Freda Elaine McKelvey, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

595902 Issued in TX

Practice address

654 Saint Louis Ave
Fort Worth, TX 76104-3358

Phone

(817) 386-9818

Fax

(817) 386-9821

NPI assigned

Dec 15, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1922084557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SAINT LOUIS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043346",
            "telephone_number": "817-386-9818",
            "fax_number": "817-386-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 SAINT LOUIS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043358",
            "telephone_number": "817-386-9818",
            "fax_number": "817-386-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKELVEY",
        "first_name": "FREDA",
        "middle_name": "ELAINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "595902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174434405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison McKee, PT, DPT
• Catherine McKee, APRN-CNP
• Jennifer McKee, RN
• Lori Jeanne McKee, P.A.
• Andrew McKeen, MD
• Lesley McKenna, PTA, LMT
• Michelle Kay McKenna, DNP, ARNP, CNM
• John Luke McKenzie, P.T.
• Mary Cathrine McKenzie, MOT/OTR, CPRCS
• Kathy Lorraine McKeon, SLP

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, 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 Oct 5, 2011; 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.