Alyssa Brooke Kellams, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71008512A Issued in IN

Practice address

2418 16TH St
Bedford, IN 47421-3049

Phone

(812) 508-8683

NPI assigned

Nov 1, 2018

Last updated

Nov 1, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: alyssa.kellams@53814741041156.direct.elationemr.com

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1023585569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 S BALLARD LN",
            "city": "FRENCH LICK",
            "state": "IN",
            "postal_code": "474329351",
            "telephone_number": "812-528-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 16TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213049",
            "telephone_number": "812-508-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLAMS",
        "first_name": "ALYSSA",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008512A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Jones, RPH, PHARMD
• Ramesh B Kalari, M.D.
• Karin Kaufmann, CADAC II
• Kathryn Elaine Keene, D.C.
• Blake Keithley, M.S ED.S
• George D Kendall, CRNA, MSN
• Beverly J Kerr, D.C.
• Waqas Khan, MD
• Kim P. Scherschel M.D. Faafp
• Terri Kimbley, ANP

• Family Nurse Practitioner in Bedford, IN
• Providers in Bedford, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.