",
"license": "5012371",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5012371",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ekelker141720@direct.novanthealth.org",
"affiliation": "N",
"address_1": "6331 Carmel Rd Ste 102",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282268286",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.