Kellie Alexander Blue, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN213709 Issued in GA

Practice address

1331 Helen Hwy
Cleveland, GA 30528-2834

Phone

(706) 865-2191

Fax

(706) 865-7745

NPI assigned

Mar 26, 2013

Last updated

Mar 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1356683585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 EAGLE ROCK RD",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305285789",
            "telephone_number": "706-809-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 HELEN HWY",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305282834",
            "telephone_number": "706-865-2191",
            "fax_number": "706-865-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE",
        "first_name": "KELLIE",
        "middle_name": "ALEXANDER",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN213709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Leighanne Beck, FNP-C
• Berkintayne Enterprises LLC (Cleveland Pharmacy and Gifts)
• Tod H Bethea, M.D.
• Edsel Ray Black Sr., RPH
• Emory Scott Blair, PA-C
• Board of Health White County
• Chanda C Bourgeois, MED, CCC, SLP
• Richard Boye, RD
• Emily Nonnemaker Brackett, MS, OTR/L
• Shelby Bramlette, MS, OTR/L

• Registered Nurse in Cleveland, GA
• Providers in Cleveland, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.