Active NPI
Louise Elizabeth Kelley, MS, RN, FNP-C
- Family Nurse Practitioner
- Lakeland, FL
National Provider Identifier
1720322936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9307372
- Practice address
- 5040 US Highway 98 N
Lakeland, FL 33809-0511 - Phone
- (863) 859-3511
- NPI assigned
- Nov 12, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9307372 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | F332248-1 | NY |
Addresses
Primary practice location
5040 US Highway 98 N
Lakeland, FL 33809-0511
Mailing address
7527 Ulmerton Rd
Largo, FL 33771-4548
Phone (727) 586-0138
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
- Credentials
- Master of Science, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9307372 | FL | MD | Family Nurse Practitioner |
| F332248-1 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352678400000",
"number": "1720322936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7527 ULMERTON RD",
"city": "LARGO",
"state": "FL",
"postal_code": "337714548",
"telephone_number": "727-586-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5040 US HIGHWAY 98 N",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338090511",
"telephone_number": "863-859-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "LOUISE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MS, RN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-12",
"last_updated": "2012-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9307372",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F332248-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.