Kelley Prater Le Noir, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP144726 Issued in TX

Practice address

18568 Forty Six Pkwy Ste 1001
Spring Branch, TX 78070-6878

Phone

(830) 438-9300

Fax

(830) 438-9002

NPI assigned

Jan 23, 2020

Last updated

Jul 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kelley Macklin Prater Former name

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelley.le-noir.1@27446.direct.athenahealth.com

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.

• Mercy Wellness, PLLC

  • Family Medicine Physician
  • Spring Branch, TX
  • NPI 1356856454
  Medicare reassignment NPD
• Mercy Wellness Clinic Alamo Ranch PLLC

  dba Mercy Wellness Clinic Urgent Care

  • Urgent Care Clinic/Center
  • Spring Branch, TX
  • NPI 1104670595
  NPD

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1841820487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18568 FORTY SIX PKWY",
            "address_2": "STE 1001",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706878",
            "telephone_number": "830-438-9300",
            "fax_number": "830-438-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18568 FORTY SIX PKWY STE 1001",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706878",
            "telephone_number": "830-438-9300",
            "fax_number": "830-438-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE NOIR",
        "first_name": "KELLEY",
        "middle_name": "PRATER",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "PRATER",
            "middle_name": "MACKLIN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyler Kidd
• Jonathan Kirkwood, DPT
• Shannon Kirkwood, DC
• Natasha Klavon, MA, LPC
• Tristan T Lai, MD
• Legent Outpatient Surgery Singing Hills, LLC (Legent Outpatient Surgery Singing Hills)
• Shawna M Lehmann, O.D.
• Lookngood, PLLC
• Gregorio Lozano III, LPC
• Constance Marie Lutze, MDS, RDN, LD

• Family Nurse Practitioner in Spring Branch, TX
• Providers in Spring Branch, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.