Individual provider Active NPI

Kelsey Gregory, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Nashville, TN
National Provider Identifier
1225425515
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2200 Childrens Way
8161 Doctors Office Tower
Nashville, TN 37232-9760
Phone
(615) 936-2555
Fax
(615) 936-2419
NPI assigned
Apr 24, 2015
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary
Child Abuse Pediatrics Physician 2080C0008X 55490 KY

Addresses

Primary practice location

2200 Childrens Way
8161 Doctors Office Tower
Nashville, TN 37232-9760

Mailing address

2200 Childrens Way
8161 Doctors Office Tower
Nashville, TN 37232-9760
Phone (615) 936-2555

Other practice location 1

740 S Limestone Ste K201
Lexington, KY 40536-9760
Phone (859) 218-2509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210708002774 KY Practitioner - Pediatric Medicine 9830591114 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Medical Services Foundation, Inc CurrentSince Jul 1, 2021 Accepting new patients
University of Kentucky CurrentSince Jul 1, 2021 Accepting new patients

Locations

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

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": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1225425515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 CHILDRENS WAY",
            "address_2": "8161 DOCTORS OFFICE TOWER",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372329760",
            "telephone_number": "615-936-2555",
            "fax_number": "615-936-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CHILDRENS WAY",
            "address_2": "8161 DOCTORS OFFICE TOWER",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372329760",
            "telephone_number": "615-936-2555",
            "fax_number": "615-936-2419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 S Limestone Ste K201",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405369760",
            "country_code": "US",
            "telephone_number": "859-218-2509",
            "fax_number": "859-323-3499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "KELSEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": "KY",
            "license": "55490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.