Kelli Strubberg, LPTA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

5360 Issued in TN

Practice address

1104 Signal Rd
Signal Mountain, TN 37377-3122

Phone

(423) 208-1960

NPI assigned

Aug 5, 2014

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1295144095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 SIGNAL RD",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373773122",
            "telephone_number": "423-208-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 SIGNAL RD",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373773122",
            "telephone_number": "423-208-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUBBERG",
        "first_name": "KELLI",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "TN",
            "license": "5360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Smith, FNP, AANP
• Robert Tucker Spalding Jr., DPM
• Christopher S St. Charles, M.D.
• Gerald Elmer Stark
• Waldemar Charles August Sternbergh Jr., MD
• Mauren Stephanie Suker, CCC-SLP
• Rebecca Guess Susong, MD, MPH
• Christine Tapocsi, RDN, LDN, CLC
• Tennessee CVS Pharmacy LLC
• Kathryn Terrell

• Community Health Worker in Signal Mountain, TN
• Providers in Signal Mountain, TN by specialty
• Community Health Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.