Individual provider Active NPI

Kelly Lelia McDonough, NP

  • Neonatal Nurse Practitioner
  • Houston, TX
National Provider Identifier
1881080232
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
APRN1195514 Issued in TX
Practice address
929 Gessner Rd
Houston, TX 77024-2515
Phone
(713) 242-3000
Fax
(713) 338-6466
NPI assigned
Apr 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X APRN1195514 TX Primary
Neonatal Nurse Practitioner 363LN0000X ARNP9173823 FL
Neonatal Nurse Practitioner 363LN0000X APN0001891 CO
Nurse Practitioner 363L00000X 6597 MN
Critical Care Neonatal Nurse Practitioner 363LN0005X 6597 MN
Nurse Practitioner 363L00000X 4704431428 MI
Neonatal Nurse Practitioner 363LN0000X 6597 MN
Critical Care Neonatal Nurse Practitioner 363LN0005X ARNP9173823 FL

Addresses

Primary practice location

929 Gessner Rd
Houston, TX 77024-2515

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

Other practice location 1

5955 Ponce De Leon Blvd
Coral Gables, FL 33146-2423
Phone (305) 661-1515 ext. 221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 28, 2025 through Jul 28, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704431428MIMDNurse Practitioner
APN0001891COMDNeonatal Nurse Practitioner
6597MNMDNeonatal Nurse Practitioner
APRN1195514TXMDNeonatal Nurse Practitioner
ARNP9173823FLMDCritical Care Neonatal Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kelly.mcdonough.1@27004.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1881080232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 GESSNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242515",
            "telephone_number": "713-242-3000",
            "fax_number": "713-338-6466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5955 Ponce De Leon Blvd",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331462423",
            "country_code": "US",
            "telephone_number": "305-661-1515 x221",
            "fax_number": "305-662-3723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "KELLY",
        "middle_name": "LELIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TX",
            "license": "APRN1195514",
            "primary": true
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "FL",
            "license": "ARNP9173823",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "CO",
            "license": "APN0001891",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "6597",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "MN",
            "license": "6597",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704431428",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "MN",
            "license": "6597",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "FL",
            "license": "ARNP9173823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.