Active NPI
Rachel Bailey Kelley, PMHNP, APRN
- Psychiatry Physician
- Highlands, NC
National Provider Identifier
1881023760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 5010539
- Practice address
- 209 N 4TH St
Upstairs and Rear Entrance
Highlands, NC 28741 - Phone
- (828) 526-3241
- Fax
- (828) 482-9019
- NPI assigned
- Nov 1, 2013
- Last updated
- Feb 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP3014332 | FL | |
| Psychiatry Physician | 2084P0800X | 5010539 | NC | Primary |
Addresses
Primary practice location
209 N 4TH St
Upstairs and Rear Entrance
Highlands, NC 28741
Mailing address
209 N 4TH St
PO Box 1557
Highlands, NC 28741
Phone (828) 526-3241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5010539 | Other | NC | APRN STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2019 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1881023760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 N 4TH ST",
"address_2": "PO BOX 1557",
"city": "HIGHLANDS",
"state": "NC",
"postal_code": "28741",
"telephone_number": "828-526-3241",
"fax_number": "828-482-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 N 4TH ST",
"address_2": "UPSTAIRS AND REAR ENTRANCE",
"city": "HIGHLANDS",
"state": "NC",
"postal_code": "28741",
"telephone_number": "828-526-3241",
"fax_number": "828-482-9019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "RACHEL",
"middle_name": "BAILEY",
"credential": "PMHNP, APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-01",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP3014332",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "5010539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN STATE LICENSE",
"identifier": "5010539",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Highlands, NC
- Highlands-Cashiers Physician Services
- Highlands-Cashiers Physician Services, Inc.
- Betty Jean Holt, M.ED
- Hannah Price Hough, DNP, RN, FNP-C
- J Scott Baker, M.D.
- Morgan Kyle Anna Kilby
- Life Matters Professional Counseling, PLLC
- Todd David Lipphardt, PA
- Margaret Everhart Mack, PHD, APRN, FNP-BC
- Mark Shoptaugh, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.