MS. KELLY A ANDERSON (NPI# 1366934226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366934226 |
| Entity Type | Individual |
| Full Name | MS. KELLY A ANDERSON |
| Other Name | KELLY ANN FORNARO |
| Credential | APRN |
| Practice Address |
2125 Belcourt Ave Nashville TN 37212 |
| Mailing Address |
2125 Belcourt Ave Nashville TN 37212-3503 |
| Practice Telephone | 6153798600 |
| Mailing Telephone | 6153798600 |
| Mailing Fax Number | 6152249840 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
24114 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 Mallory Ln Ste 303, Franklin, TN 370678236 | 6152249800 | 6152249840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083234710 | Kelly Mankin Anderson | Audiologist | 135 Nw 17th St, Bend, OR 97703-2420 | 2020-04-22 |
| 1184255408 | Kelly Marie Anderson | Registered Nurse | 10600 W 500 N, Deputy, IN 47230-8999 | 2020-01-27 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1457858300 | Kelly R Anderson | Nurse Practitioner | 10120 W Broad St Ste F, Glen Allen, VA 23060-6709 | 2018-04-08 |
| 1538578430 | Kelly Elizabeth Anderson | Student in an Organized Health Care Education/Training Program | 1512 Spreckels St, Honolulu, HI 96822-4658 | 2014-08-05 |
| 1528394681 | Kelly Elizabeth Anderson | Physical Therapist | 1742 Commonwealth Ave, Apt 2, Brighton, MA 02135 | 2009-10-26 |
| 1568694115 | Kelly L Anderson | Physical Therapist | 1325 Spring St., Greenwood, SC 29649 | 2009-08-17 |
| 1255586475 | Kelly Marie Anderson | Nurse's Aide | 1720 17th Ct, Jupiter, FL 33477-9089 | 2008-12-02 |
| 1114056637 | Kelly L Anderson | Social Worker | 655 E. Main St, Children's Hospital Guidance Center, Columbus, OH 43205 | 2007-03-02 |
| 1144828658 | Kelly Herbert Anderson | Social Worker | 220 N Ballston Ave, Scotia, NY 12302-2533 | 2020-10-16 |
| Street Address |
2125 BELCOURT AVE |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114923737 | Jack L. Koch Jr. | Psychiatry & Neurology | 2125 Belcourt Ave, Nashville, TN 37212-3503 | 2005-06-28 |
| 1528698362 | Michael Demarco | Counselor | 2125 Belcourt Ave, Nashville, TN 37212-3503 | 2020-01-21 |
| 1609397132 | Lauren Elizabeth Valencia | Social Worker | 2125 Belcourt Ave, Nashville, TN 37212-3503 | 2017-07-06 |
| 1457758112 | Psychiatric Clinic of Green Hills | Clinic/Center | 2125 Belcourt Ave, Nashville, TN 37212-3503 | 2014-11-24 |
| 1225465107 | Amd Holding Corporation | Clinic/Center | 2125 Belcourt Ave, Nashville, TN 37212-3503 | 2013-10-08 |
| 1568715050 | Elizabeth Ellis Kenemer | Nurse Practitioner | 2125 Belcourt Ave, Nashville, TN 37212 | 2012-10-21 |
| 1447490834 | Kimberly Loizeaux Simpson | Counselor | 2125 Belcourt Ave, Nashville, TN 37212-3503 | 2009-02-25 |
| 1255476081 | Lindley Murray IIi | Psychologist | 2125 Belcourt Ave, Nashville, TN 37212-3503 | 2007-02-20 |
| 1932249992 | Daniel Lester Friedman | Psychiatry & Neurology | 2125 Belcourt Ave, Nashville, TN 37212-3503 | 2007-02-07 |
| 1427145556 | Virginia Sinclair Gardner | Psychiatry & Neurology | 2125 Belcourt Ave, Nashville, TN 37212-3503 | 2006-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063063204 | Nichole Sherwood | Pharmacist | 1314 24th Avenue S, Nashville, TN 37212 | 2019-09-27 |
| 1710460795 | Samantha Catherine Beretta | Counselor | 1710 17th Ave S, Nashville, TN 37212 | 2018-09-14 |
| 1417482449 | Elise Stephenson Scott | Student in an Organized Health Care Education/Training Program | 1601 21st Avenue South, Room 3106, Nashville, TN 37212 | 2017-04-27 |
| 1851848410 | Tracy Wehby | Nurse Practitioner | 2323 21st Ave S 3rd Floor, Nashville, TN 37212 | 2016-09-01 |
| 1821544578 | Lisa Malone | Acupuncturist | 1615 Horton Ave, Nashville, TN 37212 | 2016-08-31 |
| 1568836518 | Anna Ezell | Social Worker | 1414 17th Ave S, Nashville, TN 37212 | 2015-11-13 |
| 1427437789 | Ryan Castoro | Physical Medicine & Rehabilitation | 2201 Childrens Way Blvd., Suite 1318, Nashville, TN 37212 | 2015-05-20 |
| 1730567900 | Khushbu Shah | Student in an Organized Health Care Education/Training Program | 1601 23rd Ave S Rm 3106, Nashville, TN 37212 | 2015-05-08 |
| 1295160760 | Jacqueline Klaver | Clinical Neuropsychologist | 2200 21st Ave S Ste 300, Nashville, TN 37212 | 2013-09-03 |
| 1992145577 | Leslie Walls Binford | Nurse Practitioner | 2021 21st Ave S Ste 410, Nashville, TN 37212 | 2013-06-27 |
| Find all providers in zip 37212 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003479718 | Emily Barrington Burton | Nurse Practitioner | 3909 Whitland Ave Apt 101, Nashville, TN 37205-1938 | 2019-04-18 |
| 1326507633 | Cynthia Strother Terry | Nurse Practitioner | 924a Spain Ave, Nashville, TN 37216-3625 | 2019-03-16 |
| 1588148944 | Elizabeth C Lohr | Nurse Practitioner | 85 White Bridge Pike Ste 302, Nashville, TN 37205-1565 | 2018-09-21 |
| 1407215494 | Rachael Tanner-smith | Nurse Practitioner | 2323 21st Ave S Ste 300, Nashville, TN 37212-4930 | 2016-02-18 |
| 1033514773 | James Kelly Speck | Nurse Practitioner | 2831 Hillside Dr, Apt H-5, Nashville, TN 37212-4029 | 2014-10-23 |
| 1992145577 | Leslie Walls Binford | Nurse Practitioner | 2021 21st Ave S Ste 410, Nashville, TN 37212 | 2013-06-27 |
| 1336475581 | Wellness Solutions of Tennessee LLC | Nurse Practitioner | 2323 21st Ave S Ste 306, Nashville, TN 37212-4930 | 2009-10-22 |
| 1386760635 | Pamela Anne Nelson | Nurse Practitioner | 330 23rd Ave N Ste 140, Nashville, TN 37203-1536 | 2007-03-21 |
| 1023147766 | Joan Cornelia Mccuen | Nurse Practitioner | 2200 21st Ave S Ste 305, Nashville, TN 37212-4929 | 2007-03-05 |
| 1568597425 | Brandee J. Madden | Nurse Practitioner | 402 22nd Avenue N., Nashville, TN 37203 | 2007-02-22 |
| Find all providers in NASHVILLE | ||||
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| 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.