Individual provider Active NPI

Kelly Vo, FNP-C

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1275019606
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000024267 Issued in TN
Practice address
259 N Peters Rd
Knoxville, TN 37923-4923
Phone
(865) 690-1255
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000024267 TN Primary

Addresses

Primary practice location

259 N Peters Rd
Knoxville, TN 37923-4923

Mailing address

2497 S Roane St Ste 110
Harriman, TN 37748-8666
Phone (865) 297-4499

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
I20181008003489 TN Practitioner - Nurse Practitioner 1254683972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sr Medical ServicesGroup PAC ID 6608931498, 5 clinicians

Practice addresses (Care Compare)

2497 S Roane St
Suite 110
Harriman, TN 37748-8666
Phone (865) 888-7826

Hospital & facility affiliations

  • Roane Medical Center Hospital, Harriman, TN, CCN 440031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000024267TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Family Medicine, Inc Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1275019606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 S ROANE ST STE 110",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488666",
            "telephone_number": "865-297-4499",
            "fax_number": "865-234-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 N PETERS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234923",
            "telephone_number": "865-690-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "KELLY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000024267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.