MRS. KELLY HYDER


Address: 1025 Executive Park Blvd, Kingsport, TN 37660-4620
Phone: 4238308110

MRS. KELLY HYDER (NPI# 1245798107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245798107
Entity Type Individual
Full Name MRS. KELLY HYDER
Credential FNP-C
Practice Address 1025 Executive Park Blvd
Kingsport
TN 37660-4620
Practice Telephone 4238308110
Mailing Telephone 4238308110
Enumeration Date 2019-03-08
Last Update Date 2019-03-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
24819 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1025 EXECUTIVE PARK BLVD
City KINGSPORT
State TN
Zip Code 37660-4620

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174038749 Sbh-kingsport Psychiatric Hospital 1025 Executive Park Blvd, Kingsport, TN 37660 2017-12-05
1205443058 Clinton Davis Nurse Practitioner 1025 Executive Park Blvd, Kingsport, TN 37660-4620 2020-09-25
1063021087 Leslie Renee Trivett Nurse Practitioner 1025 Executive Park Blvd, Kingsport, TN 37660-4620 2020-07-27
1114543642 Phillip Connors Nurse Practitioner 1025 Executive Park Blvd, Kingsport, TN 37660-4620 2020-06-20
1477103661 Mary Evans Social Worker 1025 Executive Park Blvd, Kingsport, TN 37660-4620 2019-09-19
1063065621 Stefani Ellis Nurse Practitioner 1025 Executive Park Blvd, Kingsport, TN 37660-4620 2019-07-22
1285117606 Shane Stephens Nurse Practitioner 1025 Executive Park Blvd, Kingsport, TN 37660-4620 2018-09-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750909891 Nancy Gober Pharmacist Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 2020-07-06
1700437621 Tammy Denise Leblanc Technician 125 Lancer Rd, Kingsport, TN 37660 2019-09-23
1831743392 Independent Physical Therapy Occupational Therapist 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 2019-08-01
1871095315 Macie Anderson Nurse Practitioner 411 Clay St, Kingsport, TN 37660 2018-03-01
1053813527 Pulitzer Orthodontics, LLC Dentist 1200 Pulitzer Place, Kingsport, TN 37660 2018-03-01
1548771447 Sara B Ball Registered Nurse 111 W Stone Dr Ste 240, Kingsport, TN 37660 2017-10-18
1821525361 Ashley Brook Weems Nurse Practitioner Six Sheridan Square Suite 100, Kingsport, TN 37660 2017-05-15
1639625643 Stephanie H Garris Nurse Practitioner 117 W Sevier Ave Ste 120, Kingsport, TN 37660 2016-08-30
1073965679 Teresa Anne Starke Physician Assistant 8 Sheridan Square, Suite 110, Kingsport, TN 37660 2016-07-07
1316323231 Alexandra Rebecca Mccracken Speech-Language Pathologist 301 Louis St. #101, Mountain Region Speech & Hearing Center, Kingsport, TN 37660 2015-08-03
Find all providers in zip 37660

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750911202 Felicia Grace Berry Nurse Practitioner 2204 Pavilion Dr Ste 210, Kingsport, TN 37660-4652 2020-01-23
1205399508 Michael David Thacker Nurse Practitioner 100 Clinchfield St, Kingsport, TN 37660-3681 2019-04-12
1871058263 Lisa Marie Ketchem Nurse Practitioner 5039 Andrew St, Kingsport, TN 37660-6500 2019-02-10
1972067395 Alice Victoria Lilly Nurse Practitioner 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 2019-01-30
1720542376 Amanda Michelle Oliver Nurse Practitioner 404 Manor Dr Apt F, Kingsport, TN 37660-3471 2019-01-29
1750857439 Ashlee Fleming Nurse Practitioner 105 W Stone Dr Ste 4c, Kingsport, TN 37660-3365 2018-10-19
1497220214 Melanie Creppel Bourgeois Nurse Practitioner 4606 Sundown Dr, Kingsport, TN 37664-6913 2018-10-08
1013493147 Cathy A Greenwood Nurse Practitioner 3136 Winesap Rd, Kingsport, TN 37663-2920 2018-07-11
1871095315 Macie Anderson Nurse Practitioner 411 Clay St, Kingsport, TN 37660 2018-03-01
1235641630 Bethany Monique Rock Nurse Practitioner 3716 Thorngrove Dr, Kingsport, TN 37660-2243 2017-10-26
Find all providers in KINGSPORT

Competitor

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City KINGSPORT
Zip Code 37660

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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