DR. JILL S KELLY (NPI# 1720168354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720168354 |
| Entity Type | Individual |
| Full Name | DR. JILL S KELLY |
| Other Name | DR. JILL K SAUSER |
| Credential | MD |
| Practice Address |
3601 The Vanderbilt Clinic Nashville TN 37232 |
| Mailing Address |
719 Thompson Ln Ste 30330 Nashville TN 37204-4701 |
| Practice Telephone | 6159363000 |
| Mailing Telephone | 6159362000 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 56893 | TN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 036-121019 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN INDIVIDUAL | F400215043 | 01 |
| IL | 036121179 | 05 | |
| IL | MEDICARE PTAN GROUP | 920540 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2900 Foxfield Rd, Suite 202, St Charles, IL 601745799 | 6307974255 | 6307974529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992146625 | Jill Ann Kelly | Registered Nurse | 21600 W North Ave, Brookfield, WI 53045-4742 | 2013-07-10 |
| 1285979625 | Jill Allison Kelly | Dental Hygienist | 1881 Rt. 109, Acton, ME 04001 | 2012-12-11 |
| 1982993499 | Jill Kelly | Psychiatry & Neurology | Meyer 1 104 600 N Wolfe St, Baltimore, MD 21287-0001 | 2011-04-05 |
| 1710427182 | Jill Kelly | Physical Therapist | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2017-03-03 |
| 1437696804 | Jill Kelly | Acupuncturist | 6212 Dayton Blvd, Suite B, Hixson, TN 37343-2789 | 2017-01-24 |
| 1396292652 | Jill Kelly | Counselor | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2016-09-04 |
| 1275774697 | Jill Schexnaildre Kelly | Counselor | 3705 Coliseum St, New Orleans, LA 70115-3708 | 2009-03-14 |
| 1801928007 | Jill Robin Kelly | Occupational Therapist | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 | 2007-03-12 |
| Street Address |
3601 THE VANDERBILT CLINIC |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122310 | Gary T Smith | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2637 | 2005-05-23 |
| 1649879396 | Tiffany Marie Spetz | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-10-23 |
| 1902403017 | Danielle Farideh Guy | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-10-02 |
| 1497362297 | Madison Miller | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2020-09-25 |
| 1528675584 | Sara Catherine Brooks | Registered Nurse | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5050 | 2020-09-24 |
| 1790391076 | Margaret Eileen Schneider | Nurse Anesthetist, Certified Registered | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-09-22 |
| 1659987451 | Delaney Jane Boyce | Registered Nurse | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-09-17 |
| 1891301636 | Alicia Mattachione | Occupational Therapist | 3601 The Vanderbilt Clinic, Nashville, TN 37232-4689 | 2020-09-17 |
| 1093321861 | Bettye Anne Woodard | Registered Nurse | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0011 | 2020-09-17 |
| 1801400858 | Samantha Rivers Green | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2020-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717578 | Kathleen Elizabeth Quick | Audiologist | 1215 21st Avenue South, Mce, South Tower, 9th Floor, Nashville, TN 37232 | 2020-07-09 |
| 1609497700 | Alissar El Chediak | Student in an Organized Health Care Education/Training Program | 1161 21st Ave South, Mcn S3307, Division of Nephrology, Nashville, TN 37232 | 2020-04-29 |
| 1386209690 | David William John Armstrong | Student in an Organized Health Care Education/Training Program | 1215 21st Ave S 5th Floor, Nashville, TN 37232 | 2019-05-02 |
| 1063075331 | Margaret Elizabeth Galloway | Student in an Organized Health Care Education/Training Program | Vanderbilt Univ. Medical Center 2301 Vuh, Office of Educational Affairs, Dept. of Anesthesiol, Nashville, TN 37232 | 2019-04-22 |
| 1457832420 | Jill Murphree | Dietitian, Registered | 1211 21st Avenue, Medical Arts Building Ste 514, Nashville, TN 37232 | 2018-08-27 |
| 1861980757 | Ryan Chaliff | Student in an Organized Health Care Education/Training Program | Department of Oral & Maxillofacial Surgery, T-4323a Medical Center North 1161 21st Avenue South, Nashville, TN 37232 | 2018-04-25 |
| 1023505385 | Nelly-ange Kontchou | Student in an Organized Health Care Education/Training Program | 1161 21st Avenue South, Medical Center N, Suite Ccc-4312, Nashville, TN 37232 | 2018-04-21 |
| 1396232377 | Katie Lee Ford | Student in an Organized Health Care Education/Training Program | 2200 Children's Way, 8161 Dot, Nashville, TN 37232 | 2018-04-16 |
| 1073015814 | Nicole Sapone Mandrycky | Nurse Practitioner | 1161 21st Ave. S, Mcn D2106, Nashville, TN 37232 | 2018-03-07 |
| 1992220982 | Alanna Salituro | Physical Therapist | 1215 21st Ave. S., Medical Center East, South Tower, Voi, Nashville, NJ 37232 | 2017-08-10 |
| Find all providers in zip 37232 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040131 | Mebe Tennessee | Pediatrics | 6339 Charlotte Pike # 1035, Nashville, TN 37209-2926 | 2020-10-14 |
| 1568817658 | Elizabeth Shawn Keiner | Pediatrics | 2200 Childrens Way # B319, Nashville, TN 37232-9760 | 2016-04-26 |
| 1669834784 | Sara Beth Bluestein | Pediatrics | Vasap, 2611 West End Ave, Nashville, TN 37203 | 2016-03-28 |
| 1881056646 | Katherine Black | Pediatrics | 10233 Doctors Office Tower 2200 Children's Way, Nashville, TN 37232 | 2016-03-22 |
| 1144649542 | Allysa Kehring | Pediatrics | 2200 Children's Way Rm, Doctor's Office Tower 11108b, Nashville, TN 37232-9000 | 2014-04-14 |
| 1073944351 | Deidre Earlene Lanier | Pediatrics | 404 Dr. D.b. Todd Blvd Jr., Nashville, TN 37203 | 2013-12-11 |
| 1013278043 | Paige Dudley | Pediatrics | 11101 Doctor's Office Tower 2200 Children's Way, Nashville, TN 37232-9544 | 2012-06-06 |
| 1184915662 | Vita June Cooper Lamberson | Pediatrics | Pediatric Residency Program 2200 Childrens Way, 8161 Dot, Nashville, TN 37232-0001 | 2011-05-02 |
| 1548551104 | Michael Dole | Pediatrics | 2200 Childrens Way Fl Way10, Nashville, TN 37232 | 2011-04-29 |
| 1902195845 | Frank Joseph Raucci | Pediatrics | 2200 Childrens Way Ste 5230, Nashville, TN 37232-0005 | 2011-03-31 |
| 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.