Individual provider Active NPI

Kelsey Lashae' Evans

  • Pediatric Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1285408500
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
202224293 Issued in TN
Practice address
1035 14TH Ave N
Nashville, TN 37208-3050
Phone
(615) 372-9400
NPI assigned
Nov 7, 2023
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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 202224293 TN Primary

Addresses

Primary practice location

1035 14TH Ave N
Nashville, TN 37208-3050

Mailing address

7000 Harris Hills LN Apt 428
Nashville, TN 37211-3280
Phone (901) 275-2121

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
I20240109001094 TN Practitioner - Nurse Practitioner 8123479763 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32953TNMDSpeech-Language Assistant
202224293TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Walker Comprehensive Health Center, Inc CurrentSince Nov 11, 2023 Accepting new patients
Matthew Walker Comprehensive Health Center, Inc Current Accepting new patients
Matthew Walker Comprehensive Health Center, Inc Past Accepting new patients

Locations

230 Dover Rd
Clarksville, TN 37042
Phone (931) 920-5000

1035 14th Ave N
Nashville, TN 37208
Phone (615) 327-9400

739 President Pl
Ste 100
Smyrna, TN 37167
Phone (615) 355-4720

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kelsey.evansaprncpnppc.p1@direct.mwchc.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1285408500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 HARRIS HILLS LN APT 428",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113280",
            "telephone_number": "901-275-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 14TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372083050",
            "telephone_number": "615-372-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KELSEY",
        "middle_name": "LASHAE'",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "202224293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.