Active NPI
Kelly Lelia McDonough, NP
- Neonatal Nurse Practitioner
- Houston, TX
National Provider Identifier
1881080232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- APRN1195514
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704431428 | MI | MD | Nurse Practitioner |
| APN0001891 | CO | MD | Neonatal Nurse Practitioner |
| 6597 | MN | MD | Neonatal Nurse Practitioner |
| APRN1195514 | TX | MD | Neonatal Nurse Practitioner |
| ARNP9173823 | FL | MD | Critical Care Neonatal Nurse Practitioner |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.