LISA M KELLEY (NPI# 1669457420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669457420 |
| Entity Type | Individual |
| Full Name | LISA M KELLEY |
| Credential | N.P. |
| Practice Address |
2711 Randolph Rd Suite 100 Charlotte NC 28207-2034 |
| Practice Telephone | 7043429550 |
| Practice Fax Number | 7043770353 |
| Mailing Telephone | 7043429550 |
| Mailing Fax Number | 7043770353 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2011-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
0050-03621 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
0024165508 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003292509 | Lisa Kelley | Naturopath | 117 Free Street, C/o Headgames Spa, Portland, ME 04106 | 2015-08-06 |
| 1619245792 | Lisa Leigh Kelley | Acupuncturist | 1 Union Sq W Ste 715, New York, NY 10003-3303 | 2011-12-05 |
| 1376751446 | Lisa Nicole Kelley | Chiropractor | 7522 Grant St, Darien, IL 60561-4419 | 2007-05-20 |
| 1477655108 | Lisa S Kelley | Nurse Anesthetist, Certified Registered | 317 S Jackson St, Tullahoma, TN 37388-3471 | 2006-09-02 |
| 1497214043 | Lisa Kelley | Midwife | 63 Main St, Brockton, MA 02301-4042 | 2019-03-13 |
| 1376056903 | Lisa Kelley | Physical Therapist | 1 Arbor Ter, Fenton, MO 63026-3900 | 2017-11-06 |
| 1487102000 | Lisa Kelley | Physical Therapist | 2727 W Cleveland Ave, Milwaukee, WI 53215-2956 | 2016-09-12 |
| 1346635091 | Lisa Kelley | Speech-Language Pathologist | 1224 E Westview Ct, Spokane, WA 99218-3813 | 2015-03-31 |
| 1619370772 | Lisa Christine Kelley | Counselor | 13420 Reese Blvd W, Huntersville, NC 28078-7925 | 2014-10-03 |
| 1447504634 | Lisa M Kelley | Registered Nurse | 93 Barker Rd, Central Square, NY 13036-3460 | 2012-11-09 |
| Street Address |
2711 RANDOLPH RD SUITE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233279 | David W Mcallister | Obstetrics & Gynecology | 2711 Randolph Rd, Ste 512, Charlotte, NC 28207-2027 | 2005-05-23 |
| 1821521451 | Prestige Health & Wellness Center, Pllc | Clinic/Center | 2711 Randolph Rd, Suite 207, Charlotte, NC 28207-2034 | 2017-04-10 |
| 1558804203 | Nancy D. Marvin | Nurse Practitioner | 2711 Randolph Rd, Bldg 400, Charlotte, NC 28207-2034 | 2016-11-29 |
| 1295108454 | Py Hearing and Communication Center | Audiologist | 2711 Randolph Rd, Suite 307, Charlotte, NC 28207-2034 | 2015-11-09 |
| 1588052765 | Veronica Laplante Rankin | Nurse Practitioner | 2711 Randolph Rd, Charlotte, NC 28207-2034 | 2014-12-22 |
| 1205238466 | Brittney Foreman Mcguirt | Physician Assistant | 2711 Randolph Rd, Bldg 400, Charlotte, NC 28207-2034 | 2014-09-19 |
| 1720493083 | Anne Poutier | Nurse Practitioner | 2711 Randolph Rd, Charlotte, NC 28207-2034 | 2014-06-25 |
| 1134533540 | Sean Henriquez | Speech-Language Pathologist | 2711 Randolph Rd, Suite 509, Charlotte, NC 28207-2034 | 2014-06-13 |
| 1689090474 | Brandie Buckingham | Physician Assistant | 2711 Randolph Rd, Bldg 400, Charlotte, NC 28207-2034 | 2014-03-17 |
| 1144653205 | Samuel Jackson Burrow Iv | Dentist | 2711 Randolph Rd, Suite 600, Charlotte, NC 28207-2034 | 2013-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324202 | Sara C Moran | Nurse Practitioner | 1025 Morehead Medical Dr Ste 400, Charlotte, NC 28204-2967 | 2020-10-20 |
| 1871027441 | Lisvel Matos | Nurse Practitioner | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2017-04-20 |
| 1316346158 | Amy Calvert | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2014-08-18 |
| 1154609170 | Ifeoma Anulika Ilo | Nurse Practitioner | 15110 John J Delaney Dr, Suite 100, Charlotte, NC 28277-3544 | 2011-07-25 |
| 1649583584 | Karen Lake | Nurse Practitioner | 1033 Healthcare Dr, Charlotte, MI 48813-1058 | 2010-07-21 |
| 1609919448 | Victory Murphy | Nurse Practitioner | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2007-02-14 |
| 1912052408 | Muriel Lynn Wilson | Nurse Practitioner | 1033 Healthcare Dr, Charlotte, MI 48813-1058 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596622 | Hannah Shapiro Miller | Nurse Practitioner | 111 Hanestown Ct Ste 151, Winston Salem, NC 27103-1749 | 2020-07-27 |
| 1750927893 | Crystal Lynnette Minor | Nurse Practitioner | 1361 Camilla Dr, Greenville, NC 27834-9556 | 2019-11-25 |
| 1316502578 | Ashlye Thorpe | Nurse Practitioner | 3000 Maplewood Ave Ste 112, Winston Salem, NC 27103-4002 | 2019-05-03 |
| 1154889830 | Kerry Timmins Standley | Nurse Practitioner | 701 Doctors Dr Ste E, Kinston, NC 28501-1584 | 2019-03-12 |
| 1023575818 | Janet Cole | Nurse Practitioner | 916 Our St, Fayetteville, NC 28314-8475 | 2019-02-27 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1255838561 | Ellen Byars | Nurse Practitioner | 4420 Lake Boone Trl Ste 201, Raleigh, NC 27607-7505 | 2018-04-12 |
| 1972945228 | April Leann Olsen | Nurse Practitioner | 112 Perkins Dr, Suite 400, Chapel Hill, NC 27514-1785 | 2013-07-26 |
| 1841534609 | Sheree Michelle Blankenship | Nurse Practitioner | 300 S 3rd St Ste C, Smithfield, NC 27577-4575 | 2012-11-19 |
| 1609110519 | Sandra Krol Baker | Nurse Practitioner | Express Test Nc, LLC, 110 Swift Ave, Durham, NC 27705 | 2012-11-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.