Kelly Marulanda, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

27349 Issued in TN

Practice address

10710 Murdock Dr Ste 103
Knoxville, TN 37932-3257

Phone

(865) 690-3737

Fax

(865) 690-3757

NPI assigned

Nov 26, 2019

Last updated

Apr 28, 2020By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Innovative Primary Care, LLC

  • Medical Physician Assistant
  • Knoxville, TN
  • NPI 1366993263
  NPD
• The Pulmonary and Sleep Consultants, LLC

  • Pulmonary Disease Physician
  • Knoxville, TN
  • NPI 1174738421
  NPD (past)

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1336785203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 BLUE SPRING LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MURDOCK DR STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323257",
            "telephone_number": "865-690-3737",
            "fax_number": "865-690-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARULANDA",
        "first_name": "KELLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Victoria Martino
• Libbi Sue Martino, CNM / WHNP
• Kevin Matthew Martinolich, MD
• Sue Martins
• Kathryn Marton, NP
• Marva C Williams, LPC & Associates
• Mary Dillon, MD, PLLC
• Mary Es Beaver MD PLLC (Anderson Center for Voice and Swallowing)
• Mitchell Ryan Mascaro, DDS
• Adria Morgan Mascia

• Family Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, 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 Apr 28, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.