Kelly A Anderson, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

24114 Issued in TN

Practice address

700 Craighead St Ste 203
Nashville, TN 37204-2254

Phone

(615) 845-9406

Fax

(615) 349-1696

NPI assigned

Jun 5, 2018

Last updated

Sep 8, 2024By 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

Other names 1

• Kelly Ann Fornaro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Neuroscience and TMS Treatment Center PC

  dba Synaptic Psych

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nashville, TN
  • NPI 1225465107

  Single Specialty

  NPD (past)
• Psychiatric Clinic of Green Hills

  dba Nashville Center for Hope & Healing

  • Community Health Clinic/Center
  • Nashville, TN
  • NPI 1457758112
  NPD (past)

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1366934226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CRAIGHEAD ST STE 203",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042254",
            "telephone_number": "615-845-9406",
            "fax_number": "615-349-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CRAIGHEAD ST STE 203",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042254",
            "telephone_number": "615-845-9406",
            "fax_number": "615-349-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KELLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "24114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "FORNARO",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kara Anderson, APN
• Karen List Anderson, CRNA
• Karolina Ellard Anderson, MD
• Katherine Christine Anderson, SCM
• Kathryn Anderson, PA
• Kelly Elizabeth Anderson, M.S.
• Kenisha Anderson, RN
• Kimberly Anderson, NP
• Kimberly Michelle Anderson
• Kirbie Lynn Anderson, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Nashville, TN
• Providers in Nashville, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2024; 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.