Active NPI
Anna Bingham Kelly, CFNP CDE
- Family Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1992975288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-01907
- Practice address
- 201 Cedar SE #405
Albuquerque, NM 87106 - Phone
- (505) 764-9535
- Fax
- (505) 924-7336
- NPI assigned
- Mar 3, 2008
- Last updated
- Sep 8, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP-01907 | NM | Primary |
| Diabetes Educator Registered Nurse | 163WD0400X | R42841 | NM |
Addresses
Primary practice location
201 Cedar SE #405
Albuquerque, NM 87106
Mailing address
201 Cedar SE #405
Albuquerque, NM 87106
Phone (505) 764-9535
Other names 1
- Ana B Kelly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R42841 | NM | MD | Diabetes Educator Registered Nurse |
| CNP-01907 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perinatal Associates of New Mexico, LTD | Past | Accepting new patients | |
| Perinatal Associates of New Mexico, LTD | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Maternal & Fetal Medicine Physician
- Albuquerque, NM
- NPI 1376565952
-
- Maternal & Fetal Medicine Physician
- El Paso, TX
- NPI 1982550554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1992975288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 CEDAR SE #405",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87106",
"telephone_number": "505-764-9535",
"fax_number": "505-924-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CEDAR SE #405",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87106",
"telephone_number": "505-764-9535",
"fax_number": "505-924-7336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "ANNA",
"middle_name": "BINGHAM",
"credential": "CFNP CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-03",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP-01907",
"primary": true
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NM",
"license": "R42841",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANA",
"last_name": "KELLY",
"middle_name": "B",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.