Charlotte Mary Kelley, A.R.N.P., G.N.P.

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

00000 Issued in IA

Practice address

2600 Grand Ave
Suite 125
Des Moines, IA 50312-5375

Phone

(515) 277-3400

Fax

(515) 277-9036

NPI assigned

Aug 15, 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

Nurse Practitioner

State licenses

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.

• WD Franks Jr., MD Plastic Surgery Inc

  • Plastic Surgery Physician
  • Des Moines, IA
  • NPI 1710298617
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710989132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125305",
            "telephone_number": "515-237-3974",
            "fax_number": "515-883-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GRAND AVE",
            "address_2": "SUITE 125",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125375",
            "telephone_number": "515-277-3400",
            "fax_number": "515-277-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "CHARLOTTE",
        "middle_name": "MARY",
        "credential": "A.R.N.P., G.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David N Kelbaugh Jr., PMHNP-BC
• Nancy Kelinson, LISW
• Elizabeth Keller, BS
• Mackenzie Keller, ARNP
• Britt Kelley, RN
• Christopher Kelley, D.O.
• Dillon Patrick Kelley, RN
• Kellie K. Hoover, DC, PC (Iowa Family Chiropractic)
• Mary Kelly Grief, RDH
• Eli Kelly, DO

• Gerontology Nurse Practitioner in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Gerontology Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.