Linda Faye Kelly, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

76002 Issued in TN

Practice address

100 W Grand Heights Rd
Memphis, TN 38109-7467

Phone

(901) 396-7914

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255450136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W GRAND HEIGHTS RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381097467",
            "telephone_number": "901-396-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W GRAND HEIGHTS RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381097467",
            "telephone_number": "901-396-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LINDA",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "76002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Kelly
• Deborah G Kelly, DPH
• Deborah Lynn Kelly, LCSW
• Hallie R Kelly, NP
• Jayna Kelly, MD
• Sandra Lynn Kelly, DTR
• Willie Faye Kelly, NP
• Haley Kelso, BCBA
• Kacie Jay Kelso
• Goodloe Malone Keltner Jr., D.D.S.

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.