Active NPI
Karen Denise Kelker, CRNP
- Family Nurse Practitioner
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN116927
- Practice address
- 3060 Mobile Hwy
Montgomery, AL 36108-4027 - Phone
- (334) 293-6670
- Fax
- (334) 293-6668
- NPI assigned
- Dec 21, 2006
- Last updated
- Aug 27, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-034411 | AL | |
| Family Nurse Practitioner | 363LF0000X | RN116927 | GA | Primary |
| General Practice Registered Nurse | 163WG0000X | 1-034411 | AL |
Addresses
Primary practice location
3060 Mobile Hwy
Montgomery, AL 36108-4027
Mailing address
3060 Mobile Hwy
Montgomery, AL 36108-4027
Phone (334) 293-6670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-034411 | AL | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Family | Current | Accepting new patients |
| Health Services, Inc. | Current | Accepting new patients | |
| Health Services, Inc | Current | Accepting new patients | |
| Health Services Inc | Current | Accepting new patients | |
| Geriatric Associates of Montgomery, PC | Current | Accepting new patients | |
| Health Services Inc | Current | Accepting new patients | |
| Health Services Inc | Current | Accepting new patients | |
| Amedisys Alabama, LLC | Past | Accepting new patients |
Locations
203 N Taylor St
Autaugaville, AL 36003
Phone (334) 263-2301
109 Saint Joseph Ave
Ste 200
Brewton, AL 36426
Phone (251) 809-1717
107 Medical Center Dr
Clanton, AL 35045
Phone (205) 280-1478
511 E Tuskeena St
Hayneville, AL 36040
Phone (334) 548-2516
33 Salem Rd
#2
Montevallo, AL 35115
1230 Carmichael Way
Montgomery, AL 36106
Phone (334) 277-7665
2611 Woodley Park Dr
Montgomery, AL 36116
Phone (334) 288-0009
3058 Mobile Hwy
Montgomery, AL 36108
Phone (334) 293-6670
3060 Mobile Hwy
Montgomery, AL 36108
Phone (334) 293-6400
5095 Peachtree Pkwy
Norcross, GA 30092
Phone (770) 209-9299
11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Family Medicine) Physician
- Montgomery, AL
- NPI 1679637912
-
dba Montevallo Family Health Center
- Federally Qualified Health Center (FQHC)
- Montevallo, AL
- NPI 1891257390
-
dba Hayneville Family Health Center
- Federally Qualified Health Center (FQHC)
- Hayneville, AL
- NPI 1598788218
-
dba Autaugaville Family Health Center
- Federally Qualified Health Center (FQHC)
- Autaugaville, AL
- NPI 1992727853
-
dba Montgomery Primary Care
- Federally Qualified Health Center (FQHC)
- Montgomery, AL
- NPI 1528082336
-
dba Living Well Specialty Clinic
- Federally Qualified Health Center (FQHC)
- Montgomery, AL
- NPI 1184284986
-
dba Amedisys Home Health of Reform
- Home Health Agency
- Carrollton, AL
- NPI 1326006628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1992869051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3060 MOBILE HWY",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361084027",
"telephone_number": "334-293-6670",
"fax_number": "334-293-6668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 MOBILE HWY",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361084027",
"telephone_number": "334-293-6670",
"fax_number": "334-293-6668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELKER",
"first_name": "KAREN",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2020-08-27",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-034411",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN116927",
"primary": true
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "AL",
"license": "1-034411",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.