Kelly Foster Nerell, LPA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PA5114 Issued in NC

Practice address

3240 Burnt Mill Dr Ste 9a
Wilmington, NC 28403-2570

Phone

(910) 292-6676

Fax

(910) 292-4899

NPI assigned

Oct 23, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kelly Elizabeth Foster Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1710854757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 BURNT MILL DR STE 9A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032570",
            "telephone_number": "910-292-6676",
            "fax_number": "910-292-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 BURNT MILL DR STE 9A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032570",
            "telephone_number": "910-292-6676",
            "fax_number": "910-292-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERELL",
        "first_name": "KELLY",
        "middle_name": "FOSTER",
        "name_prefix": "Ms.",
        "credential": "LPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "PA5114",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NC",
            "license": "1149122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "FOSTER",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "LPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Nelson, PA-C
• Robert C Nelson, PSYD
• Sarah Freeman Nelson, LCSWA, LCASA
• Hayley Alise Nemeth, LCSW
• Danielle Lauren Nerber, DO
• Katherine Nethers
• Courtney Marie Netto, DNP, FNP-BC
• Christopher Michael Neuenfeldt, PSYD
• Lisa Neuhaus
• Neuphoria NC PLLC

• Clinical Psychologist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.