KELLY M HARE (NPI# 1821115676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821115676 |
| Entity Type | Individual |
| Full Name | KELLY M HARE |
| Credential | F.N.P. |
| Practice Address |
2205 Pavilion Dr Suite 201b Kingsport TN 37660-4641 |
| Practice Telephone | 4238577650 |
| Practice Fax Number | 4238577655 |
| Mailing Telephone | 4238577650 |
| Mailing Fax Number | 4238577655 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2017-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 12652 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100023580 | 05 | |
| TN | Q016582 | 05 | |
| TN | RR MEDICARE | P01662016 | 01 |
| Street Address |
2205 PAVILION DR SUITE 201B |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-4641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861470080 | Adil Kabir Warsy | Emergency Medicine | 2205 Pavilion Dr, Suite 201b, Kingsport, TN 37660-4641 | 2006-01-06 |
| 1982080719 | Logan Cook | Nurse Practitioner | 2205 Pavilion Dr, Suite 201b, Kingsport, TN 37660-4641 | 2015-08-04 |
| 1164794525 | Blue Ridge Medical Management Corporation | Internal Medicine | 2205 Pavilion Dr, Suite 201b, Kingsport, TN 37660-4641 | 2012-02-01 |
| 1093087611 | Richard A Mcneilly | Internal Medicine | 2205 Pavilion Dr, Suite 201b, Kingsport, TN 37660 | 2012-01-27 |
| 1598995789 | Blue Ridge Medical Management Corporation | Internal Medicine | 2205 Pavilion Dr, Suite 101, Kingsport, TN 37660-4641 | 2009-07-22 |
| 1144458332 | Blue Ridge Medical Management Corporation | Physician Assistant | 2205 Pavilion Dr, Suite 102, Kingsport, TN 37660-4641 | 2009-06-25 |
| 1598885550 | Teresa June Burnette Lord | Internal Medicine | 2205 Pavilion Dr, Suite 101, Kingsport, TN 37660-4641 | 2007-03-30 |
| 1780780882 | Robert Hughes Mcqueen | Internal Medicine | 2205 Pavilion Dr, Suite 201, Kingsport, TN 37660-4641 | 2006-09-15 |
| 1912910597 | Blue Ridge Medical Management Corporation | Internal Medicine | 2205 Pavilion Dr, Kingsport, TN 37660-4641 | 2006-08-14 |
| 1447279856 | Paul Andrew Lee | Physician Assistant | 2205 Pavilion Dr, Suite 201, Kingsport, TN 37660-4641 | 2006-07-18 |
| Find all providers in the same location | ||||
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730711029 | Logan Elliott | Nurse Practitioner | 1330 Riverbend Dr Apt 104, Kingsport, TN 37664-4096 | 2020-02-05 |
| 1760950828 | Hannah M Madill | Nurse Practitioner | 8 Sheridan Sq Ste 110, Kingsport, TN 37660-7484 | 2018-11-07 |
| 1235624172 | Alisha Lyons | Nurse Practitioner | 1780 Jared Dr, Kingsport, TN 37660-5536 | 2018-06-23 |
| 1437663283 | Angela Dawn Plummer | Nurse Practitioner | 2020 Brookside Dr Ste 20, Kingsport, TN 37660-4658 | 2017-11-30 |
| 1609123108 | Aimee Elizabeth Light | Nurse Practitioner | 415 Broad Street, Ste 410, Kingsport, TN 37660-4264 | 2012-08-14 |
| 1821229915 | Rhonda Ragsdale | Nurse Practitioner | 105 West Stone Dr., Ste: 2a, Kingsport, TN 37660 | 2009-08-06 |
| 1730294042 | Chanda Mcelyea | Nurse Practitioner | 1700 Pinebrook Dr, Kingsport, TN 37660-4365 | 2006-08-20 |
| 1346208121 | Melanie S Martino | Nurse Practitioner | 3 Sheridan Sq, Kingsport, TN 37660-7390 | 2006-05-02 |
| 1245226737 | Rebecca Jane Hamilton | Nurse Practitioner | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4657 | 2005-09-21 |
| 1851394589 | Kristi Cook | Nurse Practitioner | 2212 N John B Dennis Hwy Ste 1, Kingsport, TN 37660-5895 | 2005-05-27 |
| Find all providers in KINGSPORT | ||||
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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.