Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Carroll, DNP

Individual provider Nurse Practitioner · NPI 1447135397

Kelly Carroll, DNP is a Nurse Practitioner in San Diego, California. Qualified in 2025, 1 year ago. Practices with Family Health Centers of San Diego Inc, a 297-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

1550 Broadway
San Diego, CA 92101-5713
Phone: (619) 515-2525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95035463 (CA)

Record details

NPI number1447135397
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedAugust 8, 2025
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Family Health Centers Of San Diego Inc — 297 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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