Victoria Henderson Kepley, AGNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5014221 Issued in NC

Practice address

548 Williamson Rd Ste 6
Mooresville, NC 28117-9111

Phone

(704) 660-5520

NPI assigned

May 3, 2021

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)

Enrolled

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1932782471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1845",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286871845",
            "telephone_number": "704-873-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 WILLIAMSON RD STE 6",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179111",
            "telephone_number": "704-660-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPLEY",
        "first_name": "VICTORIA",
        "middle_name": "HENDERSON",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5014221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Scott Keadle, DDS
• Natasha Lynette Kearney, CCC SLP
• Conor Keeley
• Timothy P Kelley, PA-C
• Ingrid Kenron
• Elizabeth Verdery Kerr
• Kerry L. Musick, MD, PLLC
• Ervin Vincent Ketchie, LPC
• Laura Ketchie, LPC
• Holly Caudell Ketner, MA, CCC-SLP

• Adult Health Nurse Practitioner in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.