Nancy Ann Choate Kelly

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

101.0134374 Issued in VT

Practice address

128 Lakeside Ave Ste 260
Burlington, VT 05401-5911

Phone

(802) 657-7000

NPI assigned

Aug 17, 2019

Last updated

Aug 17, 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

State licenses

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

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566000000000",
    "number": "1881240570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LAKESIDE AVE STE 260",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015911",
            "telephone_number": "802-657-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LAKESIDE AVE STE 260",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015911",
            "telephone_number": "802-657-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "NANCY ANN",
        "middle_name": "CHOATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-17",
        "last_updated": "2019-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VT",
            "license": "101.0134374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lee Kelly, M.A.
• Brendan Kelly, L. AC.
• Erika Kelly
• Jamie L Kelly, PA
• Melissa Suzanne Kelly, MS, RD, CD
• Reese C. Kelly
• Sarah Anne Kelso-O'Brien, M.D.
• Michael Duncan Kem, MD
• Jessica S Kempner, MD
• Marga Elizabeth Kempner, MD

• Adult Health Nurse Practitioner in Burlington, VT
• Providers in Burlington, VT by specialty
• Adult Health Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.