Individual provider Active NPI

Kimberly Jo Okelly, APRN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1205560901
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31871 Issued in TN
Practice address
80 Humphreys Center Dr Ste 330
Memphis, TN 38120-2363
Phone
(901) 752-6131
Fax
(901) 752-6170
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 31871 TN Primary

Addresses

Primary practice location

80 Humphreys Center Dr Ste 330
Memphis, TN 38120-2363

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003

Other practice location 1

943 Whitney Ave
Memphis, TN 38127-7734
Phone (901) 378-0754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220801002682 TN Practitioner - Nurse Practitioner 5193107548 Reassigns benefits to 3 organizations
I20251224000883 MS Practitioner - Nurse Practitioner 5193107548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

350 N Humpheys Blvd
Memphis, TN 38120-2177

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
31871TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Oct 16, 2025 Accepting new patients
Baptist Memorial Hospital-Tipton CurrentSince Oct 16, 2025 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Oct 16, 2025 Accepting new patients
Baptist Memorial Hospital Union County, Inc. CurrentSince Nov 6, 2025 Accepting new patients
Baptist Memorial Hospital-Tipton CurrentSince Oct 16, 2025 Accepting new patients
Kidney Care Consultants, P.C. CurrentSince Feb 10, 2023 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients

Locations

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

200 State Highway 30 W
Ste 100
New Albany, MS 38652
Phone (662) 538-2680

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

363 Southcrest Cir
Ste 101
Southaven, MS 38671
Phone (662) 349-0755

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

2743 Summer Oaks Dr
Bartlett, TN 38134
Phone (901) 371-0200

2996 Kate Bond Rd
Ste 100
Bartlett, TN 38133
Phone (901) 383-5570

1500 W Poplar Ave
Ste 308
Collierville, TN 38017
Phone (901) 861-8550

1995 Highway 51 S
Ste 204
Covington, TN 38019
Phone (901) 475-5305

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

6401 Poplar Ave
Ste 520
Memphis, TN 38119
Phone (901) 382-5256

350 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 226-4003

80 Humphreys Center Dr
Ste 330
Memphis, TN 38120
Phone (901) 752-6131

Interoperability endpoints

  • Direct secure messaging: kokelly28780@mlh.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1205560901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-226-4003",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CENTER DR STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202363",
            "telephone_number": "901-752-6131",
            "fax_number": "901-752-6170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "943 Whitney Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381277734",
            "country_code": "US",
            "telephone_number": "901-378-0754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKELLY",
        "first_name": "KIMBERLY",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.