MRS. DANIELLE RAE KELLY


Address: 1315 East Blvd Ste 280, Charlotte, NC 28203-5793
Phone: 7043841867

MRS. DANIELLE RAE KELLY (NPI# 1053655928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053655928
Entity Type Individual
Full Name MRS. DANIELLE RAE KELLY
Other Name MS. DANIELLE RAE LINGLE
Credential PNP-PC
Practice Address 1315 East Blvd Ste 280
Charlotte
NC 28203-5793
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043841867
Mailing Telephone 7043847840
Enumeration Date 2012-11-16
Last Update Date 2020-10-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 5005940 NC Physician Assistants & Advanced Practice Nursing Providers
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
224042 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 1053655928 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
149 Providence Rd, Charlotte, NC 282071217 7043841056

Other Providers DANIELLE KELLY

NPI Name Taxonomy Address Enumeration
1285103853 Danielle Lynn Kelly Occupational Therapist 8629 W Pauling Rd, Monee, IL 60449-9076 2018-11-13
1144745258 Danielle J Kelly Nurse Practitioner Stony Brook Medicine 101 Nicolls Road, Stony Brook, NY 11794-0001 2017-08-09
1497112494 Danielle Renee Kelly Registered Nurse 205 Bergen Tpke, 1-k, Ridgefield Park, NJ 07660-2336 2016-01-21
1477954758 Danielle Kelly Counselor 3601 North Roxboro Street, Durham, NC 27704 2014-09-05
1023448883 Danielle Catherine Kelly Specialist 93 E Trafalgar Ct, Clayton, NC 27520-3755 2013-11-14
1134329527 Danielle Damelio Kelly Chiropractor 2 Changebridge Rd Unit F, Montville, NJ 07045-8947 2007-07-23
1114533452 Danielle Ariana Kelly Behavior Technician 205 Portland St, Columbia, MO 65201-6521 2020-09-22
1477860914 Danielle Kelly Physician Assistant 550 N Hillside St, Wichita, KS 67214-4910 2010-09-03

Office Location

Street Address 1315 EAST BLVD STE 280
City CHARLOTTE
State NC
Zip Code 28203-5793

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750898441 Maria Andruzzi Ambrosini Nurse Practitioner 1315 East Blvd Ste 280, Charlotte, NC 28203-5793 2018-01-04
1215442264 Samantha Marie Casnettie Registered Nurse 1315 East Blvd Ste 280, Charlotte, NC 28203-5793 2017-12-12
1467883157 Kalea Eileen Edwards Social Worker 1315 East Blvd Ste 280, Charlotte, NC 28203-5793 2013-12-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982225983 William Bedard Michel Emergency Medicine Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 2020-04-30
1922636927 Paulina M Kriska Dentist Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 2020-03-27
1386271930 Irina Maria Geiculescu Pediatrics 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 2020-03-24
1205499316 James C Winnek Counselor 1713 East Blvd., Charlotte, NC 28203 2019-04-16
1487114492 Laurie Fford Counseling and Consulting Pllc Counselor 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 2019-03-25
1184188815 Sunday Money Home Health 2151 Hawkins St., Suite 201, Charlotte, NC 28203 2019-01-28
1164902706 Lindsay Koonce Helton Dietitian, Registered 1218 East Blvd Ste G, Charlotte, NC 28203 2018-08-14
1376057406 Veritas Collaborative Charlotte, LLC Clinic/Center 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 2017-11-28
1043733306 Kimberly Stripp Pharmacist 1300-b East Blvd, Charlotte, NC 28203 2017-07-19
1427570639 Caroline Kaleel Fogleman Optometrist 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 2017-07-10
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215544986 Tonya Lynn Burris Nurse Practitioner 7810 Providence Rd Ste 102, Charlotte, NC 28226-2987 2020-09-28
1003428293 Kashari Davis Nurse Practitioner 4252 Sutwick Dr, Charlotte, NC 28269-6001 2020-08-19
1457972796 Lindsey O'brien Nurse Practitioner 3423 Hornets Nest Way, Charlotte, NC 28208-5224 2020-04-28
1285254904 Barbara Ballard Nurse Practitioner 10731 Haddington Dr Nw, Charlotte, NC 28269-6954 2020-04-22
1710506787 Lindsey Delcasino Plair Nurse Practitioner 1212 South Blvd, Charlotte, NC 28203-4215 2020-04-10
1457991275 Advanced Physical Medicine Nurse Practitioner 8821 University East Dr # 120, Charlotte, NC 28213-4200 2020-01-09
1700447562 Milford Darnell George Jr. Nurse Practitioner 8403 University Executive Park Drive, Suite 685, Charlotte, NC 28262-3330 2019-06-24
1194288241 Tonya Denise Farmer Nurse Practitioner 620 Tom Hunter Road, Charlotte, NC 28213 2019-04-06
1649738204 Brittany Schmalfeld Nurse Practitioner 8943 S Tryon St Unit K, Charlotte, NC 28273-3539 2019-03-03
1407313703 Natalie Ann Bullock Nurse Practitioner 400 E Stonewall St Ste F, Charlotte, NC 28202-3601 2019-02-23
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28203

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Dataset Information

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.

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