Individual provider Active NPI

Kelly Marie Ware, NP

  • Nurse Practitioner
  • Franklin, NC
National Provider Identifier
1801356605
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012945 Issued in NC
Practice address
19 Smoky Mountain Dr
Franklin, NC 28734-0796
Phone
(828) 293-2274
NPI assigned
Mar 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012945 NC Primary

Addresses

Primary practice location

19 Smoky Mountain Dr
Franklin, NC 28734-0796

Mailing address

19 Smoky Mountain Dr
Franklin, NC 28734-0796
Phone (828) 293-2274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190521001561 CA Practitioner - Nurse Practitioner 6901149699 Reassigns benefits to 1 organization
I20200616002468 NC Practitioner - Nurse Practitioner 6901149699 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5012945NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vecinos, Inc. CurrentSince Nov 24, 2025 Accepting new patients
Petaluma Health Center Inc CurrentSince Mar 17, 2019 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Apr 15, 2022 Accepting new patients
Petaluma Health Center Inc Current Accepting new patients
Petaluma Health Center, Inc CurrentSince Mar 17, 2019 Accepting new patients
Appalachian Mountain Community Health Centers Past Accepting new patients
Vecinos, Inc. PastSince Nov 8, 2025 Accepting new patients

Locations

1179 N McDowell Blvd
Petaluma, CA 94954

5900 State Farm Dr
Ste 200
Rohnert Park, CA 94928
Phone (707) 559-7600

19 Smoky Mountain Dr
Franklin, NC 28734
Phone (828) 293-2274

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17886/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kelly.ware.1@17886.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1801356605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SMOKY MOUNTAIN DR",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287340796",
            "telephone_number": "828-293-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SMOKY MOUNTAIN DR",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287340796",
            "telephone_number": "828-293-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, NC

Sources for this page

Verify at the official NPI Registry.