MS. KELLY JO WERNER (NPI# 1528024692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528024692 |
| Entity Type | Individual |
| Full Name | MS. KELLY JO WERNER |
| Credential | CPNP |
| Practice Address |
2406 Blue Ridge Rd Suite 100 Raleigh NC 27607-6678 |
| Practice Telephone | 9197865001 |
| Practice Fax Number | 9197865051 |
| Mailing Telephone | 9197865001 |
| Mailing Fax Number | 9197865051 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
005000606 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LICENSE | 005000606 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072973 | Kelly H Werner | Psychologist | 108 Cazneau Ave, Sausalito, CA 94965-1817 | 2020-08-01 |
| 1699259804 | Kelly Lee Werner | Physical Therapist | 1055 Westgate Dr Ste 100, Saint Paul, MN 55114-1451 | 2018-09-24 |
| 1639532625 | Kelly May Werner | Pediatrics | 20 York St, New Haven, CT 06510-3220 | 2016-03-29 |
| 1851410377 | Kelly Ann Werner | Physician Assistant | 750 E Adams St, Upstate Medical University Hospital; Kidney Transplant, Syracuse, NY 13210-2342 | 2007-03-28 |
| 1154496107 | Kelly Diane Werner | Physical Therapist | College Park Plaza, Suite 540, Ebensburg, PA 15931 | 2006-11-22 |
| Street Address |
2406 BLUE RIDGE RD SUITE 100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649260043 | Lori Moore Langdon | Pediatrics | 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 | 2005-10-26 |
| 1386209633 | Wakemed Specialists Group LLC | Clinic/Center | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 | 2019-05-02 |
| 1730656638 | Kushal Khimji | Pharmacist | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 | 2018-10-29 |
| 1225446800 | Courtney Yerxa | Genetic Counselor, MS | 2406 Blue Ridge Rd, Suite 200, Raleigh, NC 27607-6678 | 2014-07-28 |
| 1265848154 | Wake Specialty Physicians, LLC | Durable Medical Equipment & Medical Supplies | 2406 Blue Ridge Rd, Suite 190, Raleigh, NC 27607-6678 | 2014-07-11 |
| 1801207543 | Melinda Lee Beavers | Pediatrics | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 | 2014-05-15 |
| 1942625991 | Jamie Harding | Physician Assistant | 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 | 2014-02-27 |
| 1427493071 | Alison Lee Vurnakes | Pediatrics | 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 | 2013-05-08 |
| 1154663482 | Alyssa Ann Jenkins | Pediatrics | 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 | 2013-03-25 |
| 1225372246 | Duke University Affiliated Physicians, Inc | Obstetrics & Gynecology | 2406 Blue Ridge Rd, Suite 250, Raleigh, NC 27607-6678 | 2012-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594732 | Megan Hoekstra | Nurse Practitioner | 8358 Six Forks Rd Ste 204, Raleigh, NC 27615-5093 | 2020-10-04 |
| 1033667621 | Hillary Houghton | Nurse Practitioner | 10211 Alm St # 210, Raleigh, NC 27617 | 2016-09-13 |
| 1568654903 | Malinda Teague | Nurse Practitioner | 2406 Blue Ridge Rd Ste 100, Raleigh, NC 27607 | 2007-08-09 |
| 1124235114 | Amanda Brinson Lorek | Nurse Practitioner | 7990 Corporate Drive, Raleigh, NC 27617-2030 | 2007-05-17 |
| 1457577355 | Debra Lohman Weaver | Nurse Practitioner | 10211 Alm St Ste 212, Raleigh, NC 27617 | 2007-04-18 |
| 1801012604 | Cheryl Lynn Crawford | Nurse Practitioner | 3801 Computer Dr Ste 200, Raleigh, NC 27609-6506 | 2007-04-18 |
| 1992717292 | Kara B. Willette | Nurse Practitioner | 1708 Trawick Rd, Suite 111, Raleigh, NC 27604-3897 | 2006-08-13 |
| 1750359303 | Mary Katherine Carroll | Nurse Practitioner | 7990 Arco Corporate Dr, Raleigh, NC 27617-2029 | 2006-03-09 |
| 1568432961 | Crystal Yazmin Mcneal | Nurse Practitioner | 314 E Hargett St, Raleigh, NC 27601-1436 | 2006-01-26 |
| 1568082642 | Aileen Pierson | Nurse Practitioner | 3350 Six Forks Rd, Raleigh, NC 27609-7233 | 2020-04-20 |
| Find all providers in RALEIGH | ||||
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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.