Active NPI
Hannah Michelle Kellum, RN
- Registered Nurse
- Temple, TX
National Provider Identifier
1467299149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1100253
- Practice address
- 504 N 5TH St
Temple, TX 76501-3112 - Phone
- (254) 778-0489
- NPI assigned
- Jul 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1100253 | TX | Primary |
Addresses
Primary practice location
504 N 5TH St
Temple, TX 76501-3112
Mailing address
3009 Ira Young Dr Apt 804
Temple, TX 76504-6350
Phone (775) 340-2728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1100253 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1467299149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 IRA YOUNG DR APT 804",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765046350",
"telephone_number": "775-340-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 N 5TH ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765013112",
"telephone_number": "254-778-0489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLUM",
"first_name": "HANNAH",
"middle_name": "MICHELLE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "1100253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.