Individual provider Active NPI

Christine Laurel Ann Kelly, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1114439627
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27740 Issued in TN
Practice address
6914 Office Park Cir
Knoxville, TN 37909-1161
Phone
(865) 200-8364
NPI assigned
Oct 25, 2017
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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 25262 SC
Family Nurse Practitioner 363LF0000X 117266 WV
Family Nurse Practitioner 363LF0000X 27740 TN Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 216070 TN

Addresses

Primary practice location

6914 Office Park Cir
Knoxville, TN 37909-1161

Mailing address

598 John Deere Dr
Maynardville, TN 37807-3212
Phone (865) 745-1615

Other practice location 1

205 W Springdale Ave
Knoxville, TN 37917-5158
Phone (865) 637-9711

Other names 1

  • Christine Laurel Ann Schlachter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TN, WV3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220204001445 SC Practitioner - Nurse Practitioner 7719370212 Reassigns benefits to 1 organization
I20230607000890 TN Practitioner - Nurse Practitioner 7719370212 Reassigns benefits to 2 organizations
I20230926003577 WV Practitioner - Nurse Practitioner 7719370212 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
216070TNMDAdult Psychiatric/Mental Health Registered Nurse
25262SCMDFamily Nurse Practitioner
27740TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Dec 1, 2021 Accepting new patients
National Physicians PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (505) 340-5555

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

3124 Dresser Rd
Knoxville, TN 37920
Phone (865) 314-7125

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1114439627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 JOHN DEERE DR",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073212",
            "telephone_number": "865-745-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6914 OFFICE PARK CIR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091161",
            "telephone_number": "865-200-8364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 W Springdale Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379175158",
            "country_code": "US",
            "telephone_number": "865-637-9711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CHRISTINE",
        "middle_name": "LAUREL ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25262",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "117266",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27740",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "TN",
            "license": "216070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "SCHLACHTER",
            "middle_name": "LAUREL ANN",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.