KELLI WEST (NPI# 1538315817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538315817 |
Entity Type | Individual |
Full Name | KELLI WEST |
Credential | R.N. |
Practice Address |
146 W Park Dr Suite 9b Kingsport TN 37660-3824 |
Mailing Address |
3813 Telstar Dr Kingsport TN 37664-3434 |
Practice Telephone | 4232463220 |
Mailing Telephone | 2768704687 |
Enumeration Date | 2008-08-18 |
Last Update Date | 2012-01-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
RN0000081544 | TN | Nursing Service Providers |
Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
APN0000013618 | TN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285923169 | Kelli West | Student in an Organized Health Care Education/Training Program | 115 Brickman Rd., Fallsburg, NY 12733 | 2011-03-31 |
Street Address |
146 W PARK DR SUITE 9B |
City | KINGSPORT |
State | TN |
Zip Code | 37660-3824 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447210752 | Sharon Elaine Lail | Pediatrics | 146 W Park Dr, Suite 9b, Kingsport, TN 37660-3824 | 2006-03-23 |
1487737367 | Neonatology Associates PC | Pediatrics | 146 W Park Dr, Suite 9b, Kingsport, TN 37660-3824 | 2006-10-23 |
1497716070 | Christopher George Martin | Pediatrics | 146 W Park Dr, Suite 9b, Kingsport, TN 37660-3824 | 2006-03-31 |
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 |
1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
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 |
Find all providers in zip 37660 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760907562 | Amanda Swint | Nurse Practitioner | 853 Jefferson Ave # E206, Memphis, TN 38103-2807 | 2017-08-14 |
1265786008 | Meghan Rae Teel | Nurse Practitioner | 777 Jefferson Ave, Memphis, TN 38103 | 2012-11-01 |
1528250123 | Colleen Reilly Moss | Nurse Practitioner | 2200 Childrens Way # 2521, Neonatal Nurse Practitioners, Nashville, TN 37232-9750 | 2007-08-16 |
1114985579 | Carla Ann Metz | Nurse Practitioner | 975 Blackford St, Chattanooga, TN 37403-1405 | 2006-05-03 |
1750901815 | Cristy Gilmore | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-1035 | 2020-04-19 |
1629609342 | Lauren Brooke Murdock | Nurse Practitioner | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-01-31 |
1104468545 | April Shannon Skinner | Nurse Practitioner | 2200 Childrens Way, Nashville, TN 37232-0034 | 2019-10-16 |
1881251312 | Candi Denise Shelburne | Nurse Practitioner | 853 Jefferson Ave # E206, Memphis, TN 38103-2804 | 2019-05-21 |
1235692872 | Angela Warren | Nurse Practitioner | 848 Adams Ave, Memphis, TN 38103-2816 | 2019-04-10 |
1659843050 | Liane E Potter | Nurse Practitioner | 2018 Clinch Ave, Knoxville, TN 37916-2301 | 2018-12-23 |
Find all providers with the same taxonomy |
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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.