Kellie Korbe, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

16097 Issued in TN

Practice address

210 Westwood PL Ste 110
Brentwood, TN 37027-7554

Phone

(615) 206-2462

Fax

(833) 983-2043

NPI assigned

Sep 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kellie Heitmann Former name

Medicare fee-for-service enrollment

Enrolled in TN, VA, AR, NC4 enrollments

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 4

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kkorbe@landmarkhealth-direct.org

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  AR, NC, TN

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  VA

  Medicare reassignment NPD
• East Tennessee Neuropathy, PC

  • Family Medicine Physician
  • Johnson City, TN
  • NPI 1649511965
  NPD (past)

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1104107754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50998",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379500998",
            "telephone_number": "865-330-6320",
            "fax_number": "865-330-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WESTWOOD PL STE 110",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277554",
            "telephone_number": "615-206-2462",
            "fax_number": "833-983-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORBE",
        "first_name": "KELLIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "170921",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "HEITMANN",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Betty J Kohal, DNP, APRN, BC
• Deanna Kolak, APN
• Ashlyn Kolbert, MT-BC
• Gabrealla Koller
• Christopher Jon Kolosky
• Stephanie Blythe Korn
• Andrey Kosolapov
• Crystal Koss, CRNA
• Sara Kostecka
• Ecaterina Kovalyshyn

• Family Nurse Practitioner in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.