Angela Denise Kitchens Kelley, RN, MSN, GNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APN0000018133 Issued in TN

Practice address

4411 Oakwood Dr
Chattanooga, TN 37416-2367

Phone

(423) 892-4289

NPI assigned

May 2, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/HEJBAA

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.

• Tennessee Health Partners LLC

  • Nurse Practitioner
  • Franklin, TN
  • NPI 1326603911
  Medicare reassignment NPD
• Wellstar Medical Group, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Austell, GA
  • NPI 1942593959
  NPD (past)
• Wellstar Palliative Medicine, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Austell, GA
  • NPI 1063680049
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1184845505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 OAKWOOD DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374162367",
            "telephone_number": "423-892-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 OAKWOOD DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374162367",
            "telephone_number": "423-892-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ANGELA",
        "middle_name": "DENISE KITCHENS",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, GNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN085412",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "APN0000018133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "103G709374",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Kell, LPN
• Wanda Kell, LPN
• Pamela Jean Kelle, RDN, CEDRD, LD
• Sonja B. Kelleher, M.D.
• Bradley S. Keller, CRNA
• Elisabeth Kelley, ATC
• Mary Beth Kelley
• Oscar T Kelley, CRNA
• Skylar Kelley, M.S., CF-SLP
• Suzanne P Kelley, LPC/MHSP, NCC

• Gerontology Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Gerontology Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.