Cecilia Jacqueline Kelly, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

38607 Issued in TN

Practice address

328 Antioch Pike
Nashville, TN 37211-2964

Phone

(615) 988-7810

NPI assigned

Mar 1, 2019

Last updated

May 6, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

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.

• Putnam County Pediatrics, PLC

  dba Kids Kare Pediatrics

  • Pediatrics Physician
  • Cookeville, TN
  • NPI 1215054754
  NPD (past)

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1407313083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 ANTIOCH PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112964",
            "telephone_number": "159-887-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 ANTIOCH PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112964",
            "telephone_number": "615-988-7810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3162 Glover Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "TN",
            "postal_code": "371726002",
            "country_code": "US",
            "telephone_number": "801-638-9252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CECILIA",
        "middle_name": "JACQUELINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "38607",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Kelly-Teiken
• Alexys Kelly, DDS
• Bridget Kelly, B.C.B.A.
• Burnett S Kelly, MD
• Casey Marie Kelly, RN
• Christy Kelly, RN
• Connor Kelly, MD
• Ellen M. Kelly, PHD
• Gillian Kelly
• Hannah Walton Kelly, FNP- BC

• Pediatric Nurse Practitioner in Nashville, TN
• Providers in Nashville, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.