Individual provider Active NPI

Erin Kelly

  • Pediatric Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1235533472
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
19198 Issued in TN
Practice address
801 N Weisgarber Rd
Suite 200
Knoxville, TN 37909-2706
Phone
(865) 584-8588
Fax
(865) 584-3364
NPI assigned
Oct 17, 2014
Last updated
Nov 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 19198 TN Primary

Addresses

Primary practice location

801 N Weisgarber Rd
Suite 200
Knoxville, TN 37909-2706

Mailing address

6701 Baum Dr
Suite 140
Knoxville, TN 37919-7360
Phone (865) 584-5727

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151204001984 TN Practitioner - Nurse Practitioner 0749580298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.55 of 100Reported as group
Quality
68.46
Promoting interoperability
99
Improvement activities
40
Cost
60.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Associates, P.a. CurrentSince Nov 23, 2015 Accepting new patients
Allergy Associates, PA CurrentSince Nov 23, 2015 Accepting new patients

Locations

6701 Baum Dr
Ste 140
Knoxville, TN 37919

801 N Weisgarber Rd
Knoxville, TN 37909

801 N Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 584-5727

4798 New Highway 68
Madisonville, TN 37354
Phone (423) 884-7271

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": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1235533472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 BAUM DR",
            "address_2": "SUITE 140",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197360",
            "telephone_number": "865-584-5727",
            "fax_number": "865-450-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N WEISGARBER RD",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092706",
            "telephone_number": "865-584-8588",
            "fax_number": "865-584-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "19198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.