Kelly Ann Norman, CPT

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

J4E9Q6Z4 Issued in TN

Practice address

162 Sharp and Perkins Rd
Jacksboro, TN 37757-2507

Phone

(423) 562-8351

NPI assigned

Mar 28, 2018

Last updated

Mar 28, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• State of Tennessee

  dba Claiborne County Health Department

  • Public Health or Welfare Agency
  • New Tazewell, TN
  • NPI 1184762163
  NPD (past)
• State of Tennessee

  dba Robertson County Health Department

  • Public Health or Welfare Agency
  • Springfield, TN
  • NPI 1316090145
  NPD (past)
• State of Tennessee

  dba Campbell County Health Department

  • Public Health or Welfare Agency
  • Jacksboro, TN
  • NPI 1962540880
  NPD (past)

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1164927489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 SHARP AND PERKINS RD",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572507",
            "telephone_number": "423-562-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 SHARP AND PERKINS RD",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572507",
            "telephone_number": "423-562-8351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4335 Maynardville Hwy",
            "address_purpose": "LOCATION",
            "city": "Maynardville",
            "state": "TN",
            "postal_code": "378073623",
            "country_code": "US",
            "telephone_number": "865-992-3867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 Davis Dr",
            "address_purpose": "LOCATION",
            "city": "New Tazewell",
            "state": "TN",
            "postal_code": "378252152",
            "country_code": "US",
            "telephone_number": "423-626-4291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "TN",
            "license": "J4E9Q6Z4",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tona A Neal, OD
• Neighborhood Medical LLC (Neighborhood Primary Care)
• Kathy Lynne Nelson, RN
• Kimberly Paige Nelson, LPN
• Michael W Nichols, DDS
• Pamela Norman, PTA
• Katlyn Overton
• Shannon Paige Overton, RN
• Pediatric Professionals
• Dustin Powell

• Phlebotomy Technician in Jacksboro, TN
• Providers in Jacksboro, TN by specialty
• Phlebotomy Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.