Amanda Vaughan Kelly, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5011971 Issued in NC

Practice address

1505 SW Cary Pkwy Ste 309
Cary, NC 27511-6219

Phone

(919) 846-9011

Fax

(844) 587-9567

NPI assigned

Jul 9, 2019

Last updated

Jul 9, 2019By the provider in NPPES

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)

Not enrolled

Credentials

Master of Science - Nursing

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Raleigh Gastroenterology, P.a.

  • Gastroenterology Physician
  • Cary, NC
  • NPI 1245204700
  NPD (past)

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1811549041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SW CARY PKWY STE 309",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116219",
            "telephone_number": "919-846-9011",
            "fax_number": "844-587-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SW CARY PKWY STE 309",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116219",
            "telephone_number": "919-846-9011",
            "fax_number": "844-587-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "AMANDA",
        "middle_name": "VAUGHAN",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Behil Keiser, FNP-BC
• Britton Hilliard Keith, DPT
• Jennifer Elizabeth Kellam
• Courtney Novey Keller, MS, PT, PPI
• Lesley Kellogg, LCAS, LCMHC
• Erica Jenkins Kelly, PHARM.D.
• Evangeline Kelly
• Katherine Mercedes Kelly, CNM
• Morgan Jewell Kelly, M.A.
• Dwan Kelsey, NP

• Family Nurse Practitioner in Cary, NC
• Providers in Cary, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.