Diana Lynn Kelly

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4233 Highway 411
Madisonville, TN 37354-1571

Phone

(423) 442-8082

NPI assigned

Oct 23, 2023

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

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1366214561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S OAK ST APT C",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378742404",
            "telephone_number": "559-362-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 HIGHWAY 411",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541571",
            "telephone_number": "423-442-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert David Jones, D.PH.
• Bryce Joslin, PHARMD
• Whitney Brooke Justice
• Kaleidoscope Family Health, Inc.
• Hasmukh Vanmali Kanabar, M.D.
• Gage A Kerns, DPT
• Kidzcare Pediatrics, PLLC
• Tamela K King, LCSW
• Taylor Renee Kirkland, PHARMD
• Karen Kirkpatrick, SLP-CCC

• Mental Health Counselor in Madisonville, TN
• Providers in Madisonville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.