MS. TRACI L KELLY R.N., F.N.P.
NPI 1912958232
Nurse Practitioner - Family in Phoenix, AZ

Active since May 12, 2006
349 E CORONADO RD, PHOENIX, AZ 85004(602) 266-5678(602) 264-5646 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Traci L Kelly R.n., F.n.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TRACI L KELLY R.N., F.N.P. (NPI 1912958232) is an individual family provider in Phoenix, Arizona, licensed in Arizona (RN0604) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1912958232
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. TRACI L KELLYCredential: R.N., F.N.P.
Location Address349 E CORONADO RDPhoenix, AZ 85004-1525
Mailing Address3707 N 7th St, #305Phoenix, AZ 85014-5059 · (602) 264-9100 · Fax (602) 264-9101
Fax(602) 264-5646
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateMay 21, 2008
NPI 1912958232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · RN0604
349 E CORONADO RD, Phoenix, AZ 85004

Other Identifiers 3

Other120390AZ · Group Medicare Number
Other317047AZ · Group Medicaid Number
Medicare UPINS54104AZ

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
349 E CORONADO RD
PHOENIX, AZ 85004
Internal Medicine (Gastroenterology)
349 E CORONADO RD
PHOENIX, AZ 85004
Internal Medicine (Gastroenterology)
349 E CORONADO RD
PHOENIX, AZ 85004
Internal Medicine (Gastroenterology)
349 E CORONADO RD
PHOENIX, AZ 85004
Physician Assistant
349 E CORONADO RD
PHOENIX, AZ 85004
Physician Assistant
349 E CORONADO RD
PHOENIX, AZ 85004
Nurse Anesthetist, Certified Registered
349 E CORONADO RD
PHOENIX, AZ 85004
Internal Medicine (Gastroenterology)
349 E CORONADO RD
PHOENIX, AZ 85004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traci Kelly's NPI number?

The NPI number for Traci Kelly is 1912958232. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Traci Kelly located?

Traci Kelly practices at 349 E Coronado Rd, Phoenix, AZ 85004. The listed phone number is (602) 266-5678.

What is Traci Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Traci Kelly was last updated on May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.