Individual provider Active NPI

Kellie Marsh, APRN

  • Nurse Practitioner
  • Tullahoma, TN
National Provider Identifier
1023544301
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
37664 Issued in TN
Practice address
127 Ledford Mill Rd
Tullahoma, TN 37388-2278
Phone
(931) 841-3311
NPI assigned
May 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 37664 TN
Family Nurse Practitioner 363LF0000X 879051 NV
Assistant Behavior Analyst 106E00000X RN78359 NV
Nurse Practitioner 363L00000X 37664 TN Primary

Addresses

Primary practice location

127 Ledford Mill Rd
Tullahoma, TN 37388-2278

Mailing address

127 Ledford Mill Rd
Tullahoma, TN 37388-2278
Phone (702) 521-3483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250124001555 TN Practitioner - Nurse Practitioner 9537698212 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Practice addresses (Care Compare)

114 Perkins LN
Jacksboro, TN 37757-2833
Phone (866) 866-9277

1802 N Jackson St
Suite 850
Tullahoma, TN 37388-8237
Phone (931) 563-5501

230 Bowman St
Morristown, TN 37813-3871
Phone (800) 805-6989

2445 Memorial Blvd
Suite C
Murfreesboro, TN 37129-5156
Phone (615) 217-6900

3114 Browns Mill Rd
Johnson City, TN 37604-1417
Phone (800) 805-6989

330 Heritage Blvd
Newport, TN 37821-4241
Phone (800) 805-6989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN78359NVMDAssistant Behavior Analyst
37664TNMDPharmacist
879051NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Urgent Care PLLC Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients
Crossroads Urgent Care PLLC Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients
Revida Recovery Centers, PC CurrentSince Mar 1, 2026 Accepting new patients
Crossroads Treatment Centers of Tennessee, P.C. Past Accepting new patients

Locations

4140 Thornton Taylor Pkwy
Ste D
Fayetteville, TN 37334
Phone (931) 434-8109

712 Professional Plaza Dr
Greeneville, TN 37745
Phone (423) 820-0432

5864 Highway 153
Ste 112
Hixson, TN 37343
Phone (423) 243-3342

3114 Browns Mill Rd
Johnson City, TN 37604
Phone (423) 282-5611

2001 Highland Ave
Knoxville, TN 37916
Phone (865) 633-0353

2911 Essary Dr
Ste 200
Knoxville, TN 37918
Phone (865) 371-8101

230 Bowman St
Morristown, TN 37813
Phone (423) 586-1356

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

3322 West End Ave
Ste 350
Nashville, TN 37203

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

330 Heritage Blvd
Newport, TN 37821
Phone (423) 623-7043

106 Administration Rd
Ste 3
Oak Ridge, TN 37830
Phone (865) 276-6212

161 Mose Dr
Sparta, TN 38583
Phone (931) 222-0139

1802 N Jackson St
Ste 850
Tullahoma, TN 37388
Phone (931) 563-5501

127 Ledford Mill Rd
Tullahoma, TN 37388
Phone (931) 841-3311

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1023544301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 LEDFORD MILL RD",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882278",
            "telephone_number": "702-521-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 LEDFORD MILL RD",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882278",
            "telephone_number": "931-841-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "KELLIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "37664",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "879051",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NV",
            "license": "RN78359",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "37664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.