Look up the most recent NPI and PECOS records

Kelly Marie Liguori

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1021 Morehead Medical Dr Ste 6200, Charlotte, NC 28204-2994

PECOS Enrollment

This provider is enrolled in PECOS as KELLY LIGUORI.

Based on the most recent information from CMS, provider Kelly Marie Liguori is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:59 PM.

Profile Details

Provider ID
1417655895
Provider Type
Individual
Full Name
Liguori, Kelly Marie
Credential
DNP, FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
2/16/2023
Last Updated
9/18/2024

Contact Information

Practice Location

1021 Morehead Medical Dr Ste 6200, Charlotte, NC 28204-2994

(980) 442-6400

Unlisted Fax

Mailing Location

5743 Gatekeeper Ln, Mint Hill, NC 28227-5596

(609) 790-9266

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 5020709 North Carolina
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Kelly Marie Liguori

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Thompson, Desirea'

Brown, Brandy Latisha

Mpofu, Fikile Sithembiso

Allen, Abigail Dickey

Haggard, Teresa D

Steiner, Mollie Smith

Hurley, Susie

Terry, Katelyn Mary

Patel, Zarna

Morford, Brooke Ann