LISA KELLY (NPI# 1881124980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881124980 |
| Entity Type | Individual |
| Full Name | LISA KELLY |
| Credential | RN-MSN, FNP-C |
| Practice Address |
700 E Morehead St Ste 300 Charlotte NC 28202-2742 |
| Practice Telephone | 7043347800 |
| Mailing Telephone | 7043347800 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2018-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F04170413 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9735 Kincey Ave Ste 100, Huntersville, NC 280789120 | 7045002332 | 8885118009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164075453 | Lisa Marie Kelly | Nurse Practitioner | 10 E Front St Apt B, Monroe, MI 48161-2269 | 2019-07-16 |
| 1831752401 | Lisa A. Kelly | Social Worker | 23245 Brandywynne St, Southfield, MI 48033-4875 | 2019-04-18 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1457728628 | Lisa Kelly | Psychologist | 11765 Hamilton Ave, Cincinnati, OH 45231-1128 | 2015-08-24 |
| 1558707828 | Lisa Kelly | Occupational Therapist | 8410 North Maple Avenue, Crystal River, FL 34428 | 2013-05-14 |
| 1417289935 | Lisa Catherine Kelly | Acupuncturist | 846 Ritchie Hwy, Suite 1a, Severna Park, MD 21146-4150 | 2010-02-09 |
| 1033342795 | Lisa Ann Kelly | Speech-Language Pathologist | 33 Winding Path, Apt 20, Manorville, NY 11949-2276 | 2009-08-28 |
| 1508019076 | Lisa Jean Kelly | Physical Therapy Assistant | 325 S Brookside Dr, Oxford, PA 19363-1192 | 2008-10-28 |
| 1952588154 | Lisa Maria Kelly | Family Medicine | 6006 Le Moyne Pass Ln, Missouri City, TX 77459-1762 | 2008-01-30 |
| 1720105711 | Lisa Ann Kelly | Speech-Language Pathologist | 459 Erickson Ct, Elburn, IL 60119-8990 | 2007-03-23 |
| Street Address |
700 E MOREHEAD ST STE 300 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28202-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033426 | Chien-chung Peter Chang | Radiology | 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 | 2005-06-15 |
| 1679976476 | Taylor Elaine Maxwell | Physician Assistant | 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 | 2014-10-07 |
| 1316359912 | Katherine Nystrom | Physician Assistant | 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 | 2014-05-30 |
| 1689092587 | Megan B Comer | Physician Assistant | 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 | 2014-03-29 |
| 1558788323 | Laura Schulenborg Pratt | Physician Assistant | 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 | 2014-03-18 |
| 1518382811 | Caroline Dana Chamberlain | Physician Assistant | 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 | 2014-02-23 |
| 1477999274 | Brian Alan Perry | Radiology | 700 E Morehead St Ste 300, Charlotte, NC 28202 | 2013-05-20 |
| 1255777678 | Vaughn Braxton | Radiology | 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 | 2013-05-13 |
| 1760825350 | Jeremy Inkwon Kim | Radiology | 700 E Morehead St Ste 300, Charlotte, NC 28202 | 2013-04-12 |
| 1619237690 | Bryan Hoag | Radiology | 700 E Morehead St Ste 300, Charlotte, NC 28202 | 2012-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609418425 | Monarch | Community/Behavioral Health | 215 North Pine Street Unit 705, Charlotte, NC 28202 | 2019-10-14 |
| 1396211892 | Brooke Graham | Behavior Technician | 107 New Edition Court Carey, Raleigh, NC 28202 | 2018-10-23 |
| 1740704352 | Targetcare, Inc. | Health Educator | 831 E. Morehead Street, Suite 900, Charlotte, NC 28202 | 2017-07-26 |
| 1659828291 | Reserve Health, PC | Family Medicine | 135 W 10th St, Charlotte, NC 28202 | 2016-09-01 |
| 1275905887 | Tameka Wade Brewington | Counselor | 615 E 6th St Ste 112, Charlotte, NC 28202 | 2015-10-22 |
| 1962815159 | Teisha Miller | Social Worker | 700 N. Tryon Street, Charlotte, NC 28202 | 2014-06-05 |
| 1699193672 | Elizabeth Ann Peterson-vita | Psychologist | 700 East Stonewall Street, Suite 714, Charlotte, NC 28202 | 2014-04-07 |
| 1942631437 | Avery Sales | Durable Medical Equipment & Medical Supplies | 103 W Morehead St, Charlotte, NC 28202 | 2013-12-09 |
| 1801236484 | Annette Goodman | Counselor | 415 E. Trade Street, Charlotte, NC 28202 | 2013-06-27 |
| 1174960181 | Jennifer D'silva | Dentist | 210 E Trade St # 484, Charlotte, NC 28202 | 2013-05-30 |
| Find all providers in zip 28202 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1992312433 | Jean L. Caroline Clippard | Nurse Practitioner | 7149 Wessynton Dr, Charlotte, NC 28226-7548 | 2020-09-29 |
| 1790393676 | Alana Weldon | Nurse Practitioner | 10042 Park Cedar Dr, Charlotte, NC 28210-8916 | 2020-07-16 |
| 1114541455 | Kendra Jackson | Nurse Practitioner | 2809 Coltsgate Rd Ste 100, Charlotte, NC 28211-5583 | 2020-06-02 |
| 1740809599 | Nina Cherry Arnold | Nurse Practitioner | 8914 Cotton Press Rd, Charlotte, NC 28277-6676 | 2020-04-13 |
| 1619509197 | Clinica San Antonio Pllc | Nurse Practitioner | 416 Mccullough Dr Ste 110, Charlotte, NC 28262-4387 | 2020-02-12 |
| 1720626773 | Grace Barrosa Genetiano | Nurse Practitioner | 2503 Roswell Ave Unit 507, Charlotte, NC 28209-1685 | 2019-12-19 |
| 1376181081 | Crystal Delgado Calayag Frantilla | Nurse Practitioner | 4206 Craig Ave, Charlotte, NC 28211-3110 | 2019-12-12 |
| 1962059428 | Jerome Virgil Whitlow II | Nurse Practitioner | 6523 Dillard Ridge Dr, Charlotte, NC 28216-8845 | 2019-08-20 |
| 1053978213 | Katie Lynn Sass | Nurse Practitioner | 7004 Smith Corners Blvd Ste A, Charlotte, NC 28269-3827 | 2019-05-23 |
| Find all providers in CHARLOTTE | ||||
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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.