Active NPI
Kelsey Rose Ogden, MS
- Student in an Organized Health Care Education/Training Program
- Knoxville, TN
National Provider Identifier
1033733878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2240 Sutherland Ave Ste 103
Knoxville, TN 37919-2333 - Phone
- (865) 934-6100
- Fax
- (865) 342-0100
- NPI assigned
- Jun 7, 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2240 Sutherland Ave Ste 103
Knoxville, TN 37919-2333
Mailing address
1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344
Other practice location 1
1 Ohio University Department of Psychology
Porter Hall Room 002
Athens, OH 45701
Phone (740) 593-0902
Other names 1
- Kelsey Rose Eackles
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)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio University Psychology and Social Work Clinic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Athens, OH
- NPI 1972723971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1033733878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 SULPHUR SPRINGS RD",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378135654",
"telephone_number": "423-317-9344",
"fax_number": "423-714-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 SUTHERLAND AVE STE 103",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379192333",
"telephone_number": "865-934-6100",
"fax_number": "865-342-0100"
}
],
"practiceLocations": [
{
"address_1": "1 Ohio University Department of Psychology",
"address_2": "Porter Hall Room 002",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "OH",
"postal_code": "45701",
"country_code": "US",
"telephone_number": "740-593-0902",
"fax_number": "740-593-4790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGDEN",
"first_name": "KELSEY",
"middle_name": "ROSE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-07",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "EACKLES",
"middle_name": "ROSE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.