Active NPI
Kasi Rebecca Wells, FNP-BC
- Family Nurse Practitioner
- Nashville, TN
National Provider Identifier
1033718960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 27940
- Practice address
- 1421 Porter Rd Ste 4
Nashville, TN 37206-1669 - Phone
- (205) 335-7311
- NPI assigned
- Oct 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 27940 | TN | Primary |
Addresses
Primary practice location
1421 Porter Rd Ste 4
Nashville, TN 37206-1669
Mailing address
25749 Fieldstone Dr
Madison, AL 35756-5212
Phone (205) 335-7311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1033718960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25749 FIELDSTONE DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357565212",
"telephone_number": "205-335-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 PORTER RD STE 4",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372061669",
"telephone_number": "205-335-7311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "KASI",
"middle_name": "REBECCA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-21",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "27940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.