Active NPI
Kelli Carr, APN
- Nurse Practitioner
- Livingston, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 18468
- Practice address
- 500 W Main St
Livingston, TN 38570-1718 - Phone
- (931) 823-5681
- Fax
- (931) 823-8203
- NPI assigned
- Feb 27, 2014
- Last updated
- Sep 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 18468 | TN | Primary |
Addresses
Primary practice location
500 W Main St
Livingston, TN 38570-1718
Mailing address
500 W Main St
Livingston, TN 38570-1718
Phone (931) 823-5681
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 W Main St
Livingston, TN 38570-1718
Phone (931) 823-5681
506 W Main St
Livingston, TN 38570-1718
Phone (931) 823-2663
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg - Livingston, LLC | Current | Accepting new patients | |
| Amg-Livingston LLC | Current | Accepting new patients | |
| Amg - Livingston, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
500 W Main St
Livingston, TN 38570
Phone (931) 823-4016
Interoperability endpoints
- kelli.carr.1@25766.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba Livingston Orthopedics and Sports Medicine
- Orthopaedic Surgery Physician
- Livingston, TN
- NPI 1699869297
-
dba Livingston Regional Hospitalist Group
- Hospitalist Physician
- Livingston, TN
- NPI 1134581747
-
dba Clay County Family Wellness
- Nurse Practitioner
- Livingston, TN
- NPI 1902287097
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Livingston Regional Hospital
- Rural Acute Care Hospital
- Livingston, TN
- NPI 1396760542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1245655299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W MAIN ST",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "385701718",
"telephone_number": "931-823-5681",
"fax_number": "931-823-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W MAIN ST",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "385701718",
"telephone_number": "931-823-5681",
"fax_number": "931-823-8203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "KELLI",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-27",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "18468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.