KELLY BOARD APRN NP-C NPI 1649719915

NPI Information

  • NPI: 1649719915
  • Provider Name: KELLY BOARD, APRN, NP-C
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1055 HOWELL MILL RD NW
    ATLANTA, GA
    ZIP 30318
  • Phone: (866) 849-0692

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NPI Details

Kelly Board, APRN, NP-C is an adult health nurse practitioner in Atlanta, GA. Kelly Board, APRN, NP-C NPI is 1649719915. 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:

1055 HOWELL MILL RD NW
ATLANTA, GA
ZIP 30318-557
Phone: (866) 849-0692
Fax: (888) 973-8821

The NPI 1649719915 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 2/19/2017 and was last updated on 11/28/2025.

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
1363LA2200XNurse PractitionerAdult Health209028496ILLINOISNo
2363LA2200XNurse PractitionerAdult HealthCAPN.0101629COLORADONo
3363LA2200XNurse PractitionerAdult Health303204ARIZONANo
4363LA2200XNurse PractitionerAdult Health1102491TEXASNo
5363LA2200XNurse PractitionerAdult HealthGAA-NP003047GEORGIANo
6363LA2200XNurse PractitionerAdult Health0024194779VIRGINIANo
7363LA2200XNurse PractitionerAdult Health37319TENNESSEENo
8363LA2200XNurse PractitionerAdult Health0033314OHIONo
9363LA2200XNurse PractitionerAdult Health4704272053MICHIGANYes
10363LA2200XNurse PractitionerAdult Health244045LOUISIANANo
11363LA2200XNurse PractitionerAdult HealthAPRN9482729FLORIDANo
12363LA2200XNurse PractitionerAdult Health5018989NORTH CAROLINANo
13363LA2200XNurse PractitionerAdult Health29709SOUTH CAROLINANo

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
1024999700MEDICAIDFLORIDA

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: 11/21/2025

NPI Synchronization or Removal

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