ALEXANDREA CATHERINE KELLY NPI 1134717127

NPI Information

NPI: 1134717127
Provider Name: ALEXANDREA CATHERINE KELLY
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1411 N BECKLEY AVE STE 352
DALLAS, TX
ZIP 75203
Phone: (214) 943-2249
Get Directions

Alexandrea Catherine Kelly is a gerontology nurse practitioner in Dallas, TX. Alexandrea Catherine Kelly NPI is 1134717127. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1411 N BECKLEY AVE STE 352
DALLAS, TX
ZIP 75203-270
Phone: (214) 943-2249
Fax: (214) 943-8213

The NPI 1134717127 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/5/2021 and was last updated on 1/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		861329	TEXAS	No
2	363LG0600X	Nurse Practitioner	Gerontology	1024508	TEXAS	Yes
3	363LP2300X	Nurse Practitioner	Primary Care	1024508	TEXAS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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