FREDA ELAINE MCKELVEY NP NPI 1922084557

NPI Information

NPI: 1922084557
Provider Name: FREDA ELAINE MCKELVEY, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
654 SAINT LOUIS AVE
FORT WORTH, TX
ZIP 76104
Phone: (817) 386-9818
Get Directions

Freda Elaine Mckelvey, NP is a family nurse practitioner in Fort Worth, TX. Freda Elaine Mckelvey, NP NPI is 1922084557. 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:

654 SAINT LOUIS AVE
FORT WORTH, TX
ZIP 76104-358
Phone: (817) 386-9818
Fax: (817) 386-9821

The NPI 1922084557 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 12/15/2005 and was last updated on 10/5/2011.

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	363LF0000X	Nurse Practitioner	Family	595902	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8E0278	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	MEDICARE ID
2	174434405	MEDICAID	TEXAS
3	Q40503	MEDICARE UPIN	TEXAS

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: 4/28/2024

NPI Synchronization or Removal

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