Kelsey H O'Brien, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME137463 Issued in FL

Practice address

6301 Gaston Ave Ste 125P
Dallas, TX 75214-6207

Phone

(214) 912-1531

Fax

(469) 757-4890

NPI assigned

Sep 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pecan Tree Pediatrics, P.a.

  • Pediatrics Physician
  • Rockwall, TX
  • NPI 1073802724
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1710972575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE STE 125P",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752146207",
            "telephone_number": "214-912-1531",
            "fax_number": "469-757-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE STE 125P",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752146207",
            "telephone_number": "214-912-1531",
            "fax_number": "469-757-4890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Davis Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33606",
            "country_code": "US",
            "telephone_number": "813-259-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 N. Washington Street",
            "address_2": "Ste. 100",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220463303",
            "country_code": "US",
            "telephone_number": "703-237-5919",
            "fax_number": "703-241-1863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Tampa General Cir",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063603",
            "country_code": "US",
            "telephone_number": "813-974-2201",
            "fax_number": "813-974-2812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "KELSEY",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME137463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• O.C Medical Associates PA
• Jessica O'Bleness, PHD
• Alison O'Brien, PHARM.D.
• Jack Christopher O'Brien
• Kari Pinke O'Brien, PA-C
• Pauline Elizabeth O'Bryan, PA-C
• Jody Emily O'Callaghan
• Anthony J O'Connell, M.D.
• Kathleen Kenny O'Connell, PA-C
• Michael O'Connell

• Pediatrics Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.